International classification of functioning, disability and health framework (ICF) based adaptive functioning

Ezgi Özalp Akin1, Bahar Bingoler Pekcici1, Fatma Tuba Eminoglu2

  • 1Ankara University School of Medicine, Department of Pediatrics, Developmental-Behavioral Pediatrics Division, Turkey.

Brain & Development
|December 14, 2020
PubMed

Insights

Children with organic acidemias (OA) experience significant challenges in adaptive functioning, including communication and social skills. Feeding problems are a key risk factor for lower adaptive outcomes in these children.

Area of Science:

  • Pediatric Metabolism
  • Developmental Pediatrics
  • Disability Studies

Background:

  • Organic acidemias (OAs) are a group of inherited metabolic disorders.
  • Previous research on OAs primarily focused on cognitive and medical outcomes.
  • The International Classification of Functioning, Disability and Health (ICF) framework provides a comprehensive model for understanding disability.

Purpose of the Study:

  • To examine the adaptive functioning of children with OAs using an ICF-based approach.
  • To identify factors influencing adaptive functioning in children with OAs.

Main Methods:

  • A cross-sectional study involving 22 children diagnosed with propionic academia, methylmalonic acidemia, or maple syrup urine disease.
  • Utilized ICF-based developmental assessments.
  • Measured adaptive functioning using the Vineland Adaptive Behavior Scales-Second Edition.

Main Results:

  • Children with OAs exhibited significant delays in communication (64%), daily living skills (55%), and social skills (55%).
  • The mean adaptive behavior composite score was low (65.5 ± 16.8).
  • Feeding disorders were significantly associated with lower adaptive behavior composite scores (p=0.001).

Conclusions:

  • Children with OAs in Turkey face substantial challenges in functioning, activities, and participation.
  • Feeding problems represent a significant risk factor for impaired adaptive functioning in this population.
  • ICF-based assessments and interventions are crucial for managing children with OAs.
Abstract

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