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Developing a Core Set to Describe Functioning in Vocational Rehabilitation Using The International Classification of Functioning, Disability, and Health (ICF)

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Abstract

Introduction the consequences of accidents, injuries, and health conditions that prevent workers from engaging in employment are prevailing issues in the area of work disability. Vocational rehabilitation (VR) programs aim to facilitate return-to-work process but there is no universal description of functioning for patients who participate in VR. Our objective is to develop a Core Set for VR based on the international classification of functioning, disability, and health (ICF). An ICF Core Set is a short list of ICF categories with alphanumeric codes relevant to a health condition or a health-related event. Methods development process consists of three phases. First is the preparatory phase which consists of four parallel studies: (1) systematic review of the literature, (2) worldwide survey of experts, (3) cross-sectional study, and (4) focus group interview. Patients with various health conditions are to be recruited from five VR centers located in Switzerland and Germany. The second phase is a consensus conference where findings from the preparatory phase will be presented followed by a multi-stage consensus process to determine the ICF categories that will comprise the Core Set for VR. The final phase consists of validation studies in several health conditions and settings. Conclusions we expect the first version of the ICF Core Set for VR to be completed in 2010. The Core Set can serve as a guide in the evaluation of patients and in planning appropriate intervention within VR programs. This Core Set could also provide a standard and common language among clinicians, researchers, insurers, and policymakers in the implementation of successful VR.

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References

  1. Metts RL. Disability issues, trends and recommendations for the World Bank. Washington: World Bank; 2000.

  2. International Labour Organization. ILO calls for new efforts to support people with disabilities in the world of work. Geneva, International Labour Organization [webpage on the internet]. Available from: http://www.ilo.org/public/english/support/lib/resource/subject/disability.htm.

  3. Hansson EK, Hansson TH. The costs for persons sick-listed more than one month because of low back or neck problems. A two-year prospective study of Swedish patients. Eur Spine J. 2005;14:337–45.

    Article  PubMed  Google Scholar 

  4. Carlos-Rivera F, Aguilar-Madrid G, Gomez-Montenegro PA, Juarez-Perez CA, Sanchez-Roman FR, Durcudoy Montandon JE, et al. Estimation of health-care costs for work-related injuries in the Mexican Institute of Social Security. Am J Ind Med. 2009;52:195–201.

    Article  PubMed  Google Scholar 

  5. Dyster-Aas J, Kildal M, Willebrand M. Return to work and health-related quality of life after burn injury. J Rehabil Med. 2007;39:49–55.

    Article  PubMed  Google Scholar 

  6. Ellenbogen PS, Meade MA, Jackson MN, Barrett K. The impact of spinal cord injury on the employment of family caregivers. J Vocat Rehabil. 2006;25:35–44.

    Google Scholar 

  7. Franche RL, Pole JD, Hogg-Johnson S, Vidmar M, Breslin C. The impact of workrelated musculoskeletal disorders on workers’ caregiving activities. Am J Ind Med. 2006;49:780–90.

    Article  PubMed  Google Scholar 

  8. Dembe AE. The social consequences of occupational injuries and illnesses. Am J Ind Med. 2001;40:403–17.

    Article  CAS  PubMed  Google Scholar 

  9. World Health Organization. International classification of functioning, disability, and health: ICF. Geneva: World Health Organization; 2001.

  10. Merriam-Webster. [webpage on the internet]. Available from: http://www.merriamwebster.com/dictionary/.

  11. Glozier N, Hackett ML, Parag V, Anderson CS. Auckland Regional Community Stroke (ARCOS) Study Group. The influence of psychiatric morbidity on return to paid work after stroke in younger adults: the Auckland Regional Community Stroke (ARCOS) Study, 2002 to 2003. Stroke. 2008;39:1526–32.

    Article  PubMed  Google Scholar 

  12. Dembe AE, Delbos R, Erickson JB, Banks SM. Associations between employees’ work schedules and the vocational consequences of workplace injuries. J Occup Rehabil. 2007;17:641–51.

    Article  PubMed  Google Scholar 

  13. Gard G, Soderberg S. How can a work rehabilitation process be improved?—a qualitative study from the perspective of social insurance officers. Disabil Rehabil. 2004;26:299–305.

