Department of Exercise Science, University of South Carolina, Columbia, SC 29208, USA.
School of Osteopathic Medicine, Department of Athletic Training, A.T. Still University, Mesa, AZ 85206, USA.
Int J Environ Res Public Health. 2023 Apr 4;20(7):5401. doi: 10.3390/ijerph20075401.
In 2015, the Strategic Alliance adopted the International Classification of Functioning, Disability, and Health (ICF) as the disablement model framework for delivery of and communication about patient care in athletic training. The purpose of this study was to examine athletic trainers' familiarity, knowledge, application, and implementation of the ICF framework. We used a cross-sectional online survey with 185 athletic trainers (age = 35 ± 9 y), which included 32 items focused on familiarity, knowledge, application, and implementation of the ICF framework. Most participants ( = 96, 51.9%) reported never learning about the ICF framework. During the knowledge assessment, participants scored 4.3 ± 2.7 out of 8, which is equivalent to 53.7%. For the sorting assessment, participants scored 10.9 ± 3.9 out of 18, which is equivalent to 60.5%. On the implementation matrix, the most frequently reported ICF tasks elicited by the athletic trainers included neuromusculoskeletal and movement, structure related to movement, and mobility. The most common 'never elicited' ICF tasks included voice and speech, sexual orientation, and structures related to genitourinary and reproductive system. Deficits related to the ICF framework exist. Athletic trainers reported low implementation across all ICF categories. The decision to not elicit information on these areas of health may reduce the ability to provide patient-centered healthcare.
2015 年，战略联盟采用了《国际功能、残疾和健康分类》（ICF）作为运动训练中提供和交流患者护理的残疾模型框架。本研究旨在调查运动训练师对 ICF 框架的熟悉程度、知识、应用和实施情况。我们使用了一项横断面在线调查，共有 185 名运动训练师（年龄=35±9 岁）参与，其中包括 32 个专注于 ICF 框架的熟悉程度、知识、应用和实施的项目。大多数参与者（=96，51.9%）报告从未学习过 ICF 框架。在知识评估中，参与者在 8 分中得到 4.3±2.7 分，相当于 53.7%。在分类评估中，参与者在 18 分中得到 10.9±3.9 分，相当于 60.5%。在实施矩阵中，运动训练师最常报告的 ICF 任务包括神经肌肉骨骼和运动、与运动相关的结构以及活动能力。最常见的“从未引出”的 ICF 任务包括语音和言语、性取向以及与生殖泌尿系统相关的结构。ICF 框架存在缺陷。运动训练师在所有 ICF 类别中的实施情况都较低。决定不引出这些健康领域的信息可能会降低提供以患者为中心的医疗保健的能力。
