The ICF model and surveyinstruments

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The ICF model and survey-instruments

• Niels Kr. Rasmussen
• National Institute of Public Health, Denmark

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• Is the ICF-classification useful for
  classification of survey-instruments and survey
  based indicators
• or
• Are traditional surveys useful for measurements
  within the ICF framework

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Disability measures in European HIS

• Background many approaches to and developments
  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

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• Recent inventories
• 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

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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

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Global disability screening measures

• Limitation in daily activities (usually during a
  two week period
• Longstanding illness (limiting)
• In most surveys

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Comparability (1)

• Activity limitation/general
• 5 out of 14 surveys
• Activity limitation/specific
• Mobility, sensory, self-care

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Comparability (2)

• Different wording of questions or translations
• Different recall periods
• Differents domains and activities
• Different qualifiers and scales

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What is the correspondance between EU-surveys and
ICF?

• Body functions and structures
• Health conditions or diseases
• Activities
• Participation
• Environmental factors
• Personal factors

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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 individual
• Validity, transcultural problems etc.