Problems in functioning from the patient perspective using the International Classification of Functioning, Disability and Health (ICF) as a reference

Gradinger, F; Köhler, B; Khatami, R; Mathis, J; Cieza, A; Bassetti, C (2011). Problems in functioning from the patient perspective using the International Classification of Functioning, Disability and Health (ICF) as a reference. Journal of sleep research, 20(1 Pt 2), pp. 171-82. Oxford: Wiley-Blackwell 10.1111/j.1365-2869.2010.00862.x

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We conducted a qualitative, multicenter study using a focus group design to explore the lived experiences of persons with any kind of primary sleep disorder with regard to functioning and contextual factors using six open-ended questions related to the International Classification of Functioning, Disability and Health (ICF) components. We classified the results using the ICF as a frame of reference. We identified the meaningful concepts within the transcribed data and then linked them to ICF categories according to established linking rules. The six focus groups with 27 participants yielded a total of 6986 relevant concepts, which were linked to a total of 168 different second-level ICF categories. From the patient perspective, the ICF components: (1) Body Functions; (2) Activities & Participation; and (3) Environmental Factors were equally represented; while (4) Body Structures appeared poignantly less frequently. Out of the total number of concepts, 1843 concepts (26%) were assigned to the ICF component Personal Factors, which is not yet classified but could indicate important aspects of resource management and strategy development of those who have a sleep disorder. Therefore, treatment of patients with sleep disorders must not be limited to anatomical and (patho-)physiological changes, but should also consider a more comprehensive view that includes patient's demands, strategies and resources in daily life and the contextual circumstances surrounding the individual.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
UniBE Contributor:	Mathis, Johannes
ISSN:	0962-1105
Publisher:	Wiley-Blackwell
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 14:12
Last Modified:	05 Dec 2022 14:02
Publisher DOI:	10.1111/j.1365-2869.2010.00862.x
PubMed ID:	20642749
Web of Science ID:	000288139600007
URI:	https://boris.unibe.ch/id/eprint/2678 (FactScience: 205533)