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Thygesen KB, Korshøj M, Verpe IS, Vestergaard L, Escorpizo R, Mortensen OS. Translation and cross-cultural adaptation of the Work Rehabilitation Questionnaire (WORQ) into Danish. FRONTIERS IN REHABILITATION SCIENCES 2023; 4:1134039. [PMID: 37363810 PMCID: PMC10285155 DOI: 10.3389/fresc.2023.1134039] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 05/17/2023] [Indexed: 06/28/2023]
Abstract
Purpose This study aimed to translate and cross-culturally adapt the work rehabilitation questionnaire (WORQ) into Danish to examine the internal consistency and test-retest reliability of the Danish WORQ and, second, to test the feasibility of WORQ in the Danish context of vocational rehabilitation. Methods The translation was performed in a dual-panel approach. The panel consisted of a bilingual physician, a university student in psychology, a layperson, a specialist in social work and rehabilitation, and a professor in social medicine. The international classification of functioning, disability, and health (ICF) codes were cross-evaluated to secure that there was a high level of agreement of ICF codes for each specific WORQ item in the Danish and English version. The content validity was evaluated by the clinical physicians at an outpatient clinic in social medicine and by the case managers at a municipality job center. Data for the examination of the internal consistency and test-retest reliability were collected at the Holbæk municipality from citizens in the working age. The test-retest took place 14 days apart. The internal consistency and test-retest reliability were tested conducting Cronbach's alpha, intraclass correlation, and Spearman's correlation analyses. Results The panel experienced only minor challenges in the translation process, leading to minor modifications. The cross-evaluation of coding in the Danish WORQ compared with the initial English version only found small deviations, while the remaining coding agreed between the initial English and the Danish items. The panel argued to add sub-codes to culturally adapt to the transportation forms generally used in Denmark. The general perception among the participating patients and citizens at the job center as well as the clinical physicians and case managers was that the WORQ was easy, understandable, and meaningful. Conclusions This study showed that the Danish WORQ have a high content validity and usability. Nonetheless, the Danish WORQ needs to be validated against well-acknowledged tools for assessing functional ability specific to work and in general.
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Affiliation(s)
- Katrine Baltzer Thygesen
- Department of Occupational and Social Medicine, Holbæk Hospital, Part of Copenhagen University Hospital, Holbæk, Denmark
| | - Mette Korshøj
- Department of Occupational and Social Medicine, Holbæk Hospital, Part of Copenhagen University Hospital, Holbæk, Denmark
| | - Ida Skovgaard Verpe
- Department of Occupational and Social Medicine, Holbæk Hospital, Part of Copenhagen University Hospital, Holbæk, Denmark
| | - Lise Vestergaard
- Department of Occupational and Social Medicine, Holbæk Hospital, Part of Copenhagen University Hospital, Holbæk, Denmark
| | - Reuben Escorpizo
- Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington, VT, United States
| | - Ole Steen Mortensen
- Department of Occupational and Social Medicine, Holbæk Hospital, Part of Copenhagen University Hospital, Holbæk, Denmark
- Department of Public Health, Section of Social Medicine, University of Copenhagen, Copenhagen, Denmark
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Aran OT, Abaoğlu H, Ekici Çağlar G, Akel BS, Akı E, Karahan S, Kayıhan H. Cross-Cultural Adaptation, Reliability, and Validity of a Turkish Version of the Work Rehabilitation Questionnaire (WORQ-Turkish). JOURNAL OF OCCUPATIONAL REHABILITATION 2021; 31:285-292. [PMID: 32740773 DOI: 10.1007/s10926-020-09917-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Purpose The Work Rehabilitation Questionnaire (WORQ) is an instrument based on the International Classification of Functioning Vocational rehabilitation core set. The aim of this study was to analyze the validity, reliability and cross-cultural adaptation of the WORQ to Turkish and evaluate its psychometric properties. Methods The cross-cultural adaptation and translation procedures were conducted following Beaton's guidelines. The test-re-test reliability was examined by Spearman Brown Coefficient (split half analysis), internal consistency was examined by Cronbach's alpha. Criterion related validity of the WORQ was determined by Beck Depression Inventory using Pearson correlation coefficient and known group differences regarding age, gender, work and educational levels using one-way ANOVA and t test. Construct validity was examined by confirmatory factor analysis using AMOS. Results Two hundred and fifty-seven participants with disabilities were included to the study from seven different provinces of Turkey. The WORQ-Turkish showed excellent internal consistency (0.906), good test-retest reliability (0.811), and good construct validity (good model fit indices). Criterion related validity analysis showed medium correlations between WORQ and Beck Depression Inventory (p < 0.001), however there were no statistical significant differences regarding known group parameters (p > 0.05). Conclusions In this study, the cross-cultural adaptation, and validity and reliability of WORQ-Turkish self-reported version were examined and the results indicated that WORQ-Turkish was a valid and reliable scale for analyzing vocational rehabilitation process of people with disabilities.
