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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using the ICF to code and analyse women's disability narratives.

Colette H Duggan1, Kathie J Albright, Anthony Lequerica

  • 1Rehabilitation Institute of Michigan, Detroit, Michigan 48201, USA. cduggan@dmc.org

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Summary
This summary is machine-generated.

This study used the WHO International Classification of Functioning, Disability and Health (ICF) to analyze stress and coping in women with spinal cord injuries. Findings highlight the need for a richer understanding of personal factors and person-environment interactions.

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Area of Science:

  • Rehabilitation Medicine
  • Disability Studies
  • Sociology of Health

Background:

  • Spinal cord injury (SCI) significantly impacts community-dwelling women.
  • Understanding stress and coping mechanisms over the life course is crucial for SCI rehabilitation.

Purpose of the Study:

  • To apply the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF) as a framework.
  • To analyze the narratives of 50 women with SCI regarding stress and coping.

Main Methods:

  • Development of a qualitative coding scheme and data reduction techniques.
  • Phased data analysis including matrix construction, ICF code mapping, and thematic analysis.
  • Focus on environment-related stressors and person-environment interaction dynamics.

Main Results:

  • Matrices facilitated pattern identification in qualitative data.
  • ICF coding provided a detailed analysis of environmental stressors.
  • Thematic analysis revealed dynamics of person-environment interaction.

Conclusions:

  • Elaboration of the ICF's personal factors component is needed.
  • A context-driven, process view of person-environment interaction is valuable.
  • Further research should explore bi-directional person-environment linkages.