CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario, Canada.
School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
Disabil Rehabil. 2021 Mar;43(6):884-894. doi: 10.1080/09638288.2019.1643419. Epub 2019 Jul 25.
The International Classification of Functioning, Disability and Health (referred to as the ICF) is the World Health Organization's framework for health. It can be used to identify goals that capture all aspects of a person's life and to inform clinical goal-setting processes. This review aims to report how healthcare providers are using the ICF framework to support goal-setting practices in pediatric rehabilitation services.
A rapid review was conducted using scoping review principles in the following databases: CINAHL, Medline and PsycINFO. Key terms included: "ICF", "goal-setting" and "pediatrics".
Sixteen studies met the inclusion criteria. Three main themes emerged about the use of the ICF in pediatric rehabilitation: 1) match the content of goals to the ICF domains; 2) implement with existing tools for goal-setting; and 3) inform the development of new tools for goal-setting. Healthcare providers often use a combination of goal-setting tools. The SMART approach is used to frame goals, while the Canadian Occupational Performance Measure and Goal Attainment Scale have been used to document and evaluate goals.
The ICF framework can be used with current goal-setting practices and offers a common lens and language with which to facilitate collaborative goal-setting with families and healthcare providers.Implications for RehabilitationThe International Classification of Functioning, Disability and Health (ICF) provides a common framework and language to support collaborative goal-setting between families and healthcare providersDespite the opportunity for the ICF to be used as a framework with goal-setting approaches, to date the ICF has mainly been used to match the content of goals to ICF domains for documentation purposesThe ICF should be incorporated into the established clinical routines in order to promote its use among healthcare providersThe ICF can be used with existing goal-setting tools in clinical practice and to inform the ongoing development of new tools to support the goal-setting process in family-centred services.
《国际功能、残疾和健康分类》（简称 ICF）是世界卫生组织的健康框架。它可用于确定目标，以涵盖个人生活的各个方面，并为临床目标设定过程提供信息。本综述旨在报告医疗保健提供者如何使用 ICF 框架来支持儿科康复服务中的目标设定实践。
使用 scoping 综述原则，在以下数据库中进行快速综述：CINAHL、Medline 和 PsycINFO。关键词包括：“ICF”、“目标设定”和“儿科”。
符合纳入标准的研究有 16 项。使用 ICF 进行儿科康复的三个主要主题如下：1）使目标内容与 ICF 域相匹配；2）与现有的目标设定工具一起实施；3）为目标设定开发新工具提供信息。医疗保健提供者通常会结合使用多种目标设定工具。SMART 方法用于框架目标，而加拿大职业表现衡量和目标达成量表则用于记录和评估目标。
ICF 框架可与现行的目标设定实践相结合，并提供共同的视角和语言，以促进与家庭和医疗保健提供者的协作目标设定。
国际功能、残疾和健康分类（ICF）为家庭和医疗保健提供者之间的协作目标设定提供了一个共同的框架和语言。
尽管 ICF 有机会作为目标设定方法的框架，但迄今为止，ICF 主要用于将目标的内容与 ICF 领域相匹配，以便于文档记录。
ICF 应纳入既定的临床常规，以促进医疗保健提供者的使用。
ICF 可在临床实践中与现有的目标设定工具一起使用，并为支持以家庭为中心的服务中的目标设定过程开发新工具提供信息。
