ICF linking of patient-reported therapy goals for children with acquired upper extremity impairment
•For children (age 6-18) the greatest proportion of their treatment priorities align with specific aspects of hand and arm use (ICF chapter d445).•Participation in sports and fitness, performing arts, and play are of greater priority that participation in self-care for the population.•The body funct...
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| Veröffentlicht in: | Journal of hand therapy 2023-01, Vol.36 (1), p.74-84 |
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| creator | Dorich, Jenny M. Cornwall, Roger Uhl, Tim |
| description | •For children (age 6-18) the greatest proportion of their treatment priorities align with specific aspects of hand and arm use (ICF chapter d445).•Participation in sports and fitness, performing arts, and play are of greater priority that participation in self-care for the population.•The body functions priorities for the population include: pain, joint mobility and strength.
Patient reported outcome measures are used to evaluate hand therapy outcomes. Yet, limited evidence is available regarding the outcomes children desire from hand therapy.
To determine the desired treatment outcomes of children with acquired upper extremity impairments.
Descriptive case series
Two raters independently applied International Classification of Function, Disability and Health (ICF) linking rules to the Canadian Occupational Performance goals of 151 children, age 6-18, receiving occupational therapy for acquired upper extremity impairments. Prevalence of the linked ICF codes was examined using frequency distributions. Kappa and the proportion of positive agreement assessed inter-rater agreement of the linked codes.
Following consensus, two independent raters linked 894 meaningful concepts to the study population's 501 goals derived from the Canadian Occupational Performance. Ninety-two unique ICF codes were linked to these 894 meaningful concepts. Twenty-three ICF codes account for 77.2% of the most frequently linked codes. For these top 23 codes, the greatest proportion (51.4%) of ICF codes are in the d4 mobility chapter representing specific constructs of hand and arm use. The second largest proportion (14.2%) of linked codes are in the d9 Community, society and civic life chapter aligning with participation in sports, music, performing arts and play. Within the d5 self-care chapter, the study population's top priorities included hair care, fitness and drinking. The primary concerns within the b body functions domain are reduced pain, improved joint mobility and strength.
The study population's top priorities align with specific dimensions of hand and arm use and participation in sports and fitness, performing arts, and play. Further research may elucidate alignment of these patient-desired outcomes and the item banks of commonly used patient reported outcome measurement scales in this population. |
| doi_str_mv | 10.1016/j.jht.2021.05.001 |
| format | Article |
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Patient reported outcome measures are used to evaluate hand therapy outcomes. Yet, limited evidence is available regarding the outcomes children desire from hand therapy.
To determine the desired treatment outcomes of children with acquired upper extremity impairments.
Descriptive case series
Two raters independently applied International Classification of Function, Disability and Health (ICF) linking rules to the Canadian Occupational Performance goals of 151 children, age 6-18, receiving occupational therapy for acquired upper extremity impairments. Prevalence of the linked ICF codes was examined using frequency distributions. Kappa and the proportion of positive agreement assessed inter-rater agreement of the linked codes.
Following consensus, two independent raters linked 894 meaningful concepts to the study population's 501 goals derived from the Canadian Occupational Performance. Ninety-two unique ICF codes were linked to these 894 meaningful concepts. Twenty-three ICF codes account for 77.2% of the most frequently linked codes. For these top 23 codes, the greatest proportion (51.4%) of ICF codes are in the d4 mobility chapter representing specific constructs of hand and arm use. The second largest proportion (14.2%) of linked codes are in the d9 Community, society and civic life chapter aligning with participation in sports, music, performing arts and play. Within the d5 self-care chapter, the study population's top priorities included hair care, fitness and drinking. The primary concerns within the b body functions domain are reduced pain, improved joint mobility and strength.