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Affiliation(s)
- Orkun Tahir Aran
- Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | - Hatice Abaoğlu
- Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | - Gamze Ekici Çağlar
- Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
| | - Burcu Semin Akel
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul Kültür University, Istanbul, Turkey
| | - Esra Akı
- Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | - Sevilay Karahan
- Department of Biostatistics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Hülya Kayıhan
- Department of Occupational Therapy, Faculty of Health Sciences, Biruni University, Istanbul, Turkey
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Sánchez J. Predicting Recovery in Individuals With Serious Mental Illness: Expanding the International Classification of Functioning, Disability, and Health (ICF) Framework. REHABILITATION COUNSELING BULLETIN 2020. [DOI: 10.1177/0034355220976835] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
People with psychiatric disabilities experience significant impairment in fulfilling major life roles due to the severity of their mental illness. Recovery for people with serious mental illness (SMI) can be a long, arduous process, impacted by various biological, functional, sociological, and psychological factors which can present as barriers and/or facilitators. The purposes of this study were to: (a) investigate the International Classification of Functioning, Disability, and Health (ICF) framework’s ability to predict recovery in adults with SMI and (b) determine to what extent the ICF constructs in the empirical model explain the variance in recovery. Participants ( N = 192) completed a sociodemographic questionnaire and various measures representing all predictor and outcome variables. Results from hierarchical regression analysis with six sets of predictors entered sequentially (1 = personal factors-demographics, 2 = body functions-mental, 3 = activity-capacity, 4 = environmental factors, 5 = personal factors-characteristics, and 6 = participation-performance) accounted for 75% (large effect) of the variance in recovery. Controlling for all factors, by order of salience, higher levels of significant other support, education, executive function impairment, and social self-efficacy; primary, non-bipolar SMI diagnosis; greater resilience; lower levels of explicit memory-health impairment, affective self-stigma, and cognitive self-stigma; being younger; fewer self-care limitations; less severe psychiatric symptoms; and being unemployed and unmarried were found to significantly predict recovery. Findings support the validation of the ICF framework as a biopsychosocial recovery model and the use of this model in the development of effective recovery-oriented interventions for adults with SMI. Clinical and research implications are discussed.
