Abstract
Identify factors related to the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) representing more than one category and verify their association with sociodemographic and health care aspects in a speech-language pathology (SLP) outpatient clinic. This is an observational, analytical, cross-sectional study based on a retrospective analysis of secondary data. One hundred eighty medical records of patients aged 5-16 years evaluated between 2010 and 2014 were included in the study. Sociodemographic and health care aspects were identified in these records, as well as presence of the ICF-CY Body Functions and Activities and Participation component categories. Analyses of the frequency distribution and measures of central tendency and dispersion of the variables, as well as Factor Analysis were carried out to create representative indicators of the ICF-CY categories identified. The Mann-Whitney and Kruskal-Wallis tests and the Spearman's correlation were used to analyze the associations, adopting a statistical significance level of 5%. Two factors that presented statistically relevant associations with the sociodemographic and health care variables were identified for the Body Functions component. As for the Activities and Participation component, three factors predominantly associated with the health care variables were identified. Items representative of the ICF-CY Body Functions and Activities and Participation categories and their respective factorial loads were identified. Statistically significant associations were verified between them and the sociodemographic and health care variables analyzed.
Highlights
The International Classification of Functioning, Disability and Health (ICF) and its derived version, the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY), were created from a biopsychosocial perspective, through which it can be understood that health conditions can be caused by changes in functionality, and are their cause[1]
This study aimed to identify, through psychometric analysis, factors related to the Informed Consent Form (ICF)-CY that represent more than one category simultaneously and verify their association with sociodemographic and health care aspects in a Speech-language Pathology (SLP) outpatient clinic
For the ICF-CY Activities and Participation component, frequency distribution analysis was performed in categories that presented the Capacity and Performance qualifiers
Summary
The International Classification of Functioning, Disability and Health (ICF) and its derived version, the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY), were created from a biopsychosocial perspective, through which it can be understood that health conditions can be caused by changes in functionality, and are their cause[1] This type of approach proposes that disabilities result from the interaction between biological issues external to the individual, as well as that a change in an organ or system will not determine alone the disabilities a person will have[1]. The use of the ICF as a guide for population surveys[3] and other health information systems[4], especially in Primary Health Care (PHC)(5), has been increasingly stimulated, because it can contribute as a more comprehensive data collection tool[3]
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