van der Veen Sabina, Evans Natalie, Aalders Marijn, Huisman Martijn, Widdershoven Guy
Department of Ethics, Law and Humanities, Amsterdam UMC, VU University, Amsterdam, The Netherlands.
Faculty of Social Sciences, Institute of Psychology, Health, Medical and Neuropsychology unit, Leiden University, Leiden, The Netherlands.
Disabil Rehabil. 2025 Apr;47(8):2075-2083. doi: 10.1080/09638288.2024.2390052. Epub 2024 Aug 19.
In the BigMove intervention, people with physical and mental health conditions assess their functioning, set goals, and define action plans to achieve their goals recorded in an e-health application using all categories of the International Classification of Functioning, Disability, and Health (ICF). This study investigates whether data from this application can provide insight into participants' self-perceived functioning, goals and action plans and observe changes over time.
Data from 446 participants were analysed with descriptive statistics to describe self-perceived functioning and the ICF categories related to the 15 most frequently chosen goals. Action plans were analysed using inductive analysis. Changes over time were investigated by comparing assessments before and after at least 4 months in the intervention.
The data provided insight into the self-perceived functioning, goals and action plans. Also, changes over time were observed. Self-perceived functioning changed from being mainly negative before, to mainly positive after the intervention. While goals were mostly related to the same ICF categories, the action plans changed from more specific short-term to more general long-term plans.
Our study demonstrates that all categories of the ICF can be used to record self-perceived functioning, goals and action plans and monitor changes over time.
在“大行动”干预项目中，患有身心健康问题的人评估自身功能，设定目标，并制定行动计划以实现其目标，这些信息记录在一个电子健康应用程序中，该程序使用了《国际功能、残疾和健康分类》（ICF）的所有类别。本研究调查该应用程序的数据是否能深入了解参与者的自我感知功能、目标和行动计划，并观察随时间的变化。
对446名参与者的数据进行描述性统计分析，以描述自我感知功能以及与15个最常选择的目标相关的ICF类别。使用归纳分析方法对行动计划进行分析。通过比较干预至少4个月前后的评估来研究随时间的变化。
数据提供了对自我感知功能、目标和行动计划的深入了解。此外，还观察到了随时间的变化。自我感知功能从干预前主要为负面转变为干预后主要为正面。虽然目标大多与相同的ICF类别相关，但行动计划从更具体的短期计划转变为更一般的长期计划。
我们的研究表明，ICF的所有类别都可用于记录自我感知功能、目标和行动计划，并监测随时间的变化。
