Laying the foundation for a Core Set of the International Classification of Functioning, Disability and Health for community-dwelling older adults in primary care: relevant categories of their functioning from the research perspective, a scoping review

• Published in: BMJ open Vol. 11; no. 2; p. e037333
• Main Authors: Tomandl, Johanna, Heinmüller, Stefan, Selb, Melissa, Graessel, Elmar, Freiberger, Ellen, Kühlein, Thomas, Hueber, Susann, Book, Stephanie, Gotthardt, Susann
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 17.02.2021; BMJ Publishing Group
• Series: Original research
• Subjects: Activities of Daily Living; Aged; Chronic illnesses; Dementia; Disability Evaluation; Disease; Family physicians; Geriatric Medicine; Geriatrics; Humans; Independent Living; International Classification of Functioning, Disability and Health; Medical research; Older people; Performance evaluation; Polypharmacy; Primary care; Primary Health Care; Rehabilitation; Systematic review; Germany; primary care; geriatric medicine; general medicine (see internal medicine)
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2020-037333

ObjectivesThe objective of this study was to find relevant concepts of functioning in community-dwelling older adults within frequently used assessment instruments published in the scientific literature. This was part of a larger project to develop an International Classification of Functioning, Disability and Health (ICF) Core Set for use in primary care.DesignA scoping review was conducted. Articles dealing with functioning in older adults were searched and assessed for eligibility. The study population included community-dwelling adults (≥75 years) without dementia, living in high-resource countries. Relevant concepts were extracted from assessment instruments and linked to the ICF using standardised linking rules. Finally, a frequency analysis was conducted.SettingHome, primary care.ParticipantsCommunity-dwelling adults aged 75 years and above.ResultsFrom 5060 identified publications, 68 were included and 30 assessment instruments extracted. Overall, 1182 concepts were retrieved. Most were linked to the ‘activities and participation’ component. The most frequently identified categories were ‘memory functions’, ‘dressing’ and ‘changing basic body position’.ConclusionsThis review provides a list of relevant ICF categories from the research perspective that will be used for developing an ICF Core Set for older primary care patients.Trial registration numbersPROSPERO (CRD42017067784), Versorgungsforschung Deutschland Datenbank (VfD_17_003833) and ClinicalTrials.gov (NCT03384732).