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Individual patterns of problems with participation, activity, body function and environment in everyday life for
Ann-Christin Björklund1,2, Laura Darcy3, Sheila Judge Santacroce4
1CHILD research group, SIDR, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Insights
This study used the International Classification of Functioning, Disability and Health (ICF) and the collaborative problem-solving (CPS) model to understand participation challenges in children post-brain tumor treatment. Findings guide tailored rehabilitation interventions for improved daily life engagement.
Area of Science:
- Pediatric Oncology Rehabilitation
- Child Health Outcomes Research
- Rehabilitation Medicine
Background:
- Children treated for brain tumors often experience persistent challenges impacting daily life.
- Understanding these challenges requires a framework that considers functioning, disability, and environmental factors.
Purpose of the Study:
- To describe and explain co-occurring problems in participation, body functioning, and environment for children post-brain tumor treatment.
- To utilize the International Classification of Functioning, Disability and Health (ICF) and the collaborative problem-solving (CPS) model for this analysis.
Main Methods:
- Retrospective review of hospital, habilitation, and school records for nine children (5-11 years) post-brain tumor treatment.
- Linking identified problems to ICF codes and analyzing code distribution to identify typical and atypical patterns.
- In-depth analysis of two cases using the CPS model to understand participation issues.
Main Results:
- Analysis of 4543 ICF codes revealed individual differences and similarities in post-treatment challenges.
- Common issues included educational difficulties and peer relationship problems.
- ICF codes for activity, body function, and environment provided explanations for participation problems.
Conclusions:
- The combined ICF and CPS approach offers a comprehensive understanding of children's post-brain tumor treatment challenges.
- Interventions should be individualized, focusing on participation in everyday life.
- The ICF framework aids in identifying problem patterns, and CPS guides service providers in addressing these patterns.
Purpose:
The study purpose was to, with the help of ICF and the CPS model, describe and explain patterns of co-occurring problems with participation in everyday life activities, body functioning and environment for children who completed brain tumor treatment.
Materials And Methods:
Hospital, habilitation and school records for nine children (5-11 yrs.) diagnosed with brain tumor, were retrospectively reviewed for everyday problems after treatment completion. These problems were linked to ICF codes. Median code distribution within ICF constructs participation, body function, body structure, activity, and environment were calculated to generate typical (close to median) and atypical (distant from median) patterns of problems on individual and group levels. Two children were in-depth analyzed with collaborative problem-solving (CPS) model to identify participation problems and plausible explanations.
Results:
In total, 4543 ICF linked codes revealed similarities and differences between individuals. The selected child-cases displayed educational challenges and peer-relational problems. The ICF codes related to activity, body function and environment revealed plausible explanations for the children's documented problems with participation in everyday life.
Conclusions:
The combination of ICF and CPS can provide a comprehensive view of the child's problems and guide development of participation in everyday life-focused interventions for children treated for brain tumors.Implications for rehabilitationCare should be guided by interventions and support directed at individual children and their everyday life.The International Classification of Functioning, Disability and Health (ICF) framework can support identification of the individual child's patterns of problems and how these affects the child's everyday life.It is recommended to start by identifying participation problems when using ICF to identify and describe problems in children's natural settings.The collaborative problem-solving model can guide healthcare, habilitation and school services when identifying and acting on typical and atypical problem patterns experienced by these children.
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