Laying the foundation for an International Classification of Functioning, Disability and Health Core Set for community-dwelling elderly adults in primary care: the clinical perspective identified in a cross-sectional study

被引:8
作者
Book, Stephanie [1 ]
Ulbrecht, Gudrun [1 ]
Tomandl, Johanna [2 ]
Kuehlein, Thomas [2 ]
Gotthardt, Susann [3 ]
Freiberger, Ellen [3 ]
Graessel, Elmar [1 ]
机构
[1] Friedrich Alexander Univ Erlangen Nurnberg FAU, Univ Hosp Erlangen, Dept Psychiat & Psychotherapy, Ctr Hlth Serv Res Med, Erlangen, Germany
[2] Friedrich Alexander Univ Erlangen Nurnberg FAU, Univ Hosp Erlangen, Inst Gen Practice, Erlangen, Germany
[3] Friedrich Alexander Univ Erlangen Nurnberg FAU, Inst Biomed Aging, Nurnberg, Germany
来源
BMJ OPEN | 2020年 / 10卷 / 11期
关键词
aging; community-dwelling older people; core set; functioning; general practice; ICF; QUALITY-OF-LIFE; OLDER-ADULTS; INSTRUMENTAL ACTIVITIES; PHYSICAL-ACTIVITY; MOBILITY; RISK; INDEPENDENCE; LIMITATIONS; IMPAIRMENT; PREVALENCE;
D O I
10.1136/bmjopen-2020-038434
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives Having more information about the biopsychosocial functioning of their geriatric patients might help physicians better balance medical interventions according to patients' needs. For this reason, we aimed to develop an easy-to-handle International Classification of Functioning, Disability and Health (ICF) Core Set for community-dwelling geriatric patients aged 75 and older in primary care. In this empirical study, we describe the functioning and health of community-dwelling patients aged 75 and older in primary care in Germany and identify the most common problems encountered by these individuals when using the ICF. Design In this exploratory, cross-sectional study, a health professional conducted semi-structured interviews. Setting Community-dwelling older adults aged 75 and older in Germany. Participants 65 participants (mean age=80.2, SD=3.6). Outcome measures Extended ICF Checklist V.2.1a, patients prioritised chapters of the 'activities and participation' component. Results The three most common impairments for 'body functions' were visual system functions (ICF-code b210; 89%), blood pressure functions (b420; 80%) and sensations associated with hearing and vestibular functions (b240; 59%). For 'body structures', they were eyes, ears and related structures (s2; 81%), structure of mouth (s320; 74%) and structures related to the digestive, metabolic and endocrine systems (s5; 49%). For the 'activities and participation' component, adequate aids compensated for activity limitations to a certain degree. Still, after having adequate aids, the category in which the participants had the most difficulty was walking (d450; 35%). Participants rated the 'mobility' chapter as the most important of all chapters. 'Environmental factors' were facilitators of participants' functioning. Conclusions This empirical study provides a list of ICF categories relevant to older adults from the clinical perspective. Along with lists from the other three preparatory studies, it will form the basis for the development of an ICF Core Set for community-dwelling older adults in primary care. Trial registration details The trial is registered in ClinicalTrials.gov (NCT03384732).
引用
收藏
页数:11
相关论文
共 46 条
[21]   Mobility difficulties and physical activity as predictors of mortality and loss of independence in the community-living older population [J].
Hirvensalo, M ;
Rantanen, T ;
Heikkinen, E .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (05) :493-498
[22]   Mild cognitive impairment and deficits in instrumental activities of daily living: a systematic review [J].
Jekel, Katrin ;
Damian, Marinella ;
Wattmo, Carina ;
Hausner, Lucrezia ;
Bullock, Roger ;
Connelly, Peter J. ;
Dubois, Bruno ;
Eriksdotter, Maria ;
Ewers, Michael ;
Graessel, Elmar ;
Kramberger, Milica G. ;
Law, Emma ;
Mecocci, Patrizia ;
Molinuevo, Jose L. ;
Nygard, Louise ;
Olde-Rikkert, Marcel G. M. ;
Orgogozo, Jean-Marc ;
Pasquier, Florence ;
Peres, Karine ;
Salmon, Eric ;
Sikkes, Sietske A. M. ;
Sobow, Tomasz ;
Spiegel, Rene ;
Tsolaki, Magda ;
Winblad, Bengt ;
Froelich, Lutz .
ALZHEIMERS RESEARCH & THERAPY, 2015, 7
[23]   Self-reported health conditions and related driving reduction in older drivers [J].
Kandasamy, Deepika ;
Betz, Marian E. ;
Diguiseppi, Carolyn ;
Mielenz, T. J. ;
Eby, David W. ;
Molnar, Lisa J. ;
Hill, Linda ;
Strogatz, David ;
Li, Guohua .
OCCUPATIONAL THERAPY IN HEALTH CARE, 2018, 32 (04) :363-379
[24]   Applicability of the icf checklist to traumatically brain-injured patients in post-acute rehabilitation settings [J].
Koskinen, Sanna ;
Hokkinen, Eeva-Maija ;
Sarajuuri, Jaana ;
Alaranta, LicPsych ;
Alaranta, Hannu .
JOURNAL OF REHABILITATION MEDICINE, 2007, 39 (06) :467-472
[25]   Early Cognitively Based Functional Limitations Predict Loss of Independence in Instrumental Activities of Daily Living in Older Adults [J].
Lau, Karen M. ;
Parikh, Mili ;
Harvey, Danielle J. ;
Huang, Chun-Jung ;
Farias, Sarah Tomaszewski .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2015, 21 (09) :688-698
[26]   The European General Practice Research Network Presents a Comprehensive Definition of Multimorbidity in Family Medicine and Long Term Care, Following a Systematic Review of Relevant Literature [J].
Le Reste, Jean Yves ;
Nabbe, Patrice ;
Manceau, Benedicte ;
Lygidakis, Charilaos ;
Doerr, Christa ;
Lingner, Heidrun ;
Czachowski, Slawomir ;
Munoz, Miguel ;
Argyriadou, Stella ;
Claveria, Ana ;
Le Floch, Bernard ;
Barais, Marie ;
Bower, Peter ;
Van Marwijk, Harm ;
Van Royen, Paul ;
Lietard, Claire .
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2013, 14 (05) :319-325
[27]   Views of family physicians on heterosexual sexual function in older adults [J].
Levkovich, Inbar ;
Gewirtz-Meydan, Ateret ;
Karkabi, Khaled ;
Ayalon, Liat .
BMC FAMILY PRACTICE, 2018, 19
[28]   A study of sexuality and health among older adults in the United States [J].
Lindau, Stacy Tessler ;
Schumm, L. Philip ;
Laumann, Edward O. ;
Levinson, Wendy ;
O'Muircheartaigh, Colm A. ;
Waite, Linda J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (08) :762-774
[29]   Functional Disability in Mild Cognitive Impairment: A Systematic Review and Meta-Analysis [J].
Lindbergh, Cutter A. ;
Dishman, Rodney K. ;
Miller, L. Stephen .
NEUROPSYCHOLOGY REVIEW, 2016, 26 (02) :129-159
[30]  
Office FS, 2016, OLD PEOPL GERM EU