International Classification of Functioning, Disability and Health (ICF) and correlation between disability and finance assets in chronic stroke patients

Main Article Content

Nicola Marotta
Antonio Ammendolia
Cinzia Marinaro
Andrea Demeco
Lucrezia Moggio
Cosimo Costantino

Keywords

icf, disability, poverty, stroke

Abstract

Background. Stroke is the third cause of long term disability worldwide and its rehabilitation program must to have into account all aspects of disability. International research and politics increasingly study the relationship between disability and the direct costs associated with living with a disability.
Objective. Using the ICF, this article provides a correlation between financial assets and disability in participation and activities, in a context such as the Italian one where there is a twenty-year decentralization of the national health system
Methods. At the University of Catanzaro, in southern Italy, n=130 ICF checklists of stroke patients were analyzed at 6 months from the end of the rehabilitation treatment. Financial assets domains in environment and nine domains in participation and activities were correlated, in order to evaluate the relationship between familiar economic condition and disability.
Results. Pearson's r test (t = -6.6515, df = 25, p-value<0.05) showed a significant correlation of 0.79. Multiple R-squared was 0.639 and an we reported an Adjusted R-squared of 0.6245 (p<0.05). Thus, about 62% of the increase of the all considered disability qualifiers in participation and activities in ICF checklist can be explained by a lower financial income.
Conclusions. In a regional context (Calabria) of an European country (Italy) with a national health system, thanks to the ICF it can be assumed that with the decrease of the financial income, the gap in participation of activities increases.

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References

[1] «World Health Organization (2001) International Classification of Functioning, Disability and Health:ICF.Geneva».
[2] «Sharfi K, Rosenblum S.: “Activity and Participation Characteristics of Adults with Learning Disabilities” - A Systematic Review. PLoS ONE 9(9): e106657. (2014)».
[3] «Obembe A. and Eng J.:“Rehabilitation Interventions for Improving Social Participation after Stroke”: A Systematic Review and Meta-Analysis. Neurorehabil Neural Repair. 2016 May ; 30(4): 384–392».
[4] «Tse T, Douglas J, Lentin P, Carey L. Measuring participation after stroke: a review of frequently used tools.Arch Phys Med Rehabil. 2013 Jan;94(1):177-92.».
[5] «Schepers VP, Ketelaar M, van de Port IG, Visser-Meily JM, Lindeman E. Comparing contents of functional outcome measures in stroke rehabilitation using the International Classification of Functioning, Disability and Health. Disabil Rehabil. 2007 Feb 15;29(,» (3):221-30.
[6] «Campos TF, de Melo LP, Dantas AATSG, de Oliveira DC, Oliveira RANDS, Cordovil R, Silveira Fernandes ABG. ; “ Functional activities habits in chronic stroke patients: A perspective based on ICF framework. “ NeuroRehabilitation. 2019;45(1):79-85.».
[7] «Mazzoli D, Giannotti E, Rambelli C, Zerbinati P, Galletti M, Mascioli F, Prati P, Merlo A. Long-term effects on body functions, activity and participation of hemiplegic patients in equino varus foot deformity surgical correction followed,» by immediate rehabilitation. A prospective observational study. Top Stroke Rehabil. 2019 Oct;26(7):518-522. Epub 2019 Jul 16.
[8] «AGOVINO, Massimiliano; FERRARA, Maria. Disabilità e povertà: il ruolo delle pensioni di invalidità civile. Un'analisi DSGE per i dati italiani. 2015.».
[9] Engkasan JP, Ahmad-Fauzi A, Sabirin S, Chai CC, Abdul-Malek IZ, Liguori S, Moretti A, Gimigliano F.: “ Mapping the primary outcomes reported in Cochrane systematic reviews regarding stroke with the International Classification of Functioning, Disability a, and Health domains: current trend and future recommendations”. Eur J Phys Rehabil Med. 2019 Jun;55(3):378-383. Epub 2019 Apr 5..
[10] HAGE, Ver. The NIH stroke scale: a window into neurological status. NurseCom Nursing Spectrum (Greater Chicago), 2011, 24.15: 44-49..
[11] HAMILTON, Byron B., et al. Interrater reliability of the 7-level functional independence measure (FIM). Scandinavian journal of rehabilitation medicine, 1994, 26.3: 115-119..
[12] Ewert, T., Fuessl, M., Cieza, A., Andersen, C., Chatterji, S., Kostanjsek, N., & Stucki, G. (2004). Identification of the most common patient problems in patients with chronic conditions using the ICF checklist. Journal of Rehabilitation Medicine, 36(0),, 22-29.
[13] «NUTI, Sabina, et al. Assessment and improvement of the Italian healthcare system: first evidence from a pilot national performance evaluation system. Journal of Healthcare Management, 2012, 57.3: 182-199.».
[14] ÜSTÜN, T. Bedirhan, et al. The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health. Disability and rehabilitation, 2003, 25.11-12: 565-571..
[15] «BREEZE, Elisabeth, et al. Area deprivation, social class, and quality of life among people aged 75 years and over in Britain. International Journal of Epidemiology, 2005, 34.2: 276-283.».
[16] «CASANOVA, Georgia; LILLINI, Roberto. Disabilità, non autosufficienza e diseguaglianze socioeconomiche e strutturali: le strategie di cura e la correlazione esistente con l’incidenza di povertà. Uno studio pilota. 2010.».