title: Personal perception and personal factors: incorporating health-related quality of life into the International Classification of Functioning, Disability and Health.
abstract: OBJECTIVE
  The International Classification of Functioning, Disability and Health (ICF), introduced by the World Health Organisation in 2001, offers a unique perspective from which to view the role of rehabilitation in one's lived experience of a health condition. However, the ICF does not capture the individual's perception of that experience that is key to understanding functioning, disability and quality of life (QOL) and more specifically health-related quality of life (HRQOL). The purpose is to explore expansion of the ICF framework to incorporate personal perception to offer a more complete expression of functioning and disability.
  
  
  METHODS
  We examine the concepts of HRQOL and personal perception, as well as how they have been linked to the ICF in the literature. Through a review of the foundations of the biopsychosocial model, we propose an enhanced version of the ICF that integrates HRQOL within the framework by expanding the personal factors component.
  
  
  RESULTS
  Through operationalising aspects of personal perception and situating them among the personal factors, we demonstrate how HRQOL may be integrated within the ICF framework.
  
  
  CONCLUSIONS
  Using several case examples, we illustrate that if personal perception is housed within the personal factors component all other components may be influenced through mechanisms of the ICFs reciprocal interactions. In doing so, HRQOL becomes part of the experience of a health condition and functioning and disability are completely described.
authors.affiliation: Graduate Program in Health and Rehabilitation Science, University of Western Ontario, Elborn College, London, Ontario, Canada N6G 1H1.
authors.forename: Jessica G
authors.initials: JG
authors.lastname: Huber
authors.forename: Jade
authors.initials: J
authors.lastname: Sillick
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Skarakis-Doyle
mesh_terms: D000203:Activities of Daily Living / Q000145:classification*; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000145:classification; D006304:Health Status; D006801:Humans; D038801:International Classification of Diseases; D010465:Perception / Q000145:classification; D011788:Quality of Life; D009626:Terminology as Topic; D014944:World Health Organization