    Article  PubMed  Google Scholar 

  14. International Labour Organization. Convention concerning vocational rehabilitation and employment (disabled persons). Geneva: International Labour Organization, 1983;C159(69).

  15. Selander J. Unemployed sick-leavers and vocational rehabilitation - a person level study based on a national social insurance material. Ph. D. thesis. Karolinska Institutet, Department of Rehabbilitation Medicine, Stockholm, Sweden; 1999.

  16. Blankertz L, Robinson S. Adding a vocational focus to mental health rehabilitation. Psychiatr Serv. 1996;47:1216–22.

    CAS  PubMed  Google Scholar 

  17. Crowther R, Marshall M, Bond G, Huxley P. Vocational rehabilitation for people with severe mental illness. Cochrane Database Syst Rev. 2001;2:CD003080.

    Google Scholar 

  18. Anderson V, Brown S, Newitt H, Hoile H. Educational, vocational, psychosocial, and quality-of-life outcomes for adult survivors of childhood traumatic brain injury. J Head Trauma Rehabil. 2009;24:303–12.

    Article  PubMed  Google Scholar 

  19. Kirsh B, Stergiou-Kita M, Gewurtz R, Dawson D, Krupa T, Lysaght R, et al. From margins to mainstream: what do we know about work integration for persons with brain injury, mental illness and intellectual disability? Work. 2009;32:391–405.

    PubMed  Google Scholar 

  20. Marnetoft SU, Selander J, Bergroth A, Ekholm J. Factors associated with successful vocational rehabilitation in a Swedish rural area. J Rehabil Med. 2001;33:71–8.

    Article  CAS  PubMed  Google Scholar 

  21. Selander J, S- Marnetoft, Bergroth A, Ekholm J. Return to work following vocational rehabilitation for neck, back and shoulder problems: risk factors reviewed. Disabil Rehabil. 2002;24:704–12.

    Article  CAS  PubMed  Google Scholar 

  22. Beveridge S, Fabian E. Vocational rehabilitation outcomes: relationship between individualized plan for employment goals and employment outcomes. Rehanil Couns Bull. 2007;50:238.

    Article  Google Scholar 

  23. Franche RL, Cullen K, Clarke J, MacEachen E, Frank J, Sinclair S, et al. Workplace-based return-to-work interventions: a systematic review of the quantitative and qualitative literature (Summary). Institute for Work and Health; 2004. p. 5–9.

  24. Norrefalk JR, Ekholm K, Linder J, Borg K, Ekholm J. Evaluation of a multiprofessional rehabilitation programme for persistent musculoskeletal-related pain: economic benefits of return to work. J Rehabil Med. 2008;40:15–22.

    Article  PubMed  Google Scholar 

  25. Karrholm J, Ekholm K, Ekholm J, Bergroth A, Ekholm KS. Systematic cooperation between employer, occupational health service and social insurance office: a 6-year follow-up of vocational rehabilitation for people on sick-leave, including economic benefits. J Rehabil Med. 2008;40:628–36.

    Article  PubMed  Google Scholar 

  26. DeSouza M, Sycamore M, Little S, Kirker SG. The Papworth early rehabilitation programme: vocational outcomes. Disabil Rehabil. 2007;29:671–7.

    Article  CAS  PubMed  Google Scholar 

  27. Bultmann U, Sherson D, Olsen J, Hansen CL, Lund T, Kilsgaard J. Coordinated and tailored work rehabilitation: a randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders. J Occup Rehabil. 2009;19:81–93.

    Article  PubMed  Google Scholar 

  28. Jensen IB, Busch H, Bodin L, Hagberg J, Nygren A, Bergstrom G. Cost effectiveness of two rehabilitation programmes for neck and back pain patients: a seven year follow-up. Pain. 2009;142:202–8.

    Article  CAS  PubMed  Google Scholar 

  29. Suoyrjo H, Oksanen T, Hinkka K, Kivimaki M, Klaukka T, Pentti J, et al. The effectiveness of vocationally oriented multidisciplinary intervention on sickness absence and early retirement among employees at risk: an observational study. Occup Environ Med. 2009;66:235–42.

