ICF Core Set for Matching Older Adults with Dementia and Technology
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The International Classification of Functioning, Disability, and Health (ICF) consists of 34 codes per person at the one digit level and, at more detailed levels, the number of codes can reach 1,424 items. This degree of complexity has led research groups to develop core sets of ICF codes for specific health conditions and disabilities. The ICF core sets typically include the least number of domains to be practical, but as many as required to sufficiently characterize a specific condition. The purpose of this article is to present an ICF core set addressed to older adults with dementia in the process of receiving Assistive Technology (AT) for their functioning and well-being. The ICF Core Set development involved a formal decision-making and consensus process, integrating evidence gathered from preliminary studies that included focus groups of health professionals, a systematic review of the literature, and empirical data collected from patients and caregivers. In the ICF core set for older adults with dementia in an AT selection process, the body functions and structures codes are decreased but those related to activities and participation and personal and environmental factors are increased. To further achieve a biopsychosocial and user-driven Core Set that can be applied internationally, ICF categories have been supplemented with items in a measure of AT predisposition and use that is used in many countries. The combination is named the ICF core set for Matching Older Adult with Dementia and Technology (MOADT).
KeywordsICF ICF core set Dementia Aging Assistive Technology (AT) Rehabilitation Alzheimer’s disease Functioning Well-being Matching Older Adult with Dementia and Technology (MOADT) Population studies
The authors wish to thank prof. Patrizia Mecocci, Head Physician of the Geriatrics Clinic at the Hospital of S. Maria della Misericordia of Perugia, (Italy), and Director of the Institute of Gerontology and Geriatrics at the University of Perugia, for her thoughtful comments and ICF core set for dementia reviewing; and prof. Saveria Dandini, President of the Vaccari Institute for Disable People of Rome, (Italy) for her support and participation in the project.
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