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Magalhães FDB, de Lima MAG, Neves RDF, Costa-Black K, de Araújo TM, Porto LA. Disability and functioning assessment of women with RSI/WRMSDs: the use of the ICF checklist. Rev Bras Med Trab 2020; 17:545-556. [PMID: 32685754 PMCID: PMC7363261 DOI: 10.5327/z1679443520190443] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Accepted: 11/26/2019] [Indexed: 11/11/2022] Open
Abstract
Background: Comprehensive approaches using the International Classification of Functioning, Disability and Health (ICF) Checklist have been adopted to give more visibility to demands related to specific health situations. Objective: To analyze the incapacity and functioning associated with activity/participation and environmental factors of female workers with repetitive strain injury/work-related musculoskeletal disorders (RSI/WRMSDs) using workers’ narratives, ICF codes and the RSI/WRMSDs Checklist developed as a part of the present research project. Methods: A qualitative analysis of in-depth interviews with 15 female workers diagnosed with RSI/WRMSDs was completed. Functioning and disability were assessed by linking ICF codes identified in the participants’ narratives to those included in the RSI/WRMSDs Checklist. Results: Fifty-three of 60 ICF codes included in the RSI/WRMSDs Checklist were detected in the participants’ narratives. Related to activity/participation, 26 codes were identified and 27 related to environmental factors. Conclusion: These results highlight the significance of the RSI/WMSDs Checklist to detect clinical and social problems experienced by workers during the rehabilitation and return-to-work process. They also reinforce the relevance of expanding the application of the checklist to male and female workers with RSI/WRMSDs undergoing rehabilitation to attain other levels of validation.
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Affiliation(s)
- Francesca de Brito Magalhães
- Graduate Program in Health, Environment and Work, School of Medicine, Universidade Federal da Bahia - Salvador (BA), Brazil. Universidade Federal da Bahia Graduate Program in Health, Environment and Work School of Medicine Universidade Federal da Bahia Brazil
| | - Mônica Angelim Gomes de Lima
- Graduate Program in Health, Environment and Work, School of Medicine, Universidade Federal da Bahia - Salvador (BA), Brazil. Universidade Federal da Bahia Graduate Program in Health, Environment and Work School of Medicine Universidade Federal da Bahia Brazil
| | - Robson da Fonseca Neves
- Graduate Program in Physical Therapy, Universidade Federal da Paraíba - João Pessoa (PB), Brazil. Universidade Federal da Paraíba Graduate Program in Physical Therapy Universidade Federal da Paraíba Brazil
| | - Katia Costa-Black
- Graduate Program in Health, Environment and Work, School of Medicine, Universidade Federal da Bahia - Salvador (BA), Brazil. Universidade Federal da Bahia Graduate Program in Health, Environment and Work School of Medicine Universidade Federal da Bahia Brazil.,Occupational and Industrial Orthopaedic Center, NYU Langone Health - New York (NY), United States. Occupational and Industrial Orthopaedic Center NYU Langone Health United.,British Standard Institutions Environmental Health and Safety Services - Hillsboro (OR), United States. British Standard Institutions Environmental Health and Safety Services United States
| | - Tânia Maria de Araújo
- Health Department, Universidade Estadual de Feira de Santana - Feira de Santana (BA), Brazil. Universidade Estadual de Feira de Santana Health Department Universidade Estadual de Feira de Santana Brazil
| | - Lauro Antonio Porto
- Graduate Program in Health, Environment and Work, School of Medicine, Universidade Federal da Bahia - Salvador (BA), Brazil. Universidade Federal da Bahia Graduate Program in Health, Environment and Work School of Medicine Universidade Federal da Bahia Brazil
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Momsen AH, Stapelfeldt CM, Rosbjerg R, Escorpizo R, Labriola M, Bjerrum M. International Classification of Functioning, Disability and Health in Vocational Rehabilitation: A Scoping Review of the State of the Field. JOURNAL OF OCCUPATIONAL REHABILITATION 2019; 29:241-273. [PMID: 29869054 PMCID: PMC6531389 DOI: 10.1007/s10926-018-9788-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Purpose The purposes of this study were to provide an outline of the existing literature on operationalization of the International Classification of Functioning, Disability and Health (ICF) within vocational rehabilitation (VR) and to explore the ICF utility within VR. Methods The process was undertaken in five stages according to a framework of scoping review. Screening and extraction of data were done by two independent reviewers, and data was summarized according to content analysis. Results Fifty papers (25 qualitative and 25 quantitative) were included. The operationalization of the ICF was described in four different ways: In total 18 (36%) papers described use of the ICF for structuring information, 8 (15%) for linking information to ICF, 12 (24%) for analysis of results, and 12 (24%) for development of a model. In total 15 (29%) papers described VR interventions involving stakeholders, whereas 32 (62%) were reviews. Forty of the papers described all the ICF components. Conclusions The review revealed use of the ICF within the field VR in 50 papers, and in various settings. The ICF framework was most often operationalized for structuring or linking information of functioning. A majority of papers were reviews and involved researchers only, whereas different stakeholders and VR professionals were involved in the interventions. In 40 papers all the ICF components were described, and the ICF was considered a useful tool to inform the VR professionals´ assessment of functioning. However, more research within VR is needed to standardize and ease the use of the ICF.