    Article  CAS  PubMed  Google Scholar 

  30. Murphy L, Chamberlain E, Weir J, Berry A, Nathaniel-James D, Agnew R. Effectiveness of vocational rehabilitation following acquired brain injury: preliminary evaluation of a UK specialist rehabilitation programme. Brain Inj. 2006;20:1119–29.

    Article  PubMed  Google Scholar 

  31. Turner-Stokes L. Evidence for the effectiveness of multi-disciplinary rehabilitation following acquired brain injury: a synthesis of two systematic approaches. J Rehabil Med. 2008;40:691–701.

    PubMed  Google Scholar 

  32. Sheikh K, Mattingly S. Employment rehabilitation: outcome and prediction. Am J Ind Med. 1984;5:383–93.

    Article  CAS  PubMed  Google Scholar 

  33. Straaton KV, Harvey M, Maisiak R. Factors associated with successful vocational rehabilitation in persons with arthritis. Arthritis Rheum. 1992;35:503–10.

    Article  CAS  PubMed  Google Scholar 

  34. Stubbs J, Deaner G. When considering vocational rehabilitation: describing and comparing the Swedish and American systems and professions. Work. 2005;24:239–49.

    PubMed  Google Scholar 

  35. Sim J. Improving return-to-work strategies in the United States disability programs, with analysis of program practices in Germany and Sweden. Soc Secur Bull. 1999;62:41–50.

    CAS  PubMed  Google Scholar 

  36. Johnstone B, Reid-Arndt S, Franklin KL, Harper J. Vocational outcomes of state vocational rehabilitation clients with traumatic brain injury: a review of the Missouri Model Brain Injury System Studies. NeuroRehabilitation. 2006;21:335–47.

    PubMed  Google Scholar 

  37. Rogers ES, Anthony WA, Lyass A, Penk WE. A randomized clinical trial of vocational rehabilitation for people with psychiatric disabilities. Rehabil Couns Bull. 2006;49:143.

    Article  Google Scholar 

  38. Marini I, Lee GK, Chan F, Chapin MH, Romero MG. Vocational rehabilitation service patterns related to successful competitive employment outcomes of persons with spinal cord injury. J Vocat Rehabil. 2008;28:1–13.

    Google Scholar 

  39. Fraser RT, Johnson EK, Clemmons DC, Getter A, Johnson KL, Gibbons L. Vocational rehabilitation in multiple sclerosis (MS): a profile of clients seeking services. Work. 2003;21:69–76.

    CAS  PubMed  Google Scholar 

  40. Khan F, Ng L, Turner-Stokes L. Effectiveness of vocational rehabilitation intervention on the return to work and employment of persons with multiple sclerosis. Cochrane Database Syst Rev. 2009;(1):CD007256.

  41. Chan EY, Woo KW, Tang TM. Occupational rehabilitation services provided by a community workers health centre in Hong Kong: a case study. Work 2008;30:5–9.

    PubMed  Google Scholar 

  42. Chan ML. Description of a return-to-work occupational therapy programme for stroke rehabilitation in Singapore. Occup Ther Int. 2008;15:87–99.

    Article  PubMed  Google Scholar 

  43. Lee R, Chan C. Factors affecting vocational outcomes of people with chronic illness participating in a supported competitive open employment program in Hong Kong. Work. 2005;25:359–68.

    PubMed  Google Scholar 

  44. Gilworth G, Eyres S, Carey A, Bhakta BB, Tennant A. Working with a brain injury: personal experiences of returning to work following a mild or moderate brain injury. J Rehabil Med. 2008;40:334–9.

    Article  PubMed  Google Scholar 

  45. Burger H, Marincek C. Return to work after lower limb amputation. Disabil Rehabil. 2007;29:1323–9.

    Article  PubMed  Google Scholar 

  46. Li-Tsang CW, Li EJ, Lam CS, Hui KY, Chan CC. The effect of a job placement and support program for workers with musculoskeletal injuries: a randomized control trial (RCT) study. J Occup Rehabil. 2008;18:299–306.

