Goal-setting in Multidisciplinary Team Care for Patients with Rheumatoid Arthritis: An International Multi-centre Evaluation of the Contents Using the International Classification of Functioning, Disability and Health as a Reference

Research output: Contribution to journalArticle

Abstract

Objective: To make a cross-cultural comparison of the contents of rehabilitation goals of patients admitted for rehabilitation and to compare the contents with the comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis, by linking their contents to the ICF. Patients: A random sample of 80 patients with rheumatoid arthritis was retrieved from rehabilitation clinics in 4 countries. Methods: Rehabilitation goals were extracted from the medical records and linked to the ICF using standardized linking rules. Results: A total of 495 rehabilitation goals were identified and linked to 952 ICF codes, resulting in 151 unique ICF codes. Two-hundred and seventy-five (29%) of the 952 ICF codes were related to "Body Functions" (b-codes), 80 (8%) to "Body Structures" (s-codes), 419 (44%) to "Activities and Participation" (d-codes) and 178 (19%) to "Environmental Factors" (e-codes). Thirty-five of the 151 unique ICF codes (23%) were not in the comprehensive ICF Core Set for rheumatoid arthritis, whereas 23 of the ICF codes in this Core Set (24%) were not in the rehabilitation goals. Conclusion: The goals set in a team rehabilitation setting for patients with rheumatoid arthritis are related to all ICF components, with "Activities and Participation" being the most frequently addressed. The contents of the goals are, to a considerable extent, covered by the comprehensive ICF Core Set for rheumatoid arthritis, but additional evaluation is required before the ICF Core Set is used as a rehabilitation tool in rheumatoid arthritis.

Details

Authors
  • Jorit Meesters
  • Sofia Nagel
  • Mari Klokkerud
  • Inger Stovgaard
  • Ann Bremander
  • Margreth Grotle
  • Kim Horslev-Petersen
  • Ingemar Petersson
  • Kare Birger Hagen
  • Winke Pont
  • Thea Vliet Vlieland
Organisations
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Other Medical Sciences not elsewhere specified

Keywords

  • rehabilitation, rheumatoid arthritis, patient care team, patient care, planning
Original languageEnglish
Pages (from-to)888-899
JournalJournal of Rehabilitation Medicine
Volume45
Issue number9
Publication statusPublished - 2013
Publication categoryResearch
Peer-reviewedYes