The ICF model and survey-instruments.ppt

1、Washington D.C. February 18-20,Washington City Group on Disability Statistics,1,The ICF model and survey-instruments,Niels Kr. Rasmussen National Institute of Public Health, Denmark,Washington D.C. February 18-20,Washington City Group on Disability Statistics,2,Is the ICF-classification useful for c

2、lassification of survey-instruments and survey based indicators or Are traditional surveys useful for measurements within the ICF framework,Washington D.C. February 18-20,Washington City Group on Disability Statistics,3,Disability measures in European HIS,Background: many approaches to and developme

3、nts of general/holistic and specific measures of disability in European countries, both in special disability surveys and in multipurpose and HIS surveys, often based on the old OECD concepts and recommendations,Washington D.C. February 18-20,Washington City Group on Disability Statistics,4,Recent i

4、nventories HIS/HES database developed within the HMP Survey data on disability, Eurostat working paper Updated summary inventory Identification of app. 50 surveys measuring various aspects of disability from all EU-member states and some European,Washington D.C. February 18-20,Washington City Group

5、on Disability Statistics,5,Classifications used in inventories,Ad hoc, not theory-driven What is it possible to expect respondents to respond to Chronic or acute health problems, Restriction of daily activities/general Restriction in daily activities/specific Participation in work and other Access,W

6、ashington D.C. February 18-20,Washington City Group on Disability Statistics,6,Global disability screening measures,Limitation in daily activities (usually during a two week period Longstanding illness (limiting)In most surveys,Washington D.C. February 18-20,Washington City Group on Disability Stati

7、stics,7,Comparability (1),Activity limitation/general 5 out of 14 surveys Activity limitation/specific: Mobility, sensory, self-care,Washington D.C. February 18-20,Washington City Group on Disability Statistics,8,Comparability (2),Different wording of questions or translations Different recall perio

8、ds Differents domains and activities Different qualifiers and scales,Washington D.C. February 18-20,Washington City Group on Disability Statistics,9,What is the correspondance between EU-surveys and ICF?,Body functions and structures Health conditions or diseases Activities Participation Environment

9、al factors Personal factors,Washington D.C. February 18-20,Washington City Group on Disability Statistics,10,Washington D.C. February 18-20,Washington City Group on Disability Statistics,11,Problems in operationalising complex concepts for survey purposes,How to translate complex concepts into everyday language Distinquishing between performance and capacity Selfreporting of stigmatised matters Selfreporting of surroundings and contexts and the barriers, effects etc on the individualValidity, transcultural problems etc.,