Are the mental representations of people with osteoarthritis consistent with the International Classification of Functioning Disability and Health?

Beth Pollard, Diane Dixon, Marie Johnston

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: This study examined whether the mental representations of people with osteoarthritis (OA) were consistent with the International Classification of Functioning Disability and Health (ICF) model. Methods: A geographical cohort of 202 people with OA about to have joint replacement surgery completed postal questionnaires. Mental representations were measured by asking participants what they were hoping for from their joint replacement. Two expert judges classified these illness representations to the main ICF constructs of Impairment (I), Activity Limitation (A) and Participation Restriction (P). Results: There was strong agreement between the expert judges. There were a similar number of illness representations for each of the ICF constructs. The primary biomedical route of the ICF model was suggested by the ordering of the participants' illness representations i.e. I to A to P. Conclusions: The mental representations of people with OA were consistent with the ICF theoretical framework with all three ICF constructs of importance. It appeared that people with OA implicitly apply a biomedical causal model of disability, suggesting that treatments and interventions aimed at reducing impairment may only affect P indirectly, through A. Additionally, the methods provide a novel way of exploring the potential causal relationships between constructs of the ICF model. [Box: see text].
Original languageEnglish
Pages (from-to)1460-1465
Number of pages6
JournalDisability & Rehabilitation
Volume35
Issue number17
Early online date21 Nov 2012
DOIs
Publication statusPublished - Aug 2013

Fingerprint

International Classification of Functioning, Disability and Health
Osteoarthritis
Replacement Arthroplasties

Keywords

  • ICF
  • illness representations
  • common sense self-regulation model
  • joint replacement

Cite this

Are the mental representations of people with osteoarthritis consistent with the International Classification of Functioning Disability and Health? / Pollard, Beth; Dixon, Diane; Johnston, Marie.

In: Disability & Rehabilitation, Vol. 35, No. 17, 08.2013, p. 1460-1465.

Research output: Contribution to journalArticle

@article{6023cdef69254c7bb4c54d475127e9a5,
title = "Are the mental representations of people with osteoarthritis consistent with the International Classification of Functioning Disability and Health?",
abstract = "Purpose: This study examined whether the mental representations of people with osteoarthritis (OA) were consistent with the International Classification of Functioning Disability and Health (ICF) model. Methods: A geographical cohort of 202 people with OA about to have joint replacement surgery completed postal questionnaires. Mental representations were measured by asking participants what they were hoping for from their joint replacement. Two expert judges classified these illness representations to the main ICF constructs of Impairment (I), Activity Limitation (A) and Participation Restriction (P). Results: There was strong agreement between the expert judges. There were a similar number of illness representations for each of the ICF constructs. The primary biomedical route of the ICF model was suggested by the ordering of the participants' illness representations i.e. I to A to P. Conclusions: The mental representations of people with OA were consistent with the ICF theoretical framework with all three ICF constructs of importance. It appeared that people with OA implicitly apply a biomedical causal model of disability, suggesting that treatments and interventions aimed at reducing impairment may only affect P indirectly, through A. Additionally, the methods provide a novel way of exploring the potential causal relationships between constructs of the ICF model. [Box: see text].",
keywords = "ICF, illness representations, common sense self-regulation model, joint replacement",
author = "Beth Pollard and Diane Dixon and Marie Johnston",
year = "2013",
month = "8",
doi = "10.3109/09638288.2012.737083",
language = "English",
volume = "35",
pages = "1460--1465",
journal = "Disability & Rehabilitation",
issn = "0963-8288",
publisher = "Informa Healthcare",
number = "17",

}

TY - JOUR

T1 - Are the mental representations of people with osteoarthritis consistent with the International Classification of Functioning Disability and Health?

AU - Pollard, Beth

AU - Dixon, Diane

AU - Johnston, Marie

PY - 2013/8

Y1 - 2013/8

N2 - Purpose: This study examined whether the mental representations of people with osteoarthritis (OA) were consistent with the International Classification of Functioning Disability and Health (ICF) model. Methods: A geographical cohort of 202 people with OA about to have joint replacement surgery completed postal questionnaires. Mental representations were measured by asking participants what they were hoping for from their joint replacement. Two expert judges classified these illness representations to the main ICF constructs of Impairment (I), Activity Limitation (A) and Participation Restriction (P). Results: There was strong agreement between the expert judges. There were a similar number of illness representations for each of the ICF constructs. The primary biomedical route of the ICF model was suggested by the ordering of the participants' illness representations i.e. I to A to P. Conclusions: The mental representations of people with OA were consistent with the ICF theoretical framework with all three ICF constructs of importance. It appeared that people with OA implicitly apply a biomedical causal model of disability, suggesting that treatments and interventions aimed at reducing impairment may only affect P indirectly, through A. Additionally, the methods provide a novel way of exploring the potential causal relationships between constructs of the ICF model. [Box: see text].

AB - Purpose: This study examined whether the mental representations of people with osteoarthritis (OA) were consistent with the International Classification of Functioning Disability and Health (ICF) model. Methods: A geographical cohort of 202 people with OA about to have joint replacement surgery completed postal questionnaires. Mental representations were measured by asking participants what they were hoping for from their joint replacement. Two expert judges classified these illness representations to the main ICF constructs of Impairment (I), Activity Limitation (A) and Participation Restriction (P). Results: There was strong agreement between the expert judges. There were a similar number of illness representations for each of the ICF constructs. The primary biomedical route of the ICF model was suggested by the ordering of the participants' illness representations i.e. I to A to P. Conclusions: The mental representations of people with OA were consistent with the ICF theoretical framework with all three ICF constructs of importance. It appeared that people with OA implicitly apply a biomedical causal model of disability, suggesting that treatments and interventions aimed at reducing impairment may only affect P indirectly, through A. Additionally, the methods provide a novel way of exploring the potential causal relationships between constructs of the ICF model. [Box: see text].

KW - ICF

KW - illness representations

KW - common sense self-regulation model

KW - joint replacement

U2 - 10.3109/09638288.2012.737083

DO - 10.3109/09638288.2012.737083

M3 - Article

VL - 35

SP - 1460

EP - 1465

JO - Disability & Rehabilitation

JF - Disability & Rehabilitation

SN - 0963-8288

IS - 17

ER -