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Problems in functioning from the patient perspective using the International Classification of Functioning,
Felix Gradinger1, Barbara Köhler, Ramin Khatami
1ICF Research Branch of the WHO Collaborating Center for the Family of International Classifications at the German Institute of Medical Documentation and Information (DIMDI) at Swiss Paraplegic Research, Nottwil, Switzerland. felix.gradinger@paranet.ch
Journal of Sleep Research
|July 21, 2010
Summary
This study explored the experiences of individuals with primary sleep disorders. Findings highlight the importance of considering personal factors and environmental context alongside traditional medical approaches for holistic patient care.
Area of Science:
- Sleep Medicine
- Rehabilitation Medicine
- Qualitative Health Research
Background:
- Primary sleep disorders significantly impact daily functioning and quality of life.
- Current treatment paradigms often focus on physiological aspects, potentially overlooking broader contextual factors.
Purpose of the Study:
- To explore the lived experiences of individuals with primary sleep disorders.
- To understand functioning and contextual factors from the patient's perspective.
- To apply the International Classification of Functioning, Disability and Health (ICF) framework.
Main Methods:
- Qualitative, multicenter study utilizing focus groups.
- Six open-ended questions based on ICF components were used.
- Data analysis involved identifying concepts and linking them to ICF categories.
Main Results:
- A total of 6986 concepts were linked to 168 ICF categories.
- Body Functions, Activities & Participation, and Environmental Factors were equally represented.
- Body Structures were less frequently represented; Personal Factors (26% of concepts) emerged as significant.
Conclusions:
- The International Classification of Functioning, Disability and Health (ICF) provides a valuable framework for understanding sleep disorders.
- Treatment for sleep disorders should extend beyond physiological and anatomical considerations.
- Incorporating personal factors, patient strategies, resources, and environmental context is crucial for comprehensive care.
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