title: An international expert survey on functioning in vocational rehabilitation using the International Classification of Functioning, Disability and Health.
abstract: BACKGROUND
  Vocational rehabilitation (VR) is a key process in work disability (WD) management which aims to engage or re-engage individuals to work and employment. The International Classification of Functioning, Disability and Health (ICF) by the World Health Organization (WHO) can be interfaced with VR but there is a lack of evidence of what ICF contents experts in the field consider. The objective of this study is to survey the experts in the VR field with regard to what factors are considered important to patients participating in VR using the ICF as the language to summarize the results.
  
  
  METHODS
  An internet-based survey was conducted with experts from six WHO Regions (Africa, the Americas, Eastern Mediterranean, Europe, South-East Asia, and Western Pacific). Experts were asked six open-ended questions on factors that are important in VR. Each question was related to a component of the ICF (body functions, body structures, activities and, environmental factors, and personal factors). Responses were linked to the ICF.
  
  
  RESULTS
  Using a modified stratified randomized sampling, 201 experts were sent the survey and 151 experts responded (75% response rate). We identified 101 ICF categories: 22 (21.8%) for body functions, 13 (12.9%) for body structures, 36 (35.6%) for activities and participation, and 30 (29.7%) for environmental factors.
  
  
  CONCLUSIONS
  There was a multitude of ICF functioning domains according to the respondents which indicates the complexity of VR. This expert survey has provided a list of ICF categories which could be considered in VR.
authors.affiliation: Swiss Paraplegic Research (SPF), Nottwil, Switzerland. reuben.escorpizo@paranet.ch
authors.forename: Reuben
authors.initials: R
authors.lastname: Escorpizo
authors.forename: Monika E
authors.initials: ME
authors.lastname: Finger
authors.forename: Andrea
authors.initials: A
authors.lastname: Glässel
authors.forename: Alarcos
authors.initials: A
authors.lastname: Cieza
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D003625:Data Collection; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000145:classification* / Q000534:rehabilitation*; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy; D026741:Physical Therapy Modalities; D020127:Recovery of Function; D012050:Rehabilitation, Vocational; D012720:Severity of Illness Index; D014937:Work; D014944:World Health Organization