Description of the person-environment interaction: methodological issues and empirical results of an Italian large-scale disability assessment study using an ICF-based protocol
2011

Understanding Disability through Person-Environment Interaction

Sample size: 1051 publication 10 minutes Evidence: moderate

Author Information

Author(s): Carlo Francescutti, Francesco Gongolo, Andrea Simoncello, Lucilla Frattura

Primary Institution: Italian WHO Collaborating Centre for the Family of International Classifications, Direzione Centrale Salute, Integrazione Socio Sanitaria e Politiche Sociali, Regione Autonoma Friuli Venezia Giulia, Udine, Italy

Hypothesis

How can a standardized protocol for disability evaluation based on the ICF improve understanding of disability?

Conclusion

The study demonstrates that disability can be described as a continuum based on person-environment interactions, allowing for more personalized intervention strategies.

Supporting Evidence

  • The study collected data from over 1,000 individuals to evaluate disability using an ICF-based protocol.
  • Results indicated that the majority of activities had no problems, highlighting effective support in certain domains.
  • Communication and learning were identified as the most challenging areas for participants.

Takeaway

This study shows that understanding disability is not just about individual problems but also about how people interact with their environment.

Methodology

The study involved a three-year project with six phases, including the collection of approximately 1,000 profiles and analysis using various statistical methods.

Potential Biases

Potential bias may arise from evaluators being part of the health system they are assessing.

Limitations

The sample may not be representative of all persons with disabilities, and the assessment tools used may vary across regions.

Participant Demographics

Participants were selected from 8 Italian regions, representing various functioning conditions across different age groups.

Digital Object Identifier (DOI)

10.1186/1471-2458-11-S4-S11

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