Abstract
Purpose: To validate the Comprehensive and Brief International Classification of Functioning, Disability and Health Core Sets for obstructive pulmonary diseases from the perspective of adults with asthma.Methods: This was a qualitative, cross-sectional study. Individual interviews with questions related to the disease and its impact on the patient’s life were performed. The meaning condensation procedure was used for analysis.Results: Thirty-five participants (26 females, 41 ± 13 years old) were interviewed. A total of 405 concepts were identified, and 348 were associated to the components Body Functions (n = 168), Body Structures (n = 22), Activities and Participation (n = 33), Environmental Factors (n = 125). These concepts were linked to 61 categories: second level (n = 25), third level (n = 33), fourth level (n = 3), which confirmed 41% and 77% of those included in the Comprehensive and Brief Core Sets, respectively. Twenty-four additional categories were identified, and 57 concepts could not be linked to the classification.Conclusions: The International Classification of Functioning, Disability and Health Core Sets for obstructive pulmonary diseases were supported by the perspective of adults with asthma. The Brief version seemed the best reference for rehabilitation, reflecting the typical disabilities and impairments of these patients. Unconfirmed and added categories have been reported, and their analysis may assist future document updates.Implications for rehabilitationThe use of the International Classification of Functioning, Disability and Health Core Sets for Obstructive Pulmonary Diseases is relevant to guide patient assessment, treatment and monitoring.The concepts related to the Body functions and Environmental factors were the most relevant according to the perspective of adults with asthma.The Comprehensive and Brief International Classification of Functioning, Disability and Health Core Sets for Obstructive Pulmonary Diseases were supported by adults with asthma.
Highlights
Asthma is a major non-communicable respiratory disease, affecting approximately 300 million people worldwide [1]
None of them were enrolled in a pulmonary rehabilitation program and none of them were currently smokers
This study confirmed approximately 40% and 80% of the categories included in the Comprehensive and Brief ICF Core Sets for obstructive pulmonary diseases (OPD), respectively
Summary
Asthma is a major non-communicable respiratory disease, affecting approximately 300 million people worldwide [1]. It is characterised by chronic airway inflammation and a variable airflow limitation, and it is usually associated with airway hyperresponsiveness to direct or indirect stimuli [2]. Patients with asthma commonly report feelings of anxiety and concerns about the condition and treatment [4,5]. These experiences may worsen the perception of symptoms, increasing the risk for exacerbations and hospitalisations [2,4]. Health professionals need to assess all the relevant health domains according to the perspective of the patient [2,9,10]
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