Empirical analysis of the International Classification of Functioning, Disability and Health (ICF) using structural equation modeling
Braz. j. phys. ther. (Impr.)
;
20(5): 384-394, Sept.-Oct. 2016. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-828287
RESUMO
ABSTRACT Objective:
To empirically test the relationships proposed by the International Classification of Functioning, Disability and Health (ICF) among its domains.Method:
The cross-sectional study was completed with 226 adult patients with different health conditions who attended a Brazilian rehabilitation unit. The ICF components were measured with the following instruments World Health Organization Disability Assessment Instrument II, Functional Independence Measure, Participation Scale, Craig Hospital Inventory of Environmental Factors, and a protocol designed to gather information on body structure and function and personal factors.Results:
Structural equation modeling showed good model adjustment, GFI=0.863; AGFI=0.795; RMSEA=0.028 (90% CI=0.014-0.043). Significant relationships were found between activity and both body structure and function (standard coefficient=0.32; p<0.0001) and participation components (standard coefficient=–0.70; p<0.0001). Environmental and personal factors had a significant effect on the three functioning components (standard coefficient =0.39; p<0.0001; standard coefficient =-0.35; p<0.001, respectively). In contrast, body structure and function had no significant effect on participation (standard coefficient=–0.10; p=0.111) and health conditions had no significant effect on any of the functioning components, i.e., body structure and function, activity, and participation (standard coefficient=–0.12; p=0.128).Conclusion:
Some of the ICF’s proposed relationships across domains were confirmed, while others were not found to be significant. Our results reinforce the contextual dependency of the functioning and disability processes, in addition to putting into perspective the impact of health conditions.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Classificação Internacional de Doenças
/
Pessoas com Deficiência
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Braz. j. phys. ther. (Impr.)
Assunto da revista:
MEDICINA FISICA E REABILITACAO
Ano de publicação:
2016
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal do Triângulo Mineiro/BR
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