The study population's top priorities align with specific dimensions of hand and arm use and participation in sports and fitness, performing arts, and play. Further research may elucidate alignment of these patient-desired outcomes and the item banks of commonly used patient reported outcome measurement scales in this population.</description><identifier>ISSN: 0894-1130</identifier><identifier>EISSN: 1545-004X</identifier><identifier>DOI: 10.1016/j.jht.2021.05.001</identifier><identifier>PMID: 34247881</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of Daily Living ; Adolescent ; Adults ; Arm ; Canada ; Canadian occupational performance measure ; Child ; Children ; Clinical outcomes ; Disability Evaluation ; Fitness ; Goals ; Hand ; Humans ; International classification of function disability, and health (ICF) ; International Classification of Functioning, Disability and Health ; Mobility ; Occupational therapy ; Outcomes ; Participation ; Patient Reported Outcome Measures ; Patients ; Pediatrics ; Physical fitness ; Population studies ; Priorities ; Taxonomy ; Teenagers ; Therapists ; Therapy ; Upper Extremity</subject><ispartof>Journal of hand therapy, 2023-01, Vol.36 (1), p.74-84</ispartof><rights>2021</rights><rights>Copyright © 2021. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Jan 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-97eed2b2ceb66d12dad0266efa93e2515d8a38fe13102af13e5679d5dfc6c6a93</citedby><cites>FETCH-LOGICAL-c424t-97eed2b2ceb66d12dad0266efa93e2515d8a38fe13102af13e5679d5dfc6c6a93</cites><orcidid>0000-0002-4522-9533</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0894113021000739$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34247881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dorich, Jenny M.</creatorcontrib><creatorcontrib>Cornwall, Roger</creatorcontrib><creatorcontrib>Uhl, Tim</creatorcontrib><title>ICF linking of patient-reported therapy goals for children with acquired upper extremity impairment</title><title>Journal of hand therapy</title><addtitle>J Hand Ther</addtitle><description>•For children (age 6-18) the greatest proportion of their treatment priorities align with specific aspects of hand and arm use (ICF chapter d445).•Participation in sports and fitness, performing arts, and play are of greater priority that participation in self-care for the population.•The body functions priorities for the population include: pain, joint mobility and strength.
Patient reported outcome measures are used to evaluate hand therapy outcomes. Yet, limited evidence is available regarding the outcomes children desire from hand therapy.
To determine the desired treatment outcomes of children with acquired upper extremity impairments.
Descriptive case series
Two raters independently applied International Classification of Function, Disability and Health (ICF) linking rules to the Canadian Occupational Performance goals of 151 children, age 6-18, receiving occupational therapy for acquired upper extremity impairments. Prevalence of the linked ICF codes was examined using frequency distributions. Kappa and the proportion of positive agreement assessed inter-rater agreement of the linked codes.
Following consensus, two independent raters linked 894 meaningful concepts to the study population's 501 goals derived from the Canadian Occupational Performance. Ninety-two unique ICF codes were linked to these 894 meaningful concepts. Twenty-three ICF codes account for 77.2% of the most frequently linked codes. For these top 23 codes, the greatest proportion (51.4%) of ICF codes are in the d4 mobility chapter representing specific constructs of hand and arm use. The second largest proportion (14.2%) of linked codes are in the d9 Community, society and civic life chapter aligning with participation in sports, music, performing arts and play. Within the d5 self-care chapter, the study population's top priorities included hair care, fitness and drinking. The primary concerns within the b body functions domain are reduced pain, improved joint mobility and strength.
The study population's top priorities align with specific dimensions of hand and arm use and participation in sports and fitness, performing arts, and play. Further research may elucidate alignment of these patient-desired outcomes and the item banks of commonly used patient reported outcome measurement scales in this population.</description><subject>Activities of Daily Living</subject><subject>Adolescent</subject><subject>Adults</subject><subject>Arm</subject><subject>Canada</subject><subject>Canadian occupational performance measure</subject><subject>Child</subject><subject>Children</subject><subject>Clinical outcomes</subject><subject>Disability Evaluation</subject><subject>Fitness</subject><subject>Goals</subject><subject>Hand</subject><subject>Humans</subject><subject>International classification of function disability, and health (ICF)</subject><subject>International Classification of Functioning, Disability and Health</subject><subject>Mobility</subject><subject>Occupational therapy</subject><subject>Outcomes</subject><subject>Participation</subject><subject>Patient Reported Outcome Measures</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Physical fitness</subject><subject>Population studies</subject><subject>Priorities</subject><subject>Taxonomy</subject><subject>Teenagers</subject><subject>Therapists</subject><subject>Therapy</subject><subject>Upper Extremity</subject><issn>0894-1130</issn><issn>1545-004X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUFv1DAQhS0EotvCD-CCLHHhkjDjxN5EnNCKlkqVuIDEzfLak65DEqeOU9h_j8sWDhw4zeV7n0bvMfYKoURA9a4v-0MqBQgsQZYA-IRtUNayAKi_PWUbaNq6QKzgjJ0vS58BKWD7nJ1Vtai3TYMbZq93l3zw03c_3fLQ8dkkT1MqIs0hJnI8HSia-chvgxkW3oXI7cEPLtLEf_h04MberT5mcJ1nipx-pkijT0fux9n4OGbZC_asy2F6-Xgv2NfLj192n4qbz1fXuw83hc3vpKLdEjmxF5b2SjkUzjgQSlFn2oqEROkaUzUdYYUgTIcVSbVtnXSdVVZl6IK9PXnnGO5WWpIe_WJpGMxEYV20kBIUtlVTZ_TNP2gf1jjl77RooBGIAjBTeKJsDMsSqdNz9KOJR42gHxbQvc4L6IcFNEgNvzOvH83rfiT3N_Gn8gy8PwGUq7j3FPVic-WWXK7RJu2C_4_-F2a9l4o</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Dorich, Jenny M.