    Article  CAS  PubMed  Google Scholar 

  47. Rothstein JM, Echternach JL. Primer on measurement: an introductory guide to measurement issues. Alexandria: American Physical Therapy Association; 1993.

    Google Scholar 

  48. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva, World Health Organization [webpage on the internet]. Available from: http://www.who.int/classifications/icf/en/.

  49. Brage S, Donceel P, Falez F. Development of ICF core set for disability evaluation in social security. Disabil Rehabil. 2008;30:1392–6.

    Article  PubMed  Google Scholar 

  50. Cieza A, Ewert T, Üstün B, Chatterji S, Kostanjsek N, Stucki G. Development of ICF core sets for patients with chronic conditions. J Rehabil Med. 2004;44(Suppl):9–11.

    PubMed  Google Scholar 

  51. Young AE, Roessler RT, Wasiak R, McPherson KM, van Poppel MN, Anema JR. A developmental conceptualization of return to work. J Occup Rehabil. 2005;15:557–68.

    Article  PubMed  Google Scholar 

  52. Sandqvist JL, Henriksson CM. Work functioning: a conceptual framework. Work. 2004;23:147–57.

    PubMed  Google Scholar 

  53. Loisel P, Durand P, Abenhaim L, Gosselin L, Simard R, Turcotte J, et al. Management of occupational back pain: the Sherbrooke model. Results of a pilot and feasibility study. Occup Environ Med. 1994;51:597–602.

    Article  CAS  PubMed  Google Scholar 

  54. Homa DB. Using the international classification of functioning, disability and health (ICF) in job placement. Work. 2007;29:277–86.

    PubMed  Google Scholar 

  55. Ustun B, Chatterji S, Kostanjsek N. Comments from WHO for the Journal of Rehabilitation Medicine Special Supplement on ICF Core Sets. J Rehabil Med. 2004;44(Suppl):7–8.

    PubMed  Google Scholar 

  56. Stucki G, Ewert T, Cieza A. Value and application of the ICF in rehabilitation medicine. Disabil Rehabil. 2002;24:932–8.

    Article  CAS  PubMed  Google Scholar 

  57. Schwarzkopf SR, Ewert T, Dreinhofer KE, Cieza A, Stucki G. Towards an ICF Core Set for chronic musculoskeletal conditions: commonalities across ICF Core Sets for osteoarthritis, rheumatoid arthritis, osteoporosis, low back pain and chronic widespread pain. Clin Rheumatol. 2008;27:1355–61.

    Article  CAS  PubMed  Google Scholar 

  58. Biering-Sorensen F, Scheuringer M, Baumberger M, Charlifue SW, Post MW, Montero F, et al. Developing core sets for persons with spinal cord injuries based on the international classification of functioning, disability and health as a way to specify functioning. Spinal Cord. 2006;44:541–6.

    Article  CAS  PubMed  Google Scholar 

  59. Grill E, Ewert T, Chatterji S, Kostanjsek N, Stucki G. ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities. Disabil Rehabil. 2005;27:361–6.

    Article  PubMed  Google Scholar 

  60. Scheuringer M, Stucki G, Huber EO, Brach M, Schwarzkopf SR, Kostanjsek N, et al. ICF Core Set for patients with musculoskeletal conditions in early post-acute rehabilitation facilities. Disabil Rehabil. 2005;27:405–10.

    Article  PubMed  Google Scholar 

  61. Stoll T, Brach M, Huber EO, Scheuringer M, Schwarzkopf SR, Konstanjsek N, et al. ICF Core Set for patients with musculoskeletal conditions in the acute hospital. Disabil Rehabil. 2005;27:381–7.

    Article  PubMed  Google Scholar 

  62. Pisoni C, Giardini A, Majani G, Maini M. International classification of functioning, disability and health (ICF) core sets for osteoarthritis. A useful tool in the follow-up of patients after joint arthroplasty. Eur J Phys Rehabil Med. 2008;44:377–85.

    CAS  PubMed  Google Scholar 

  63. ICF Research Branch of the World Health Organization Collaborating Center of the Family of International Classifications. ICF Core Sets. Munich, Institute for Health and Rehabilitation Sciences, Ludwig-Maximillian University [webpage on the internet]. Available from: http://www.icf-research-branch.org/research/reaserchprojects.htm.

