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The ICF has made a difference to functioning and disability measurement and statistics.

Rosamond H Madden1, Anita Bundy1,2

  • 1a Faculty of Health Sciences , University of Sydney , Sydney , Australia.

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PubMed
Summary

The International Classification of Functioning, Disability and Health (ICF) framework is improving functioning and disability measurement and statistics globally. Continued development is needed to address identified gaps and enhance policy and service outcomes.

Keywords:
FunctioningICF applicationsdisabilityenvironmentmeasurementparticipationstatistics

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Area of Science:

  • Rehabilitation Medicine
  • Public Health
  • Biostatistics

Background:

  • The International Classification of Functioning, Disability and Health (ICF) provides a standardized framework for understanding health and functioning.
  • Fifteen years post-publication, its application in measurement and statistics requires evaluation.

Purpose of the Study:

  • To assess the alignment of ICF applications with its core aims, content, and principles.
  • To evaluate the ICF's impact on improving the measurement of functioning and related statistics.
  • To identify emerging knowledge and gaps in ICF research.

Main Methods:

  • A scoping review of research published between 2001 and 2015.
  • Focused on studies related to measurement and statistics concerning the ICF.
  • Examined evidence for shifts in thinking, alignment with ICF philosophy, and new knowledge generation.

Main Results:

  • The ICF is widely applied across diverse settings and countries, largely aligning with its specifications.
  • Significant advancements include new national surveys, information systems, ICF-based instruments, and international disability data initiatives.
  • Growing knowledge exists on ICF model components, environmental impacts on functioning, and participation measurement.

Conclusions:

  • The ICF offers a common language and conceptual framework, stimulating new thinking and applications in functioning and disability measurement.
  • Further maturation of the field is needed, with identified gaps guiding improvements in measurement and statistics for policy and services.
  • The ICF framework is crucial for rehabilitation, emphasizing participation, environmental factors, and client involvement in assessment and planning.