Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-13T06:56:49.041Z Has data issue: false hasContentIssue false
  • English
  • Français

Personal factors classification revisited: A proposal in the light of the biopsychosocial model of the World Health Organization (WHO)

Published online by Cambridge University Press:  19 November 2020

Sabine Grotkamp ,
Wolfgang Cibis ,
Silke Brüggemann ,
Michaela Coenen ,
Hans Peter Gmünder ,
Klaus Keller ,
Elisabeth Nüchtern ,
Urban Schwegler ,
Wolfgang Seger  and
Stefan Staubli
...Show all authors
Sabine Grotkamp
Affiliation:
Medical Advisory Board of Statutory Health Insurances in Lower Saxony, Vice President of the German Society for Social Medicine and Prevention (DGSMP)
Wolfgang Cibis
Affiliation:
Deputy Head of the working group “ICF” of the DGSMP, past Senior Consultant of the Federal Rehabilitation Council
Silke Brüggemann
Affiliation:
German Federal Pension Insurance, Division of Social Medicine and Rehabilitation, Head of the Section for Social Medicine
Michaela Coenen
Affiliation:
Institute for Medical Information Processing, Biometry and Epidemiology – IBE, Chair of Public Health and Health Services Research, LMU, Pettenkofer School of Public Health
Hans Peter Gmünder
Affiliation:
Swiss Paraplegic Centre Nottwil, Director, University of Zurich
Klaus Keller
Affiliation:
Rehabilitation Clinic Herzogsägmühle, Head of the Division of Rehabilitation, Peiting-Herzogsägmühle
Elisabeth Nüchtern
Affiliation:
Member of the working group “ICF” of the DGSMP, past Senior Consultant of the Medical Advisory Board of Statutory Health Insurances in Baden-Württemberg
Urban Schwegler
Affiliation:
Swiss Paraplegic Research Nottwil, Group Leader “Participation, Integration and Social Epidemiology”, Lecturer University of Lucerne
Wolfgang Seger*
Affiliation:
Medical Advisory Board of the Federal Rehabilitation Council, Chairman, Frankfurt, Honorary Professor for Rehabilitation, University of Bremen, past Medical Director of the Medical Advisory Board of Statutory Health Insurances in Lower Saxony
Stefan Staubli
Affiliation:
Swiss Paraplegic Centre Nottwil, Head of Social and Vocational Integration
Bia von Raison
Affiliation:
Consultant for Youth Welfare, District of Bad Segeberg
Regina Weißmann
Affiliation:
Catholic University Eichstätt Ingolstadt, Research Associate to the Professorial Chair for Psychological Diagnostics and Intervention Psychology
Andreas Bahemann
Affiliation:
Member of the workgroup “ICF” of the DGSMP, former Head of Medical Service, Federal Employment Agency
Harry Fuchs
Affiliation:
Division for Social and Cultural Studies, Honorary Professor, University of Applied Sciences, Düsseldorf
Marion Rink
Affiliation:
German League against Rheumatism, Vice President, Federal Association for Self-Help organization, Deputy Chairwoman, Berlin
Marcus Schian
Affiliation:
Federal Rehabilitation Council (BAR), Team Manager for Rehabilitation and Participation Law, Frankfurt
Klaus Schmitt
Affiliation:
Swiss Paraplegic Centre Nottwil, Head of Acute Medicine
*
*Corresponding author. Email: wolfgang.seger@hotmail.com
Get access

Abstract

In 2010, we proposed a personal factor classification which was published in this journal. Since then, the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization (WHO) and the biopsychosocial model were increasingly incorporated into the German Social Law Code for participation and rehabilitation, implying that personal factors are indispensable for individual assessments. For the present study, we aimed to come up with an updated version of the personal factors classification based on current research. To achieve this goal, we employed a qualitative approach to re-examine the basic structure, consistency, and selection of categories in the classification from our 2010 study, to amend and supplement the categories to reflect best practice personal factor classifications. Our findings indicate that the basic structure remained largely unchanged, with relatively minor changes, including the deletion of 5 categories from our 2010 classification, 10 categories revised in format or content, and 13 new categories. We believe our revised classification to be useful for supporting users in systematically, comprehensively, and transparently reporting influences on specific aspects of individuals’ life and living background on their functioning and participation, thus facilitating an equitable allocation of disability benefits.

Keywords

International Classification of Functioning, Disability and Health (ICF)RehabilitationParticipationbiopsychosocial disease model
Type
Articles
Information
The Australian Journal of Rehabilitation Counselling , Volume 26 , Issue 2 , December 2020 , pp. 73 - 91
Check for updates
Copyright
© The Author(s) 2020. Published by Cambridge University Press and The Australian Journal of Rehabilitation Counselling

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

†

Authors 1–12 contributed equally to this work.