  64. Marshall M, Bond GR, Huxley P. Vocational rehabilitation for people with severe mental illness. Cochrane Database of Systematic Reviews 2001; Art. No.: CD003080.

  65. Gehanno JF, Rollin L, Le Jean T, Louvel A, Darmoni S, Shaw W. Precision and recall of search strategies for identifying studies on return-to-work in Medline. J Occup Rehabil. 2009;19:223–30.

    Article  PubMed  Google Scholar 

  66. World Health Organization. ICF Checklist. Geneva, World Health Organization [webpage on the internet]. Available from: http://www.who.int/classifications/icf/training/icfchecklist.pdf.

  67. Sangha O, Stucki G, Liang MH, Fossel AH, Katz JN. The self-administered comorbidity questionnaire: a new method to assess comorbidity for clinical and health services research. Arthritis Rheum. 2003;49:156–63.

    Article  PubMed  Google Scholar 

  68. Beck A, Steer R, Brown G. Manual for beck depression inventory-II. San Antonio: The Psychological Corporation; 1996.

    Google Scholar 

  69. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473–83.

    Article  PubMed  Google Scholar 

  70. The WHOQOL. Group. Development of the WHOQoL: rationale and current status. Int J Ment Health. 1994;23:24–56.

    Google Scholar 

  71. World Health Organization. ICD-10: International Statistical Classification of Diseases and Related Health Problems. 10th revision ed. Geneva: World Health Organization; 2007.

  72. Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustun BT, Stucki G. Identification of candidate categories of the international classification of functioning disability and health (ICF) for a Generic ICF Core Set based on regression modelling. BMC Med Res Methodol. 2006;6:36.

    Article  PubMed  Google Scholar 

  73. Blank L, Peters J, Pickvance S, Wilford J, Macdonald E. A systematic review of the factors which predict return to work for people suffering episodes of poor mental health. J Occup Rehabil. 2008;18:27–34.

    Article  PubMed  Google Scholar 

  74. Harding B, Torres-Harding S, Bond GR, Salyers MP, Rollins AL, Hardin T. Factors associated with early attrition from psychosocial rehabilitation programs. Community Ment Health J. 2008;44:283–8.

    Article  PubMed  Google Scholar 

  75. Hagberg M, Tornqvist EW, Toomingas A. Self-reported reduced productivity due to musculoskeletal symptoms: associations with workplace and individual factors among white-collar computer users. J Occup Rehabil. 2002;12:151–62.

    Article  PubMed  Google Scholar 

  76. Krueger RA, Casey MA. Focus groups. A practical guide for applied research. 3rd ed. Thousand Oaks: Sage Publicastions, Inc.; 2000.

    Google Scholar 

  77. Sim J, Snell J. Focus groups in physiotherapy evaluation and research. Physiotherapy. 1996;82:189–98.

    Article  Google Scholar 

  78. Boers M, Brooks P, Simon LS, Strand V, Tugwell P. OMERACT: an international initiative to improve outcome measurement in rheumatology. Clin Exp Rheumatol. 2005;23(5 Suppl 39):S10-3.

    Google Scholar 

  79. Bellamy N, Kirwan J, Boers M, Brooks P, Strand V, Tugwell P, et al. Recommendations for a core set of outcome measures for future phase III clinical trials in knee, hip, and hand osteoarthritis. Consensus development at OMERACT III. J Rheumatol. 1997;24:799–802.

    CAS  PubMed  Google Scholar 

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Acknowledgments

Special thanks to Teresa Brinkel, Monika Finger, Andrea Glässel, Miriam Lückenkemper, Dr. Kristina Schüldt-Ekholm, study centers’ coordinators and staff, the ICF Research Branch, the Swiss Paraplegic Research, and project collaborators.

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Correspondence to Gerold Stucki.

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Escorpizo, R., Ekholm, J., Gmünder, HP. et al. Developing a Core Set to Describe Functioning in Vocational Rehabilitation Using The International Classification of Functioning, Disability, and Health (ICF). J Occup Rehabil 20, 502–511 (2010). https://doi.org/10.1007/s10926-010-9241-9

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