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Affiliation(s)
- A H Momsen
- Section of Clinical Social Medicine and Rehabilitation, Department of Public Health, Aarhus University, 8000, Aarhus, Denmark.
- DEFACTUM - Social & Health Services and Labour Market, Central Denmark Region, 8000, Aarhus, Denmark.
- DEFACTUM, Aarhus University Hospital, MarselisborgCentret, P.P. Oerums Gade 11, 8000, Aarhus, Denmark.
| | - C M Stapelfeldt
- Section of Clinical Social Medicine and Rehabilitation, Department of Public Health, Aarhus University, 8000, Aarhus, Denmark
- DEFACTUM - Social & Health Services and Labour Market, Central Denmark Region, 8000, Aarhus, Denmark
| | - R Rosbjerg
- Section of Clinical Social Medicine and Rehabilitation, Department of Public Health, Aarhus University, 8000, Aarhus, Denmark
- DEFACTUM - Social & Health Services and Labour Market, Central Denmark Region, 8000, Aarhus, Denmark
| | - R Escorpizo
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
- Swiss Paraplegic Research, Nottwil, Switzerland
| | - M Labriola
- Section of Clinical Social Medicine and Rehabilitation, Department of Public Health, Aarhus University, 8000, Aarhus, Denmark
- DEFACTUM - Social & Health Services and Labour Market, Central Denmark Region, 8000, Aarhus, Denmark
| | - M Bjerrum
- Danish Centre of Systematic Reviews: A Joanna Briggs Institute Centre of Excellence, Department of Medicine and Technology, University of Aalborg, 9000, Aalborg, Denmark
- Section of Nursing Science, Department of Public Health, Aarhus University, 8000, Aarhus, Denmark
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Finger ME, Wicki-Roten V, Leger B, Escorpizo R. Cross-Cultural Adaptation of the Work Rehabilitation Questionnaire (WORQ) to French: A Valid and Reliable Instrument to Assess Work Functioning. JOURNAL OF OCCUPATIONAL REHABILITATION 2019; 29:350-360. [PMID: 29946812 DOI: 10.1007/s10926-018-9795-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Purpose The Work Rehabilitation Questionnaire (WORQ) is a patient-reported instrument to assess work related functioning in vocational rehabilitation (VR) and work, based on the International Classification of Functioning, Disability and Health (ICF) core set for VR. The objective of this study was to cross-culturally adapt WORQ to French and to evaluate its psychometric properties. Methods The cross-cultural adaptation followed a dual-panel approach. Psychometrics was examined in one VR-centre in the French speaking part of Switzerland. Test-retest reliability was analyzed with intraclass correlation coefficient (ICC), internal consistency was assessed with Cronbach's alpha. Construct validity was determined by convergence to the self-reported general functioning scale and the Hospital Anxiety and Depression Scales (HADS). The association of patient's return-to-work expectation within 6-months and having a case manager was examined. The usability of WORQ-French was tested in 10 VR patients. Results Eighty-nine patients with musculoskeletal injuries were included. WORQ-French showed excellent internal consistency (0.968) and a high test-retest reliability (0.935). WORQ-French was positively associated with self-reported general functioning (r = 0.662) and both HADS scales (r = 0.56-0.57). Neither the patient's return-to-work expectation nor having a case manager were significantly correlated with WORQ-French. Usability in terms of understandability of questions and response options was found to be good. Seven patients rated the length of WORQ-French as good, while two found the instrument a little too long and one found it too long. Conclusions WORQ French is a valid, reliable, and easy to administer instrument to assess self-reported work functioning given our study setting and sample characteristics.