</creator><creator>Cornwall, Roger</creator><creator>Uhl, Tim</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4522-9533</orcidid></search><sort><creationdate>202301</creationdate><title>ICF linking of patient-reported therapy goals for children with acquired upper extremity impairment</title><author>Dorich, Jenny M. ; Cornwall, Roger ; Uhl, Tim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-97eed2b2ceb66d12dad0266efa93e2515d8a38fe13102af13e5679d5dfc6c6a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of Daily Living</topic><topic>Adolescent</topic><topic>Adults</topic><topic>Arm</topic><topic>Canada</topic><topic>Canadian occupational performance measure</topic><topic>Child</topic><topic>Children</topic><topic>Clinical outcomes</topic><topic>Disability Evaluation</topic><topic>Fitness</topic><topic>Goals</topic><topic>Hand</topic><topic>Humans</topic><topic>International classification of function disability, and health (ICF)</topic><topic>International Classification of Functioning, Disability and Health</topic><topic>Mobility</topic><topic>Occupational therapy</topic><topic>Outcomes</topic><topic>Participation</topic><topic>Patient Reported Outcome Measures</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Physical fitness</topic><topic>Population studies</topic><topic>Priorities</topic><topic>Taxonomy</topic><topic>Teenagers</topic><topic>Therapists</topic><topic>Therapy</topic><topic>Upper Extremity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dorich, Jenny M.</creatorcontrib><creatorcontrib>Cornwall, Roger</creatorcontrib><creatorcontrib>Uhl, Tim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hand therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dorich, Jenny M.</au><au>Cornwall, Roger</au><au>Uhl, Tim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ICF linking of patient-reported therapy goals for children with acquired upper extremity impairment</atitle><jtitle>Journal of hand therapy</jtitle><addtitle>J Hand Ther</addtitle><date>2023-01</date><risdate>2023</risdate><volume>36</volume><issue>1</issue><spage>74</spage><epage>84</epage><pages>74-84</pages><issn>0894-1130</issn><eissn>1545-004X</eissn><abstract>•For children (age 6-18) the greatest proportion of their treatment priorities align with specific aspects of hand and arm use (ICF chapter d445).•Participation in sports and fitness, performing arts, and play are of greater priority that participation in self-care for the population.•The body functions priorities for the population include: pain, joint mobility and strength.
Patient reported outcome measures are used to evaluate hand therapy outcomes. Yet, limited evidence is available regarding the outcomes children desire from hand therapy.
To determine the desired treatment outcomes of children with acquired upper extremity impairments.
Descriptive case series
Two raters independently applied International Classification of Function, Disability and Health (ICF) linking rules to the Canadian Occupational Performance goals of 151 children, age 6-18, receiving occupational therapy for acquired upper extremity impairments. Prevalence of the linked ICF codes was examined using frequency distributions. Kappa and the proportion of positive agreement assessed inter-rater agreement of the linked codes.
Following consensus, two independent raters linked 894 meaningful concepts to the study population's 501 goals derived from the Canadian Occupational Performance. Ninety-two unique ICF codes were linked to these 894 meaningful concepts. Twenty-three ICF codes account for 77.2% of the most frequently linked codes. For these top 23 codes, the greatest proportion (51.4%) of ICF codes are in the d4 mobility chapter representing specific constructs of hand and arm use. The second largest proportion (14.2%) of linked codes are in the d9 Community, society and civic life chapter aligning with participation in sports, music, performing arts and play. Within the d5 self-care chapter, the study population's top priorities included hair care, fitness and drinking. The primary concerns within the b body functions domain are reduced pain, improved joint mobility and strength.
The study population's top priorities align with specific dimensions of hand and arm use and participation in sports and fitness, performing arts, and play. Further research may elucidate alignment of these patient-desired outcomes and the item banks of commonly used patient reported outcome measurement scales in this population.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34247881</pmid><doi>10.1016/j.jht.2021.05.001</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-4522-9533</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of hand therapy, 2023-01, Vol.36 (1), p.74-84 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Activities of Daily Living Adolescent Adults Arm Canada Canadian occupational performance measure Child Children Clinical outcomes Disability Evaluation Fitness Goals Hand Humans International classification of function disability, and health (ICF) International Classification of Functioning, Disability and Health Mobility Occupational therapy Outcomes Participation Patient Reported Outcome Measures Patients Pediatrics Physical fitness Population studies Priorities Taxonomy Teenagers Therapists Therapy Upper Extremity |
| title | ICF linking of patient-reported therapy goals for children with acquired upper extremity impairment |
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