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Orientador(es)
Resumo(s)
Purpose: To describe and compare the content of instruments
that assess environmental factors using the International
Classification of Functioning, Disability and Health (ICF).
Methods: A systematic search of PubMed, CINAHL and
PEDro databases was conducted using a pre-determined
search strategy. The identified instruments were screened independently
by two investigators, and meaningful concepts
were linked to the most precise ICF category according to
published linking rules.
Results: Six instruments were included, containing 526
meaningful concepts. Instruments had between 20% and
98% of items linked to categories in Chapter 1. The highest
percentage of items from one instrument linked to categories
in Chapters 2–5 varied between 9% and 50%. The presence
or absence of environmental factors in a specific context is
assessed in 3 instruments, while the other 3 assess the intensity
of the impact of environmental factors.
Discussion: Instruments differ in their content, type of assessment,
and have several items linked to the same ICF
category. Most instruments primarily assess products and
technology (Chapter 1), highlighting the need to deepen the
discussion on the theory that supports the measurement of
environmental factors. This discussion should be thorough
and lead to the development of methodologies and new tools
that capture the underlying concepts of the ICF.
Descrição
Palavras-chave
Disability evaluation Environment Social participation Patient participation