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Affiliation(s)
- Monika E Finger
- Swiss Paraplegic Research (SPF), Nottwil, Switzerland.
- ICF Research Branch, a Cooperation Partner Within the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Nottwil, Switzerland.
- Caphri Research School, Maastricht University, Maastricht, The Netherlands.
| | - Virginie Wicki-Roten
- Swiss Paraplegic Research (SPF), Nottwil, Switzerland
- Department of Research and Clinical Quality Control, Clinique Romande de Réadaptation, Sion, Switzerland
| | - Bertrand Leger
- Swiss Paraplegic Research (SPF), Nottwil, Switzerland
- Department of Research and Clinical Quality Control, Clinique Romande de Réadaptation, Sion, Switzerland
| | - Reuben Escorpizo
- Swiss Paraplegic Research (SPF), Nottwil, Switzerland
- ICF Research Branch, a Cooperation Partner Within the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Nottwil, Switzerland
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
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Soberg HL, Engebretsen KB, Juel NG, Roe Y, Brox JI. Associations between shoulder pain and functioning on the ICF checklist and the disabilities of the arm, shoulder, and hand scale – a cross-sectional study. Disabil Rehabil 2019; 42:3084-3091. [DOI: 10.1080/09638288.2019.1584252] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Helene L. Soberg
- Department of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Oslo, Norway
- Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Kaia B. Engebretsen
- Department of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Oslo, Norway
| | - Niels G. Juel
- Department of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Oslo, Norway
| | - Yngve Roe
- Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Jens I. Brox
- Department of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Oslo, Norway
- Faculty of Medicine, University of Oslo, Oslo, Norway
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Finger M, de Bie R, Selb M, Escorpizo R. An examination of concepts in vocational rehabilitation that could not be linked to the ICF based on an analysis of secondary data. Work 2017; 53:775-92. [PMID: 26890591 DOI: 10.3233/wor-152251] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND In the last few years the International Classification of Functioning, Disability and Health (ICF) has become a widely known and useful reference classification in vocational rehabilitation. It would be equally important to know which aspects of work-related health information cannot be assigned to distinct ICF categories. OBJECTIVE The objective of this study is to examine the concepts derived from three studies conducted within the ICF Core Set for vocational rehabilitation project, which could not be linked to distinct ICF codes in order to complement the current understanding of functioning in vocational rehabilitation. METHODS Secondary data analysis of the concepts from the systematic literature review, expert survey and patient focus group study of the ICF Core Set for vocational rehabilitation project that were marked as nd = not definable, nc = not covered or pf = personal factor. Nd-concepts were assigned to the biopsychosocial model of the ICF; additional ICF categories were formulated where needed. Nc-concepts were grouped into common themes not covered by the ICF. Pf-categories were linked to a proposed personal factors classification. RESULTS 1093 nd-concepts were matched to overarching terms in the ICF, and "other specified"-categories were detailed. 1924 pf-concepts were linked to 31 second level categories of a proposed personal factors classification. 441 nc-concepts were grouped into six themes including the concept of well-being and attributes related to processes and time. CONCLUSIONS With concepts that emerged from the secondary analysis of data gathered during the vocational rehabilitation ICF Core Set project, we have enriched the ICF model with constructs specific to vocational rehabilitation. However, additional research is needed to further explore personal factors specific to vocational rehabilitation. The influence of themes complementary to the ICF such as well-being and quality of life on return-to-work should be further investigated.
