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Personal factors classification revisited: A proposal in the light of the biopsychosocial model of the World Health Organization (WHO). THE AUSTRALIAN JOURNAL OF REHABILITATION COUNSELLING 2020. [DOI: 10.1017/jrc.2020.14] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
AbstractIn 2010, we proposed a personal factor classification which was published in this journal. Since then, the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization (WHO) and the biopsychosocial model were increasingly incorporated into the German Social Law Code for participation and rehabilitation, implying that personal factors are indispensable for individual assessments. For the present study, we aimed to come up with an updated version of the personal factors classification based on current research. To achieve this goal, we employed a qualitative approach to re-examine the basic structure, consistency, and selection of categories in the classification from our 2010 study, to amend and supplement the categories to reflect best practice personal factor classifications. Our findings indicate that the basic structure remained largely unchanged, with relatively minor changes, including the deletion of 5 categories from our 2010 classification, 10 categories revised in format or content, and 13 new categories. We believe our revised classification to be useful for supporting users in systematically, comprehensively, and transparently reporting influences on specific aspects of individuals’ life and living background on their functioning and participation, thus facilitating an equitable allocation of disability benefits.
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Reis F, Sá-Moura B, Guardado D, Couceiro P, Catarino L, Mota-Pinto A, Veríssimo MT, Teixeira AM, Ferreira PL, Lima MP, Palavra F, Rama L, Santos L, van der Heijden RA, Gonçalves CE, Cunha A, Malva JO. Development of a Healthy Lifestyle Assessment Toolkit for the General Public. Front Med (Lausanne) 2019; 6:134. [PMID: 31316985 PMCID: PMC6610478 DOI: 10.3389/fmed.2019.00134] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Accepted: 05/30/2019] [Indexed: 01/07/2023] Open
Abstract
The prevalence of age-related non-communicable chronic diseases has increased worldwide, being the leading causes of morbidity and death in many world regions, including in Europe. Innovative models and strategies focused on preventive care, including early identification of risk factors underlying disease onset and progression, and proper modification of lifestyle habits and behaviors, might contribute to promote quality of life, healthy living and active aging. Healthy Lifestyle Innovative Quarters for Cities and Citizens (HeaLIQs4cities) is an EIT Health-funded project aiming to engage, empower and educate citizens toward healthy lifestyles. One of the major objectives of this project was to develop a toolkit for a rapid and informal assessment of healthy lifestyles, to be used at different levels of care pathways, including in informal public environments. In this paper, we describe the methodology underlying the development of the toolkit, which resulted from the collaboration of an interdisciplinary focus group of academic experts, from medicine, sport sciences, psychology, health economics, and innovative technologies applied to health. The following eight components were included in the toolkit: (1) anthropometric assessment and cardiometabolic parameters; (2) physical activity and exercise; (3) well-being, social cohesion, and functional independence; (4) nutrition; (5) mental health; (6) smoking, drinking, and use of illicit substances; (7) sleep habits and quality; and (8) health and disease. A traffic light rating system indicating the risk score was used (low: green; moderate: yellow; and relevant: orange) for each of the 8 components, together with recommendations for the toolkit users. After completing the reduced version of the toolkit, individuals showing moderate or relevant risk in one or more of the 8 dimensions, were invited to participate in a more detailed assessment (toolkit long version), based on deeper and scientifically validated tools. The toolkit was incorporated in eVida, a web-based platform that focuses on delivering services to personalized health and well-being. The validation of the current toolkit has been applied in wide-ranging public events in three different European Regions. Large scale deployment of the toolkit is expected to profit from the Reference Site Collaborative Network of the European Innovation Partnership on Active and Healthy Aging (EIP on AHA).
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Affiliation(s)
- Flávio Reis
- Faculty of Medicine, Institute of Pharmacology & Experimental Therapeutics, University of Coimbra, Coimbra, Portugal.,Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal
| | - Bebiana Sá-Moura
- Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal
| | - Diana Guardado
- Laboratory of Automatics and Systems, Pedro Nunes Institute (IPN), Coimbra, Portugal
| | - Patrícia Couceiro
- Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal
| | - Luis Catarino
- Faculty of Sport Sciences and Physical Education, Research Center for Sport and Physical Activity (CIDAF), University of Coimbra, Coimbra, Portugal
| | - Anabela Mota-Pinto
- Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal.,Faculty of Medicine, General Pathology Institute, University of Coimbra, Coimbra, Portugal.,Faculty of Medicine, Center for Research in the Environment, Genetics and Oncobiology (CIMAGO), University of Coimbra, Coimbra, Portugal
| | - Manuel T Veríssimo
- Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal.,Ageing@Coimbra, EIP on AHA Reference Site, Coimbra, Portugal.,Service of Internal Medicine, University of Coimbra Hospital (CHUC), Coimbra, Portugal
| | - Ana Maria Teixeira
- Faculty of Sport Sciences and Physical Education, Research Center for Sport and Physical Activity (CIDAF), University of Coimbra, Coimbra, Portugal.,Ageing@Coimbra, EIP on AHA Reference Site, Coimbra, Portugal
| | - Pedro L Ferreira
- Faculty of Economics, Centre for Health Studies and Research, University of Coimbra, Coimbra, Portugal
| | - Margarida P Lima
- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Filipe Palavra
- Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal.,Neuropediatrics Unit, Centre for Child Development, Pediatrics Hospital, University of Coimbra Hospital (CHUC), Coimbra, Portugal
| | - Luis Rama
- Faculty of Sport Sciences and Physical Education, Research Center for Sport and Physical Activity (CIDAF), University of Coimbra, Coimbra, Portugal
| | - Lelita Santos
