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Exploring changes over time in habilitation professionals' perceptions and applications of the International Classification of Functioning, Disability and Health, version for children and youth (ICF-CY)
Jönköping University, School of Education and Communication, HLK, CHILD.
Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.ORCID iD: 0000-0001-9597-039X
Jönköping University, School of Education and Communication, HLK, CHILD.
(CHILD)
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2010 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 42, no 7, 670-678 p.Article in journal (Refereed) Published
Abstract [en]

Objective:This study explored how professionals in interdisciplinary teams perceived the implementation of the World Health Organization’s International Classification of Functioning, Disability and Health, version for Children and Youth (ICF-CY) in Swedish habilitation services.

Design:Descriptive longitudinal mixed-methods design.

Methods:Following participation in a 2-day in-service training on the ICF-CY, 113 professionals from 14 interdisciplinary teams described their perceptions of the implementation of the ICF-CY at 3 consecutive time-points: during in-service training, after 1 year, and after 2.5 years.

Results:Implementation of the ICF-CY in daily work focused on assessment and habilitation planning and required adaptations of routines and materials. The ICF-CY was perceived as useful in supporting analyses and in communication about children’s needs. Professionals also perceived it as contributing to new perspectives on problems and a sharpened focus on participation.

Conclusion:Professionals indicated that the ICF-CY enhanced their awareness of families’ views of child participation, which corresponded to organizational goals for habilitation services. An implementation finding was a lack of tools fitting the comprehensive ICF-CY perspective. The study points to the need for ICF-CY-based assessment and intervention methods focusing on child participation.

Place, publisher, year, edition, pages
2010. Vol. 42, no 7, 670-678 p.
Keyword [en]
adolescent; child; disability; classification; ICF-CY; implementation; habilitation; interdisciplinary.
National Category
Social Work
Identifiers
URN: urn:nbn:se:hj:diva-12770DOI: 10.2340/16501977-0586OAI: oai:DiVA.org:hj-12770DiVA: diva2:328646
Projects
I-CY-HAB
Available from: 2010-07-08 Created: 2010-07-05 Last updated: 2016-03-07Bibliographically approved
In thesis
1. Applying the ICF-CY to identify everyday life situations of children and youth with disabilities
Open this publication in new window or tab >>Applying the ICF-CY to identify everyday life situations of children and youth with disabilities
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Four studies were included in this doctoral dissertation aiming to investigatehow habilitation professionals perceive the ICF-CY in clinical work and to identify everyday life situations specific for children and youth aged 0-17 years. The ICF-CY was the conceptual framework and since the research was conducted on as well as with the ICF-CY, the use of the classification runs like a thread through all the work. The design was primarily qualitative and included descriptive and comparative content analyses. Study I was longitudinal, aiming to explore how an implementation of the ICF-CY in Swedish habilitation services was perceived. Studies II-IV were interrelated, aiming to explore children’s most common everyday life situations. Content in measures of participation, professionals’ perspectives, and external data on parents’ perspectives were linked to the ICF-CY and compared. Mixed methods design bridged the Studies III-IV.

Results in Study I indicated that knowledge on the ICF-CY enhanced professionals’ awareness of families’ views of child functioning and pointed to the need for ICF-CY based assessment and intervention methods focusing on child participation in life situations. A first important issue in this respect was to identify everyday life situations. Two sets of ten everyday life situations related to the ICF-CY component Activities and Participation, chapters d3-d9, were compiled and adopted for younger and older children respectively, establishing a difference in context specificity depending on maturity and growing autonomy. Furthermore, key constructs in the ICFCY model were discussed, additional ICF-CY linking rules were presented and suggestions for revisions of the ICF linking rules and the ICF-CY were listed. As the sample of everyday life situations reflects the perspectives of adults, further research has to add the perspective of children and youth. The identified everyday life situations will be the basis for the development of code sets included in a screening tool intended for self- or proxy- report of participation from early childhood through adolescence.

Place, publisher, year, edition, pages
Jönköping: School of Education and Communication, 2011. 124 p.
Series
Doktorsavhandlingar från Högskolan för lärande och kommunikation, ISSN 1652-7933 ; 14
Series
Studies from the Swedish Institute for Disability Research, ISSN 1650-1128 ; 39
Keyword
Adolescent, child, clasification, code set. disability, everyday life situation, hbilitation, ICF-CY, implementation, interdisciplinary, participation
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:hj:diva-16195 (URN)978-91-628-8342-3 (ISBN)
Public defence
2011-10-21, Högskolan för lärande och kommunikation, Hb116, Högskolan Jönköping, Jönköping, 13:15 (English)
Opponent
Supervisors
Available from: 2011-09-28 Created: 2011-09-26 Last updated: 2015-12-21Bibliographically approved

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Adolfsson, MargaretaGranlund, MatsBjörck-Åkesson, Eva
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