Extended sets – draft proposal扩展集–建议草案.ppt

Extended sets – draft proposal Washington Group Meeting Dublin, Ireland 19 – 21 September 2007 Margie Schneider (Workgroup coordinator) Principles One or more sets feasible cross country comparability ICF framework – holistic description (ultimate aim) Use of ICF terms Functioning and Disability = Umbrella terms Body structure + function, activity, participation and Context: Environmental barriers and facilitators + Personal factors Review of existing sets Congruency and coherence between short and extended sets ICF Framework Disability = outcome of an interaction (Health condition + context) Three levels of outcomes – body (impairments) Person (activity) Societal (participation) Starting point = basic activities (consensus) Extended sets = to include complex activities or not? (no clear consensus) Activity domains – with and without assistance (technical and personal) (consensus) Environment = seen as essential but no clear consensus on how to incorporate Purpose of extended sets Equalisation of opportunities and Prevalence of disability (same as for short set) Other purposes? Data use individual country needs – e.g. policy development, advocacy, monitoring and evaluation of interventions International reporting – e.g. population health and functioning Summary measures or individual impairment types? Or both? Other data uses? Identifying population of interest Population at risk vs population with disability – same or different popn? Are Qs on basic activities sufficient to identify population? Are Qs on complex activities required to identify population? What evidence do we have for each? What are cross cultural comparability issues? Proposal 1: 2 types of sets Type 1: functioning (within ICF) Type 2: complementary (background?) questions (not ICF) Type 1: functioning (within ICF) Parsimonious set – for summary measure? (existing work – WHO/ UNESCAP, WHS, ??) More detailed set with additional domains including complex ones (e.g. upper body mobility, lea