Applying the ICF-CY to identify everyday life situations of children and youth with disabilities.
- Författare
- Adolfsson M.
- Titel
- Applying the ICF-CY to identify everyday life situations of children and youth with disabilities.
- Utgivningsår
- 2011
- Stad
- Jönköping
- Utgivare
- Jönköping University
- Sammanfattning
Four studies were included in this doctoral dissertation aiming to investigate
how habilitation professionals perceive the ICF-CY in clinical work
and to identify everyday life situations specific for children and youth aged
0-17 years. The ICF-CY was the conceptual framework and since the research
was conducted on as well as with the ICF-CY, the use of the classification
runs like a thread through all the work. The design was primarily
qualitative and included descriptive and comparative content analyses.
Study I was longitudinal, aiming to explore how an implementation of the
ICF-CY in Swedish habilitation services was perceived. Studies II-IV were
interrelated, aiming to explore children's most common everyday life situations.
Content in measures of participation, professionals' perspectives, and
external data on parents' perspectives were linked to the ICF-CY and compared.
Mixed methods design bridged the Studies III-IV.
Results in Study I indicated that knowledge on the ICF-CY enhanced professionals'
awareness of families' views of child functioning and pointed to
the need for ICF-CY based assessment and intervention methods focusing
on child participation in life situations. A first important issue in this respect
was to identify everyday life situations. Two sets of ten everyday life
situations related to the ICF-CY component Activities and Participation,
chapters d3-d9, were compiled and adopted for younger and older children
respectively, establishing a difference in context specificity depending on
maturity and growing autonomy. Furthermore, key constructs in the ICFCY
model were discussed, additional ICF-CY linking rules were presented
and suggestions for revisions of the ICF linking rules and the ICF-CY were
listed. As the sample of everyday life situations reflects the perspectives of
adults, further research has to add the perspective of children and youth.
The identified everyday life situations will be the basis for the development
of code sets included in a screening tool intended for self- or proxy-report
of participation from early childhood through adolescence.