- Faculty of Medicine, Center for Research in the Environment, Genetics and Oncobiology (CIMAGO), University of Coimbra, Coimbra, Portugal.,Service of Internal Medicine, University of Coimbra Hospital (CHUC), Coimbra, Portugal.,Unit of Nutrition and Dietetics, University of Coimbra Hospital (CHUC), Coimbra, Portugal
| | - Roel A van der Heijden
- Center for Development and Innovation (CDI), University Medical Center Groningen (UMCG), University of Groningen, Groningen, Netherlands.,Healthy Ageing Network Northern Netherlands (HANNN), Groningen, Netherlands
| | - Carlos E Gonçalves
- Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal
| | - António Cunha
- Laboratory of Automatics and Systems, Pedro Nunes Institute (IPN), Coimbra, Portugal.,Ageing@Coimbra, EIP on AHA Reference Site, Coimbra, Portugal
| | - João O Malva
- Faculty of Medicine, Institute of Pharmacology & Experimental Therapeutics, University of Coimbra, Coimbra, Portugal.,Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal.,Ageing@Coimbra, EIP on AHA Reference Site, Coimbra, Portugal
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Geyh S, Schwegler U, Peter C, Müller R. Representing and organizing information to describe the lived experience of health from a personal factors perspective in the light of the International Classification of Functioning, Disability and Health (ICF): a discussion paper. Disabil Rehabil 2018; 41:1727-1738. [PMID: 29509044 DOI: 10.1080/09638288.2018.1445302] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
PURPOSE To discuss the representation and organization of information describing persons' lived experience of health from a personal factors perspective in the light of the International Classification of Functioning, Disability and Health, using spinal cord injury as a case in point for disability. METHODS The scientific literature was reviewed, discussion rounds conducted, and qualitative secondary analyses of data carried out using an iterative inductive-deductive approach. RESULTS Conceptual considerations are explicated that distinguish the personal factors perspective from other components of the International Classification of Functioning, Disability and Health. A representation structure is developed that organizes health-related concepts describing the internal context of functioning. Concepts are organized as individual facts, subjective experiences, and recurrent patterns of experience and behavior specifying 7 areas and 211 concept groups. CONCLUSIONS The article calls for further scientific debate on the perspective of personal factors in the light of the International Classification of Functioning, Disability and Health. A structure that organizes concepts in relation to a personal factors perspective can enhance the comprehensiveness, transparency and standardization of health information, and contribute to the empowerment of persons with disabilities. Implications for rehabilitation The present study collected data from scientific literature reviews, discussion rounds and qualitative secondary analyses in order to develop a representation and organization of information describing persons' lived experience of health from a personal factors perspective in the light of the International Classification of Functioning, Disability and Health. The following representation structure for health-related information from a personal factors perspective was developed: (i) Individuals facts (i.e., socio-demographical factors, position in the immediate social and physical context, personal history and biography), (ii) subjective experience (i.e., feelings, thoughts and beliefs, motives), and (iii) recurrent patterns of experience (i.e., feelings, thoughts and beliefs) and behavior. With this study, we aim to stimulate further scientific discussion about the personal factors component in the International Classification of Functioning, Disability and Health, including its application and subsequent validation for potential implementation into clinical practice.
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Affiliation(s)
- Szilvia Geyh
- a Swiss Paraplegic Research (SPF) , Nottwil , Switzerland.,b Department of Health Sciences and Health Policy , University of Lucerne , Nottwil , Switzerland
| | - Urban Schwegler
- a Swiss Paraplegic Research (SPF) , Nottwil , Switzerland.,b Department of Health Sciences and Health Policy , University of Lucerne , Nottwil , Switzerland
| | - Claudio Peter
- a Swiss Paraplegic Research (SPF) , Nottwil , Switzerland.,b Department of Health Sciences and Health Policy , University of Lucerne , Nottwil , Switzerland
| | - Rachel Müller
- a Swiss Paraplegic Research (SPF) , Nottwil , Switzerland.,b Department of Health Sciences and Health Policy , University of Lucerne , Nottwil , Switzerland
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Basic concepts in the taxonomy of health-related behaviors, habits and lifestyle. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2013; 10:1963-76. [PMID: 23670578 PMCID: PMC3709359 DOI: 10.3390/ijerph10051963] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2013] [Revised: 04/22/2013] [Accepted: 04/28/2013] [Indexed: 11/28/2022]
Abstract
Background: Health-related Habits (HrH) are a major priority in healthcare. However there is little agreement on whether exercise, diet, smoking or dental hygiene are better described as lifestyles, habits or behaviors, and on what is their hierarchical relationship. This research is aimed at representing the basic concepts which are assumed to constitute the conceptual framework enabling us to interpret and organize the field of HrH. Methods: A group of 29 experts with different backgrounds agreed on the definition and hierarchy of HrH following an iterative process which involved framing analysis and nominal group techniques. Results: Formal definitions of health-related behavior, habit, life-style and life-style profile were produced. In addition a series of basic descriptors were identified: health reserve, capital, risk and load. Six main categories of HrH were chosen based on relevance to longevity: diet/exercise, vitality/stress, sleep, cognition, substance use and other risk. Attributes of HrH are clinical meaningfulness, quantifiability, temporal stability, associated morbidity, and unitarity (non-redundancy). Two qualifiers (polarity and stages of change) have also been described. Conclusions: The concepts represented here lay the groundwork for the development of clinical and policy tools related to HrH and lifestyle. An adaptation of this system to define targets of health interventions and to develop the classification of person factors in ICF may be needed in the future.
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