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Affiliation(s)
- Monika Finger
- Swiss Paraplegic Research (SPF), Nottwil, Switzerland.,ICF Research Branch in cooperation with the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Nottwil, Switzerland.,Caphri Research School, Maastricht University, Maastricht, The Netherlands
| | - Robert de Bie
- Caphri Research School, Maastricht University, Maastricht, The Netherlands.,Department of Epidemiology and Institute for Education, Maastricht University, Maastricht, The Netherlands
| | - Melissa Selb
- Swiss Paraplegic Research (SPF), Nottwil, Switzerland.,ICF Research Branch in cooperation with the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Nottwil, Switzerland
| | - Reuben Escorpizo
- Swiss Paraplegic Research (SPF), Nottwil, Switzerland.,ICF Research Branch in cooperation with the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Nottwil, Switzerland.,Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
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Validation of the Comprehensive ICF Core Set for Vocational Rehabilitation From the Perspective of Physical Therapists: International Delphi Survey. Phys Ther 2016; 96:1262-75. [PMID: 26847005 DOI: 10.2522/ptj.20150365] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2015] [Accepted: 01/24/2016] [Indexed: 02/09/2023]
Abstract
BACKGROUND The Comprehensive ICF Core Set for vocational rehabilitation (VR) is a list of essential categories on functioning based on the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF), which describes a standard for interdisciplinary assessment, documentation, and communication in VR. OBJECTIVE The aim of this study was to examine the content validity of the Comprehensive ICF Core Set for VR from the perspective of physical therapists. DESIGN A 3-round email survey was performed using the Delphi method. METHODS A convenience sample of international physical therapists working in VR with work experience of ≥2 years were asked to identify aspects they consider as relevant when evaluating or treating clients in VR. Responses were linked to the ICF categories and compared with the Comprehensive ICF Core Set for VR. RESULTS Sixty-two physical therapists from all 6 WHO world regions responded with 3,917 statements that were subsequently linked to 338 ICF categories. Fifteen (17%) of the 90 categories in the Comprehensive ICF Core Set for VR were confirmed by the physical therapists in the sample. Twenty-two additional ICF categories were identified that were not included in the Comprehensive ICF Core Set for VR. LIMITATIONS Vocational rehabilitation in physical therapy is not well defined in every country and might have resulted in the small sample size. Therefore, the results cannot be generalized to all physical therapists practicing in VR. CONCLUSION The content validity of the ICF Core Set for VR is insufficient from solely a physical therapist perspective. The results of this study could be used to define a physical therapy-specific set of ICF categories to develop and guide physical therapist clinical practice in VR.
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Wei XJ, Liu XF, Fong KNK. Outcomes of return-to-work after stroke rehabilitation: A systematic review. Br J Occup Ther 2016. [DOI: 10.1177/0308022615624710] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction The purpose of this systematic review was to identify the outcomes of return-to-work for stroke survivors of working age after conventional stroke rehabilitation or vocational rehabilitation. Method Searches were performed using three electronic databases for literature published in English in the 10-year period 2004–2014 which included a population of working age stroke survivors who had previously participated in conventional or vocational rehabilitation, and which presented the outcomes of return-to-work. Findings The literature search yielded 10 studies that satisfied our selection criteria. Three studies involved vocational rehabilitation. Studies illustrated and compared the vocational status at or among different stages of ‘pre-stroke’, ‘post-stroke and before rehabilitation discharge’, ‘rehabilitation discharge’ and ‘follow-up’. The employment rate at follow-up ranged from 7% to 81.1%. Conclusion Methodological variations accounted for the wide range of return-to-work rates. There was limited evidence to support the conclusion that rehabilitation increases return-to-work rates for stroke survivors of working age, but recent studies showed that improvements in fatigue and cognitive function after stroke rehabilitation were related to good return-to-work outcomes. Either specialised vocational rehabilitation, conventional stroke rehabilitation or their combination is needed to increase return-to-work rates and improve the quality of life for stroke survivors of working age.
