Browsing by Subject "ICF"

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    A pilot study to investigate the use of the ICF in documenting levels of function and disability in people living with HIV
    (2006) Jelsma, J; Brauer, N; Hahn, C; Snoek, A; Sykes, I
    Objective: The study was a pilot study aimed at investigating the use of the International Classification of Functioning, Disability and Health (ICF) checklist developed by the World Health Organisation in determining the function of individuals living with HIV in a township near Cape Town. Methods: Twelve participants attending the HIV clinic were examined using the ICF checklist. Findings: Areas of the ICF in which problems were noted included emotional functioning and energy and drive. Four participants complained of increased sensitivity to sound. Several respondents (three) reported difficulties in relationships with community members, with less having problems in family and intimate relationships. Conclusion: The ICF was found to be time consuming and many codes were not relevant. Some of the concepts were not well understood by the participants. However, despite limitations, the use of the ICF in a resource poor setting formed a useful framework within which to examine the functional problems of HIV infected individuals. In the absence of any equivalent unifying framework within which to classify health and health related states, the use of the ICF merits further investigation.
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    The impact of a training programme incorporating the conceptual framework of the International Classification of Functioning (ICF) on knowledge and attitudes regarding interprofessional practice in Rwandan health professionals: a cluster randomized control trial
    (2021-03-01) Sagahutu, Jean B; Kagwiza, Jeanne; Cilliers, Francois; Jelsma, Jennifer
    Background The first step in improving interprofessional teamwork entails training health professionals (HP) to acknowledge the role and value the contribution of each member of the team. The International Classification of Functioning, Disability and Health (ICF) has been developed by WHO to provide a common language to facilitate communication between HPs. Objective To determine whether ICF training programme would result in improved knowledge and attitudes regarding interprofessional practice within Rwandan district hospitals. Design, setting and participants A cluster randomised, single blinded, control trial design was used to select four district hospitals. Participants included physicians, social workers, physiotherapists, nutritionists, clinical psychologists/mental health nurses. Intervention Health professionals either received one day’s training in interprofessional practice (IPP) based on the ICF (experimental group) as a collaborative framework or a short talk on the topic (control group). Outcome measures Validated questionnaires were used to explore changes in knowledge and attitudes. Ethical approval was obtained from the relevant authorities. Results There were 103 participants in the experimental and 100 in the control group. There was no significant difference between Knowledge and Attitude scales at baseline. Post-intervention the experimental group (mean = 41.3, SD = 9.5) scored significantly higher on the knowledge scale than the control group (mean = 17.7, SD = 4.7 (t = 22.5; p < .001)). The median scores on the Attitude Scale improved in the Experimental group from 77.8 to 91.1%, whereas the median scores of the control remained approximately 80% (Adjusted Z = 10.72p < .001). Conclusion The ICF proved to be a useful framework for structuring the training of all HPs in IPP and the training resulted in a significant improvement in knowledge and attitudes regarding IPP. As suggested by the HPs, more training and refresher courses were needed for sustainability and the training should be extended to other hospitals in Rwanda. It is thus recommended that the framework can be used in interprofessional education and practice in Rwanda and possibly in other similar countries. Trial registration Name of the registry: Pan African Clinical Trial Registry. Trial registration number: PACTR201604001185358 . Date of registration: 22/04/2016. URL of trial registry record: www.pactr.org
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    Introduction to the use of the International Classification of Functioning (ICF) in clinical management in undergraduate physiotherapy programme
    (2014-08-20) Jelsma, Jennifer; Pienaar, Lunelle
    Module notes and presentations designed for undergraduate students in the physiotherapy programme. Case studies presented of the use of ICF in the assessment of respiratory, cerebral palsy and orthopaedics patients. One of the most difficult skills that a physiotherapy student has to learn is clinical reasoning. In order to meet the needs of a patient, the student needs to know what the needs are, analyse these needs and the problems that are causing them, choose and apply suitable techniques and then assess whether the intervention has been effective. The International Classification of Functioning (ICF) Framework thus supports comprehensive and holistic assessment that allows meaningful decisions to be made based on the individual's needs.