title: An ICF-Based Model for Implementing and Standardizing Multidisciplinary Obesity Rehabilitation Programs within the Healthcare System.
abstract: OBJECTIVE
  In this study, we aimed to design an ICF-based individual rehabilitation project for obese patients with comorbidities (IRPOb) integrated into the Rehab-CYCLE to standardize rehabilitative programs. This might facilitate the different health professionals involved in the continuum of care of obese patients to standardize rehabilitation interventions.
  
  
  METHODS
  After training on the ICF and based on the relevant studies, ICF categories were identified in a formal consensus process by our multidisciplinary team. Thereafter, we defined an individual rehabilitation project based on a structured multi-disciplinary approach to obesity.
  
  
  RESULTS
  the proposed IRPOb model identified the specific intervention areas (nutritional, physiotherapy, psychology, nursing), the short-term goals, the intervention modalities, the professionals involved and the assessment of the outcomes. Information was shared with the patient who signed informed consent.
  
  
  CONCLUSIONS
  The model proposed provides the following advantages: (1) standardizes rehabilitative procedures; (2) facilitates the flow of congruent and updated information from the hospital to outpatient facilities, relatives, and care givers; (3) addresses organizational issues; (4) might serve as a benchmark for professionals who have limited specific expertise in rehabilitation of comorbid obese patients.
authors.affiliation: Department of Rehabilitation Medicine, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, Piancavallo, 28921 Verbania, Italy. brunani@auxologico.it.
authors.forename: Amelia
authors.initials: A
authors.lastname: Brunani
authors.affiliation: Neurology, Public Health and Disability Unit-Scientific Directorate, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy. a.ragg@istituto-besta.it.
authors.forename: Alberto
authors.initials: A
authors.lastname: Raggi
authors.affiliation: Department of Rehabilitation Medicine, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, Piancavallo, 28921 Verbania, Italy. icf@auxologico.it.
authors.forename: Anna
authors.initials: A
authors.lastname: Sirtori
authors.affiliation: Department of Rehabilitation Medicine, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, Piancavallo, 28921 Verbania, Italy. berselli@auxologico.it.
authors.forename: Maria Elisa
authors.initials: ME
authors.lastname: Berselli
authors.affiliation: Psychology Research Laboratory, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, 28921 Verbania, Italy. v.villa@auxologico.it.
authors.forename: Valentina
authors.initials: V
authors.lastname: Villa
authors.affiliation: Psychology Research Laboratory, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, 28921 Verbania, Italy. f.ceriani@auxologico.it.
authors.forename: Francesca
authors.initials: F
authors.lastname: Ceriani
authors.affiliation: Psychology Research Laboratory, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, 28921 Verbania, Italy. s.corti@auxologico.it.
authors.forename: Stefania
authors.initials: S
authors.lastname: Corti
authors.affiliation: Neurology, Public Health and Disability Unit-Scientific Directorate, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy. Maltilde.Leonardi@istituto-besta.it.
authors.forename: Matilde
authors.initials: M
authors.lastname: Leonardi
authors.affiliation: Department of Rehabilitation Medicine, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, Piancavallo, 28921 Verbania, Italy. p.capodaglio@auxologico.it.
authors.forename: Paolo
authors.initials: P
authors.lastname: Capodaglio
mesh_terms: D015897:Comorbidity; D004185:Disability Evaluation; D006282:Health Personnel; D006801:Humans; D064702:International Classification of Functioning, Disability and Health; D008962:Models, Theoretical; D009765:Obesity / Q000453:epidemiology / Q000534:rehabilitation*; D012047:Rehabilitation Centers / Q000592:standards*
keywords: ICF; Rehab-CYCLE; obesity; rehabilitation