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Affiliation(s)
- Xi-Jun Wei
- PhD Candidate, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR
| | - Xue-feng Liu
- Lecturer, School of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, China
| | - Kenneth NK Fong
- Associate Professor, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR
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Maribo T, Petersen KS, Handberg C, Melchiorsen H, Momsen AMH, Nielsen CV, Leonardi M, Labriola M. Systematic Literature Review on ICF From 2001 to 2013 in the Nordic Countries Focusing on Clinical and Rehabilitation Context. J Clin Med Res 2016; 8:1-9. [PMID: 26668676 PMCID: PMC4676339 DOI: 10.14740/jocmr2400w] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2015] [Indexed: 11/23/2022] Open
Abstract
We present a systematic review on International Classification of Functioning, Disability and Health (ICF) used in the Nordic countries from 2001 through 2013, describing and quantifying the development in utilization of ICF, and describe the extent to which the different components of the ICF have been used. A search was conducted in EMBASE, MEDLINE and PsycInfo. Papers from Nordic countries were included if ICF was mentioned in title or abstract. Papers were assigned to one of eight categories covering the wide rehabilitation area; furthermore, area of focus was assigned. Use of ICF components and intervention were coded in papers categorized as "clinical and/or rehabilitation contexts" or "non-clinical contexts". One hundred seventy papers were included, of these 99 papers were from the categories "clinical and/or rehabilitation contexts" or "non-clinical contexts". Forty-two percent of the 170 included papers were published in the period 2011 - 2013. There was an increase in ICF-relevant papers from 2001 to 2013, especially in the categories "clinical and/or rehabilitation contexts" and "non-clinical contexts". The most represented focus areas were neurology, musculoskeletal, and work-related areas. All five or at least four ICF components were mentioned in the results or discussions in most papers, and activity was most frequently mentioned.
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Affiliation(s)
- Thomas Maribo
- Section of Social Medicine and Rehabilitation, Department of Public Health, Rehabilitation Center Marselisborg, Aarhus University, Denmark
- Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark
| | - Kirsten S. Petersen
- Section of Social Medicine and Rehabilitation, Department of Public Health, Rehabilitation Center Marselisborg, Aarhus University, Denmark
- Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark
| | - Charlotte Handberg
- Section of Social Medicine and Rehabilitation, Department of Public Health, Rehabilitation Center Marselisborg, Aarhus University, Denmark
- Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark
| | - Hanne Melchiorsen
- Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark
| | | | - Claus V. Nielsen
- Section of Social Medicine and Rehabilitation, Department of Public Health, Rehabilitation Center Marselisborg, Aarhus University, Denmark
- Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark
| | - Matilde Leonardi
- Neurology Public Health and Disability Unit, Neurological Institute C. Besta, IRCCS Foundation, Milan, Italy
| | - Merete Labriola
- Section of Social Medicine and Rehabilitation, Department of Public Health, Rehabilitation Center Marselisborg, Aarhus University, Denmark
- Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark
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Jansson I, Gunnarsson AB, Björklund A, Brudin L, Perseius KI. Problem-based self-care groups versus cognitive behavioural therapy for persons on sick leave due to common mental disorders: a randomised controlled study. JOURNAL OF OCCUPATIONAL REHABILITATION 2015; 25:127-140. [PMID: 24972663 DOI: 10.1007/s10926-014-9530-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
PURPOSE To evaluate the interventional capacity of problem based method groups (PBM) regarding mental health and work ability compared to cognitive behavioural therapy (CBT) for persons on sick leave due to common mental disorders. METHODS In a randomised controlled design the experimental group received PBM and the control group received CBT. Outcomes were measured by the Hospital Anxiety and Depression Scale (HADS), the Stress and Crisis Inventory 93 (SCI-93) and the Dialogue about Working Ability instrument (DOA). RESULTS Twenty-two participants in the PBM group and 28 in the CBT group completed intervention. Both groups showed significant lower scores on the two HADS subscales. Regarding stress the PBM group showed significant decrease in one (out of three) subscales of SCI-93. The CBT group showed significant decrease on all subscales of SCI-93. Regarding work ability the PBM group showed significant higher scores on one of five subscales of DOA. The CBT group showed significant higher scores on four of five subscales of DOA. Between groups there were significant differences to the favour of CBT on one of two subscales of HADS, all three subscales of SCI-93 and on two of the five subscales of DOA. CONCLUSION PBM seem to be able to reduce anxiety- and depression symptoms. CBT showed to be superior to PBM in reducing symptoms in all aspects of mental health, except for anxiety, in which they seem equally effective. Regarding work ability CBT showed to be superior, with significant effect on more aspects compared to PBM.
