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Application of participation in clinical practice: Key issues
Dominique van de Velde1, Marieke Coussens, Stijn De Baets
1Faculty of Medicine and health sciences, Department of Rehabilitation Sciences and Physiotherapy, Occupational Therapy programme, Ghent University, BE-9000 Gent, Belgium. dominique.vandevelde@ugent.be.
Journal of Rehabilitation Medicine
|June 27, 2018
Summary
Understanding participation in daily life, as defined by the International Classification of Functioning, Disability and Health, remains challenging due to conceptual ambiguity. This study clarifies measurement issues to aid clinical practice.
Area of Science:
- Rehabilitation Science
- Disability Studies
- Health Services Research
Background:
- Rehabilitation increasingly focuses on participation in daily life, a concept from the International Classification of Functioning, Disability and Health (ICF).
- Current conceptualization of participation lacks consensus, posing challenges for research and clinical application.
Purpose of the Study:
- To critically review literature for conceptual problems in applying "participation."
- To systematically identify and analyze how participation measures are operationalized in research.
Main Methods:
- A critical literature review to identify recurring conceptual issues and researcher approaches.
- A systematic review to catalogue and categorize instruments used to measure participation.
Main Results:
- Identified and proposed solutions for four key limitations: defining participation, distinguishing it from activity, understanding subjective aspects, and measurement approaches.
- Found 18 instruments operationalizing participation, varying from unidimensional (frequency, experienced limitations) to multidimensional (subjective, objective/subjective dimensions).
Conclusions:
- Despite growing knowledge, conceptual clarity and measurement of participation remain debated, impacting clinical use.
- Awareness of current limitations and knowledge gaps can assist clinicians in applying participation concepts effectively.
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