Core Self-Evaluations as Personal Factors in the World Health Organization's International Classification of Functioning, Disability and Health Model: An Application in Persons with Spinal Cord Injury

Purpose: To evaluate Chan, Gelman, Ditchman, Kim, and Chiu's (2009) revised World Health Organization's International Classification of Functioning, Disability and Health (ICF) model using core self-evaluations (CSE) to account for Personal Factors in persons with spinal cord injury (SCI)....

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Bibliographic Details
Published inRehabilitation research, policy, and education Vol. 31; no. 2; pp. 89 - 104
Main Authors Yaghmanian, Rana, Smedema, Susan Miller, Thompson, Kerry
Format Journal Article
LanguageEnglish
Published Springer Publishing Company 2017
Subjects
Adults
Disabilities
Goodness of Fit
Health Conditions
Injuries
Life Satisfaction
Measures (Individuals)
Neurological Impairments
Online Surveys
Path Analysis
Predictor Variables
Quality of Life
Rehabilitation
Self Evaluation (Individuals)
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Summary:Purpose: To evaluate Chan, Gelman, Ditchman, Kim, and Chiu's (2009) revised World Health Organization's International Classification of Functioning, Disability and Health (ICF) model using core self-evaluations (CSE) to account for Personal Factors in persons with spinal cord injury (SCI). Method: One hundred eighty-seven adults with SCI were recruited to take an online survey including measurement scales representing each component of the revised ICF model: Functioning, Activities, Participation, Environmental Factors, Personal Factors, and Quality Of Life. Path analysis was used to evaluate the hypothesized relationships among the ICF components. Results: A respecified path model revealed a strong model-to-data fit, ?[superscript 2] (3, N = 187) = 6.84; p = 0.08; goodness-of-fit index (GFI) = 0.99; comparative fit index (CFI) = 0.99; and root mean square error of approximation (RMSEA) = 0.08. Taking into account all of the ICF components, CSE had the strongest direct effect on life satisfaction (ß = 0.40, p < 0.01). Conclusion: This study supports CSE as a significant and direct predictor of life satisfaction in persons with SCI, indicating that CSE may be an important target for intervention in a biopsychosocial approach toward SCI rehabilitation. These findings provide a basis for future research to investigate the role of CSE in quality of life among people with varying health conditions.
ISSN:2168-6653
DOI:10.1891/2168-6653.31.2.89