A Delphi Exploration of Toileting Activity Performance in Individuals With Cerebral Palsy Within the ICF-CY Framework: Unveiling Influential Factors.

IF 1.3 4区 医学 Q3 REHABILITATION Occupational Therapy International Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1155/2024/9994862
Azade Riyahi, Malahat Akbarfahimi, Mehdi Rassafiani, Zahra Pournasiri, Maryam Ahmadi, Afsoon Hassani Mehraban
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Abstract

Introduction: Cerebral palsy (CP) is a common motor and postural developmental disability impacting daily activities like toileting. Despite its importance, toileting has often been undervalued in healthcare. This study is aimed at identifying and assessing the level of influence of various factors affecting toileting in individuals with CP using the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) framework. Methods: The Delphi method was employed to reach a consensus on factors influencing toileting in individuals with CP. One hundred fifty-eight professionals from 17 countries, each with at least 3 years' experience in CP and/or toileting, participated in this two-round study. Ethical approval (IR.IUMS.REC.1400.1111) and informed consent were obtained. The questionnaire, available in Farsi and English, used a Likert scale (5 = very high impact to 1 = no impact). Factors with 75% agreement and a mean above 3.75 were included in the final list, while those with 50%-75% agreement or a mean between 2.5 and 3.75 proceeded to the second round. Factors were initially identified through a literature review and research team consultation and categorized according to the ICF-CY framework using the ICF 10 RULES. Validation and refinement were done through focus groups with caregivers and experienced professionals to ensure alignment with the framework and methodological rigor. Results: The study highlighted significant factors influencing toileting activities in individuals with CP. Within the ICF-CY framework, "neuromusculoskeletal and movement-related functions" scored highest at 94.5% in "body functions and structures." "Toilet environment" scored 90.5% in "environmental factors." Support and relationship factors scored 82.3%. Attitudes toward "menstruation" ranked highest at 92.9%. Associated deficits with CP ranked top in personal factors at 93.7%. Conclusion: The study identifies key factors influencing toileting activity performance in individuals with CP. "Main caregiver" emerges as a pivotal factor, followed by neuromusculoskeletal functions, personal factors, attitudes toward menstruation, the toilet environment, and support and relationships.

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在 ICF-CY 框架内对脑瘫患者如厕活动表现的德尔菲探索:揭示影响因素。
简介脑性瘫痪(CP)是一种常见的运动和姿势发育障碍,会影响如厕等日常活动。尽管如厕很重要,但在医疗保健中却常常被低估。本研究旨在采用《国际儿童和青少年功能、残疾和健康分类》(ICF-CY)框架,确定和评估影响 CP 患者如厕的各种因素的影响程度。研究方法采用德尔菲法就影响 CP 患者如厕的因素达成共识。来自 17 个国家的 158 名专业人员参加了这一两轮研究,他们每人都至少在 CP 和/或如厕方面有 3 年的经验。研究获得了伦理批准(IR.IUMS.REC.1400.1111)和知情同意。调查问卷有波斯语和英语两种版本,采用李克特量表(5 = 影响很大,1 = 没有影响)。同意率为 75%、平均值高于 3.75 的因素被列入最终清单,同意率为 50%-75%、平均值介于 2.5 和 3.75 之间的因素进入第二轮。这些因素最初是通过文献回顾和研究小组咨询确定的,并根据 ICF-CY 框架使用 ICF 10 RULES 进行了分类。通过与护理人员和经验丰富的专业人员进行焦点小组讨论,对这些因素进行了验证和完善,以确保与框架保持一致和方法的严谨性。研究结果研究强调了影响 CP 患者如厕活动的重要因素。在 ICF-CY 框架内,"身体功能和结构 "中的 "神经肌肉骨骼和运动相关功能 "得分最高,达到 94.5%。在 "环境因素 "中,"如厕环境 "占 90.5%。支持和关系因素得分为 82.3%。对 "月经 "的态度得分最高,为 92.9%。与 CP 相关的缺陷在个人因素中排名第一,占 93.7%。结论本研究确定了影响CP患者如厕活动表现的关键因素。"主要照顾者 "是一个关键因素,其次是神经肌肉骨骼功能、个人因素、对月经的态度、如厕环境以及支持和人际关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
6.70%
发文量
121
审稿时长
>12 weeks
期刊介绍: Occupational Therapy International is a peer-reviewed journal, publishing manuscripts that reflect the practice of occupational therapy throughout the world. Research studies or original concept papers are considered for publication. Priority for publication will be given to research studies that provide recommendations for evidence-based practice and demonstrate the effectiveness of a specific treatment method. Single subject case studies evaluating treatment effectiveness are also encouraged. Other topics that are appropriate for the journal include reliability and validity of clinical instruments, assistive technology, community rehabilitation, cultural comparisons, health promotion and wellness.
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Early Career South African Occupational Therapists' Perceptions of Person-Environment Fit in Work-Life Areas That Influence Work Stress. Impact of COVID-19 on the Participation of Iranian Adolescents in Daily Life: Development and Validation of the IAPAT-C Tool. A Delphi Exploration of Toileting Activity Performance in Individuals With Cerebral Palsy Within the ICF-CY Framework: Unveiling Influential Factors. Factors Influencing Decision-Making for Poststroke Paretic Upper Limb Treatment: A Survey of Japanese Physical and Occupational Therapists. A Conceptual Map of Knowledge Transfer in Occupational Therapy Clinical Practice in Central South Africa.
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