References

Badley, E. M. (2006). More than facilitators and barriers: Fitting the full range of environmental and personal contextual factors into the ICF model; 12th Annual North American Collaborating Center – Conference on ICF. Vancouver (Canada). Retrieved from https://www.secure.cihi.ca/cihiweb/en/downloads/Elizabeth%20Badley%20-%20Looking%20Ahead.pdf Google Scholar
Bundesarbeitsgemeinschaft für Rehabilitation e.V. (BAR). (2019a). Retrieved from https://www.bar-frankfurt.de/ Google Scholar
Bundesarbeitsgemeinschaft für Rehabilitation e.V. (BAR). (2019b). Bedarfsermittlungskonzept LTA. Retrieved from https://www.bar-frankfurt.de/themen/reha-prozess/bedarfsermittlungskonzept-lta.html Google Scholar
Deiglmayr, A., Schalk, L., & Stern, E. (2017). Begabung, Intelligenz, Talent, Wissen, Kompetenz und Expertise: eine Begriffsklärung. In Trautwein, U. & Hasselhorn, M. (Eds.), Begabungen und Talente (pp. 1–16). Göttingen: Hogrefe Verlag.Google Scholar
Deutsches Institut für Medizinische Dokumentation und Information (DIMDI). (2005). Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit, ICF. Köln: Deutscher Ärzte-Verlag.Google Scholar
Geyh, S., Schwegler, U., Peter, C. C., & Müller, R. (2019). Representing and organizing information to describe the lived experience of health from a personal factors perspective in the light of the International Classification of Functioning, Disability and Health (ICF): A discussion paper. Disability and Rehabilitation, 41, 1727–1738.CrossRefGoogle ScholarPubMed
Goldberg, L. (1992). The development of markers for the Big-Five factor structure. Psychological Assessment, 4, 26–42.CrossRefGoogle Scholar
Grotkamp, S., Cibis, W., Behrens, J. Bucher, P. O., Deetjen, W. Nyffeler, I. D., … Seger, W. (2010). PF der ICF – Entwurf der AG ICF des Fachbereichs II der Deutschen Gesellschaft für Sozialmedizin und Prävention (DGSMP). Gesundheitswesen, 72, 908–916.CrossRefGoogle Scholar
Grotkamp, S., Cibis, W., Nüchtern, E. Baldus, A., Behrens, J., Bucher, P.O., … Seger, W. (2012a). Personbezogene Faktoren der ICF – Beispiele zum Entwurf der AG “ICF” des Fachbereichs II der Deutschen Gesellschaft für Sozialmedizin und Prävention (DGSMP). Gesundheitswesen, 74, 449–458.Google Scholar
Grotkamp, S., Cibis, W., Nüchtern, E., von Mittelstaedt, G., & Seger, W.K.F. (2012b). Personal factors in the international classification of functioning, disability and health: Prospective evidence. The Australian Journal of Rehabilitation Counselling, 18, 1–24.CrossRefGoogle Scholar
Heerkens, Y., Engels, J., Kuiper, C., van der Gulden, J. W. J., & Oostendorp, R. A. B. (2004). The use of the ICF to describe work related factors influencing the health of employees. Disability & Rehabilitation, 26, 1060–1066.CrossRefGoogle ScholarPubMed
Howe, T. J. (2008). The ICF Contextual Factors related to speech language pathology. International Journal of Speech-Language Pathology, 10, 27–37.CrossRefGoogle Scholar
Mahdi, S., Ronzano, N., Knüppel, A., Dias, J.C., Albdah, A., Chien-Ho, L., … Bölte, S. (2018). An international clinical study of ability and disability in ADHD using the WHO‑ICF framework. European Child & Adolescent Psychiatry, 27, 1305–1319.CrossRefGoogle ScholarPubMed
Ng, L., & Khan, F. (2011). Identification of personal factors in motor neurone disease: A pilot study. Rehabilitation Research and Practice. doi: 10.1155/2011/871237 CrossRefGoogle ScholarPubMed
Rapp, R.S., & Queri, S. (2017). Validierung von Personbezogenen Faktoren im Bereich der onkologischen Brustkrebsrehabilitation – Eine Delphi-Befragung auf nationaler Ebene. Gesundheitswesen, 79, 96–104.Google Scholar
Salvador-Carulla, L., Walsh, C. O., Alonso, F., Gomez, R., de Teresa, C., Cabo-Soler, J. R., … Ruiz, M. (2012). eVITAL: A preliminary taxonomy and electronic toolkit of health-related habits and lifestyle. The Scientific World Journal. doi: 10.1100/2012/379752 CrossRefGoogle Scholar
Schreier, M. (2012). Qualitative content analysis in practice. London: Sage.Google Scholar
Schwegler, U., Peter, C., Trezzini, B., & Geyh, S. (2013). Toward transparent documentation in medical work capacity evaluations: Identifying personal factors in medical reports on Swiss disability claimants with chronic widespread pain. International Journal of Rehabilitation Research, 36, 298–307.CrossRefGoogle ScholarPubMed
Schwegler, U. (2018). ICF und ressourcenorientierte Abklärung der Arbeitsfähigkeit. In Riemer-Kafka, G. & Hürzeler, M. (Eds.), Das indikatorenorientierte Abklärungsverfahren, Luzerner Beiträge zur Rechtswissenschaft (Vol. 119, pp. 1–29). Zürich: Stämpfli.Google Scholar
Stephen, D., Gianopoulos, I., & Kerr, P. (2001). Determination and classification of the problems experienced by hearing-impaired elderly people. Audiology, 40, 294–300.CrossRefGoogle Scholar
Ueda, S., & Okawa, Y. (2003). The subjective dimension of functioning and disability: What is it and what is it for? Disability and Rehabilitation, 25, 596–601.CrossRefGoogle ScholarPubMed
Viol, M., Grotkamp, S., van Treek, B. Nüchtern, E., Hagen, T., Manegold, B., … Seger, W. (2006). Personbezogene Kontextfaktoren, Teil I. Gesundheitswesen, 68, 747–759.CrossRefGoogle Scholar