An instrument should have been developed to measure participation as one possible criterion to evaluate inclusion of elderly people with intellectual disability. The ICF was utilized, because participation is one part of health related functioning, respectively disability. Furthermore ICF includes environmental factors (contextual factors) and attaches them an essentially influence on health related functioning, in particular on participation. Thus ICF Checklist additionally identifies environmental barriers for elimination. A linking process with VINELAND-II yielded 138 ICF items for the Checklist. The sample consists of 50 persons with a light or moderate intellectual disability. Two-thirds are female and the average age is 68. They were directly asked about their perceived quality of life. Additionally, proxy interviews were carried out with responsible staff members concerning necessary support and behavioral deviances. The ICF Checklist was administered twice, once (t2) the current staff member should rate health related functioning at the given time and in addition, a staff member who knows the person at least 10 years before (t1) should rate the former functioning. Content validity was investigated with factor analysis and criterion validity with correlational analysis related to supports need, behavioral deviances and perceived quality of life. Quantitative analysis was validated by qualitative content analysis of patient documentation. Factor analysis shows logical variable clusters across the extracted factors but neither interpretable factors. The Checklist is reliable, valid related to the chosen criterions and shows the expected age-related shifts. Qualitative analysis corresponds with quantitative data. ICF Checklist is appropriate to manage and evaluate patient-centered care.
Zusammenfassung. Theoretischer Hintergrund: In der psychotherapeutischen Forschung und Versorgung wurde die Wiedererlangung der Arbeitsfähigkeit bislang nur unzureichend berücksichtigt. Einige Studien weisen jedoch auf die Wirksamkeit arbeitsbezogener kognitiv-verhaltenstherapeutischer Therapieansätze hin. Fragestellung: Die vorliegende Pilotstudie soll ein neues Gruppentherapiekonzept mit dem Ziel der Verbesserung der Arbeitsfähigkeit evaluieren. Methoden: Es wurden Daten von N = 17 Teilnehmenden mit depressiven Störungen erhoben. Dafür wurden die Arbeitsfähigkeit, Arbeitsmotivation, generelle Symptombelastung und Depressivität zu drei Messzeitpunkten erfasst. Ergebnisse: Die Arbeitsfähigkeit verbesserte sich tendenziell. Teilnehmende wiesen kurz- und mittelfristig eine geringere Symptombelastung und geringere Depressivität auf. Die Aktivität und Partizipation erhöhten sich kurz- und mittelfristig. Schlussfolgerungen: Die Intervention scheint die psychische Gesundheit zu verbessern, allerdings müssen diese ersten Ergebnisse in einer randomisierten-kontrollierten Studie verifiziert werden.
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