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Affiliation(s)
- Inger Jansson
- Department of Rehabilitation, School of Health Sciences, 553 18, Jönköping, Sweden,
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Finger ME, Escorpizo R, Bostan C, De Bie R. Work Rehabilitation Questionnaire (WORQ): development and preliminary psychometric evidence of an ICF-based questionnaire for vocational rehabilitation. JOURNAL OF OCCUPATIONAL REHABILITATION 2014; 24:498-510. [PMID: 24281830 DOI: 10.1007/s10926-013-9485-2] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
PURPOSE The International Classification of Functioning, Disability and Health (ICF) has proven to be a valuable framework for vocational rehabilitation (VR). No reliable and valid ICF-based instruments to capture work functioning is known, hence, the aims of this study were: (1) to outline the process for developing an ICF-based questionnaire, the Work Rehabilitation Questionnaire (WORQ) to assess functioning in VR and (2) to report preliminary psychometric evidence. METHODS ICF categories were selected from the ICF Core Sets for VR using explorative Rasch-analysis and VR literature review. Questions were worded to assess identified ICF categories. WORQ was translated from English to German. Psychometrics for the German version of WORQ was examined in one VR centre in Switzerland. RESULTS 44 ICF categories were selected which resulted in 36 questions related to functioning. The psychometric evaluation of WORQ showed high test-retest reliability (Spearman correlation 0.79) (n = 53) and good internal consistency (Cronbachs Alpha 0.88) (n = 74) WORQ showed moderate correlation with Beck Depression Inventory II (Spearman correlation 0.511) and low correlation (Spearman correlation -0.353) with SF-36. CONCLUSIONS WORQ appears to be a reliable, ICF-based questionnaire to evaluate functioning in VR, easy to administer by health or vocational professionals. The additional information gained when using WORQ would contribute to improving interdisciplinary understanding of the patient's situation and therefore support the integrative planning of the return-to-work process or engagement in gainful employment. However, further studies are needed to further examine its use in clinical practice and research, when validated in other patient populations and settings.
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Finger ME, Selb M, De Bie R, Escorpizo R. Using the International Classification of Functioning, Disability and Health in Physiotherapy in Multidisciplinary Vocational Rehabilitation: A Case Study of Low Back Pain. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2014; 20:231-41. [DOI: 10.1002/pri.1587] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2013] [Revised: 08/30/2013] [Accepted: 02/13/2014] [Indexed: 12/19/2022]
Affiliation(s)
- Monika E. Finger
- Swiss Paraplegic Research (SPF); Nottwil Switzerland
- ICF Research Branch in cooperation with the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI); Nottwil Switzerland
- CAPHRI Research School; Maastricht University; Maastricht The Netherlands
| | - Melissa Selb
- Swiss Paraplegic Research (SPF); Nottwil Switzerland
- ICF Research Branch in cooperation with the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI); Nottwil Switzerland
| | - Robert De Bie
- CAPHRI Research School; Maastricht University; Maastricht The Netherlands
- Department of Epidemiology and Institute for Education; Maastricht University; Maastricht The Netherlands
| | - Reuben Escorpizo
- Swiss Paraplegic Research (SPF); Nottwil Switzerland
- ICF Research Branch in cooperation with the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI); Nottwil Switzerland
- Department of Physical Therapy; Louisiana State University Health Sciences Center; New Orleans LA USA
- Department of Health Sciences and Health Policy; University of Lucerne; Lucerne Switzerland
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