Development of a Subset of the International Classification of Functioning, Disability and Health As a Basis for a Questionnaire for Community-dwelling Older Adults Aged 75 and Above in Primary Care: a Consensus Study

Overview

Journal BMJ Open

Specialty General Medicine

Date 2023 Aug 24

PMID 37620265

Authors

Laura Rink

Johanna Tomandl

Sonja Womser

Thomas Kuhlein

Maria Sebastiao

Affiliations

Soon will be listed here.

Abstract

Objectives: Functioning of older adults needs to be adequately described before it can become the focus of care. The International Classification of Functioning, Disability and Health (ICF) provides a basis for describing functioning. As the ICF is too extensive for daily practice in primary care, there is a need for a reduced number of categories. The aim is to develop an ICF-subset for community-dwelling older adults aged 75 and above in primary care.

Design: The scientific basis for decision-making in our consensus study was laid by four preparatory studies, identifying potentially relevant ICF categories from four perspectives (research, patients', experts' and clinical perspective). The results of the preparatory phase were discussed by an international expert panel in a consensus study following the Nominal Group Technique (NGT).

Setting: An international 1-day online consensus conference.

Participants: International experts (n=7) participated in the consensus conference, meeting the following criteria: extensive expertise in the field of the ICF and/or caring for older adults, and being fluent in English.

Results: Each preparatory study yielded a different number of categories with some overlaps but also differences. The expert panel decided to: (1) restrict the subset to second-level categories and reduce the number of categories from the preparatory phase, (2) limit the subset to the component activities and participation and (3) weight the patients' perspective as the most relevant one.

Conclusions: By using consensus techniques and the NGT, the process led to 51 second-level ICF categories to describe the functioning of community-dwelling older adults. The decisions made in the consensus conference emphasised the importance of considering the individual life situation from a more holistic perspective and addressing functioning as a focus of care. Next, the 51 categories will contribute to the development of an ICF-based questionnaire.

Citing Articles

Building Timely Consensus Among Diverse Stakeholders: An Adapted Nominal Group Technique.

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PMID: 39586690 PMC: 11588383. DOI: 10.1370/afm.3166.

Development of a self-assessment tool to address the functioning of community-dwelling older adults in general practice: a validation study of the EFA23 questionnaire.

Rink L, Floto C, Apel K, Weiss M, Stegmeier E, Kuhlein T BMC Prim Care. 2024; 25(1):280.

PMID: 39095690 PMC: 11297772. DOI: 10.1186/s12875-024-02539-6.

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