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The utility of ICF for describing interaction in non-speaking children with disabilities: caregiver ratings and perceptions
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
Department of Caring and Public Health Sciences, Mälardalen University, Sweden.
Department of Caring and Public Health Sciences, Mälardalen University, Sweden.
Department of Caring and Public Health Sciences, Mälardalen University, Sweden.
2007 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 29, no 22, p. 1689-1700Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The purpose of the study is to explore the utility of the International Classification of Functioning, Disability and Health (ICF) when assessing caregivers' perceptions of interaction and factors related to interaction in non-speaking children with disability.

METHOD: A questionnaire with focus on interaction and related factors was constructed by linking questions in existing instruments to ICF and was completed by 208 professionals and parents of 195 non-speaking children with disabilities in Russia. Caregivers' descriptions of interaction in open-ended questions were qualitatively analysed and compared to selected caregivers' ratings of children's functioning and environment in the questionnaire based on ICF.

RESULTS: In the open-ended questions about interaction the caregivers described modes of communication children used, situations in which interactions took place, positive and negative aspects of interactions. Thirty eight respondents described interaction with children negatively, 66 neutrally, and 76 positively. Statistical analyses revealed significant differences among the three groups of respondents concerning their ratings of children's functioning and environment in the ICF-based questionnaire.

CONCLUSIONS: The ICF-related items in the questionnaire corresponded to caregivers' perceptions of interaction, which shows their relevance for the description of interactions. ICF is feasible in describing of interaction and interaction-related factors in non-speaking children with disabilities in Russia.

Place, publisher, year, edition, pages
Informa Healthcare, 2007. Vol. 29, no 22, p. 1689-1700
Keywords [en]
ICF-CY, communication, interaction, non-speaking children with disabilities
National Category
Social Work
Research subject
Disability Research
Identifiers
URN: urn:nbn:se:oru:diva-22664DOI: 10.1080/09638280601056186PubMedID: 17852237OAI: oai:DiVA.org:oru-22664DiVA, id: diva2:523479
Available from: 2012-04-25 Created: 2012-04-25 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Applicability of the ICF-CY to describe functioning and environment of children with disabilities
Open this publication in new window or tab >>Applicability of the ICF-CY to describe functioning and environment of children with disabilities
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of the thesis, with four empirical studies, was to explore the applicability of the International Classification of Functioning, Disability and Health, version for children and youth (ICF-CY) to describe functioning and environment of children with disabilities. The components and categories in the ICF-CY were explored by studying items in ICF-CY based questionnaires in studies I and II and by linking texts of individual habilitation plans to the ICF-CY in studies III and IV. Professionals’ perceptions of the applicability of the ICF-CY and the ICFCY questionnaire were investigated in study II. In study IV changes in focus on ICF-CY components in documentation of individual habilitation plans were explored after in-service training in the ICF-CY. Studies I and II found variations in ratings of questionnaire items based on the performance qualifier in component Activities and participation. The variations may be explained by the context in which ratings were made and by expectations and perceptions of those who made ratings. The results indicated challenges in constructing universal measures of the performance qualifier. The studies also indicated limitations in the use of items based on Environmental factors, when used separately from items in Activities and participation. Studies II and III found that the categories in the components Body functions and Activities and participation were interrelated. Study III indicated challenges in describing family situation and children’s psychosocial environment in the Environmental factors. In study II the professionals described advantages and challenges in the use of the ICFCY and suggested necessary changes to the ICF-CY questionnaire. Study IV found that the professionals in child and youth habilitation described children’s functioning more precisely and in more detail after in-service training. Overall, the results suggest both advantages and challenges of the ICFCY when used to describe functioning and environment of children with disabilities. The results call for a need of a combined use of the categories from all the ICF-CY the components.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2012. p. 83
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 41
Keywords
ICF-CY, children with disabilities, classification, functioning, environment, functional approach
National Category
Social Work
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-22591 (URN)978-91-7668-864-9 (ISBN)
Public defence
2012-05-25, Sal Kappa, Mälardalens högskola, Västerås, 13:00 (English)
Opponent
Supervisors
Available from: 2012-04-19 Created: 2012-04-19 Last updated: 2017-10-17Bibliographically approved

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