Vocational rehabilitation from the client's perspective using the International Classification of Functioning, Disability and Health (ICF) as a reference.
INTRODUCTION A mixed-methods (qualitative-quantitative), multicenter study was conducted using a focus group design to explore the lived experiences of persons in vocational rehabilitation (VR) with regard to functioning and contextual factors using six open-ended questions related to the ICF components. The results were classified by using the International Classification of Functioning, Disability and Health (ICF) as a frame of reference. METHODS The meaningful concepts within the transcribed data were identified and linked to ICF categories according to established linking rules. RESULTS The seven focus groups with 26 participants yielded a total of 4,813 relevant concepts which were linked to a total of 160 different second-level ICF categories. From the client perspective, the ICF components (a) body functions, (b) activities and participation and (c) environmental factors were equally represented, while (d) body structures appeared less frequently. Out of the total number of concepts, 864 concepts (18%) were assigned to the ICF component personal factors which is not yet classified but could indicate important aspects of resource management and strategy development of patients in VR. CONCLUSION Therefore, VR of patients must not be limited to anatomical and pathophysiologic changes, but should also consider a more comprehensive view which includes client's demands, strategies and resources in daily life and the context around the individual and social circumstances of their work situation.
Swiss Paraplegic Research (SPF), Nottwil, Switzerland.
Andrea
A
Glässel
Monika E
ME
Finger
Alarcos
A
Cieza
Christine
C
Treitler
Michaela
M
Coenen
Reuben
R
Escorpizo
D000203:Activities of Daily Living; D000328:Adult; D003210:Concept Formation; D006233:Persons with Disabilities / Q000523:psychology* / Q000534:rehabilitation*; D004779:Environment Design; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D001523:Mental Disorders; D008875:Middle Aged; D010829:Physiological Phenomena; D012050:Rehabilitation, Vocational; D012677:Sensation; D012720:Severity of Illness Index; D014944:World Health Organization; D055815:Young Adult
Am J Orthopsychiatry. 2010 Apr;80(2):185-94
20553512
J Rehabil Med. 2005 Jul;37(4):212-8
16024476
Spinal Cord. 2010 Aug;48(8):603-13
20065983
Disabil Rehabil. 2010;32(1):72-8
19925279
Soc Sci Med. 2000 Apr;50(7-8):1001-14
10714922
Disabil Rehabil. 2002 Sep 20;24(14):704-12
12396655
Work. 2007;29(2):155-64
17726291
J Occup Rehabil. 2009 Dec;19(4):323-32
19760489
Rev Bras Fisioter. 2010 Mar-Apr;14(2):149-57
20464167
Work. 2005;25(4):325-32
16340109
Fam Pract. 2010 Feb;27(1):101-9
19948563
BMC Musculoskelet Disord. 2009 Jun 09;10:65
19508728
Work. 2007;29(4):277-86
18057567
J Rehabil Med. 2002 Sep;34(5):205-10
12392234
Diabet Med. 2009 Jul;26(7):700-7
19573119
Disabil Rehabil. 2010;32(20):1621-32
20158373
World Health Organ Tech Rep Ser. 1993;831:1-122
8351937
Work. 2010;35(2):209-19
20164616
J Occup Rehabil. 2010 Sep;20(3):311-21
19844778
Brain Inj. 2010;24(7-8):948-58
20545450
J Occup Rehabil. 2010 Dec;20(4):502-11
20514511
Disabil Rehabil. 2007 Dec 30;29(24):1858-69
17852252
J Back Musculoskelet Rehabil. 2009;22(2):65-73
20023333
Scand J Work Environ Health. 2010 Nov;36(6):473-83
20414630
Occup Med (Lond). 2010 Mar;60(2):121-6
19955300
J Occup Rehabil. 2010 Dec;20(4):435-42
19890619
BMJ. 2000 Jan 8;320(7227):114-6
10625273
Work. 2009;33(3):317-28
19759430
Disabil Rehabil. 2009;31(25):2073-80
19888837
BMJ. 2000 Jan 1;320(7226):50-2
10617534
Work. 2009;33(4):401-11
19923663
Arthritis Res Ther. 2006;8(4):R84
16684371
Disabil Rehabil. 2009;31(24):2013-22
19874080
JAMA. 2000 Jul 19;284(3):357-62
10891968
Disabil Rehabil. 2007 Aug 30;29(16):1295-300
17654004
Eur Arch Otorhinolaryngol. 2009 Mar;266(3):425-36
18726562
J Sleep Res. 2011 Mar;20(1 Pt 2):171-82
20642749
J Occup Rehabil. 2010 Sep;20(3):322-30
19921407
BMC Gastroenterol. 2010 Jan 27;10:12
20105318
Eur J Cancer Care (Engl). 2010 May;19(3):317-23
19708931
J Occup Rehabil. 2010 Mar;20(1):41-8
19826930
J Rehabil Med. 2010 Jun;42(6):544-52
20549159
Clin Neuropsychol. 2009 Nov;23(8):1416-32
19882479
J Occup Rehabil. 2009 Dec;19(4):409-18
19685175
J Occup Rehabil. 2010 Mar;20(1):49-58
19902340
J Occup Rehabil. 2009 Dec;19(4):354-63
19597973
Arthritis Res Ther. 2009;11(3):R67
19442275