Physiotherapists knowledge, attitude, perception and practice of the International classification of function (ICF), disability and health in Gert Sibande district, Mpumalanga Province; South Africa

Abstract

Globally physiotherapists are required to be on par with the latest in evidence based research and treatment techniques in order to provide the best practices and quality healthcare to their clients. As such, is the implementation of International Classification of Function (ICF) in daily physiotherapy practice, endorsed by the World Confederation for Physiotherapy (WCPT), since 2003. However, little is known about the extent of ICF use in daily South African and international physiotherapy practice in order to maintain international standards. This research was aimed at exploring the level of understanding, attitudes, perceptions and extent of use of the ICF framework by Physiotherapists in the private and public sector in Gert Sibande District. Barriers and opportunities for using ICF framework, were also investigated. A prospective, explorative study, utilizing a mixed method (qualitative and quantitative) design. The objectives were accomplished by employing a semi structured self-administered questionnaire, supported by a focus group discussion. Gert Sibande physiotherapists ( n = 32) possessed some knowledge of ICF, whilst maintaining negative perceptions and attitudes towards ICF, resulting in minimal to no use of ICF. The only significant difference between the public and private health sectors was perceptions ( P < 0.05), which revealed public service physiotherapists to perceive ICF as favourable. Significant barriers to ICF use were, high patient loads resulting in time constraints during patient assessments, lack of knowledge, information, and comprehension of the framework. ICF has not yet reached full maturity, however its benefits and many uses in health care and the profession of physiotherapy are continually expanding. It would be negligent of South African physiotherapists to ignore the recommendations of WHO and WCPT, therefore further education in ICF knowledge and improved application skills, is deemed the first step in promoting the frameworks use and indefinite benefits to South African physiotherapy and quality health care.