《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2022, Vol. 28 ›› Issue (6): 621-629.doi: 10.3969/j.issn.1006-9771.2022.06.001

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Application of ICF in occupational therapy: conceptual framework and approaches

YANG Xiaolong1,2,YANG Yaru2,3,QIU Fubing2,4,GUO Fengyi5,WONG Kam Man6,CAO Lei1,ZHANG Tiantian1,SONG Weiqun1()   

  1. 1. Department of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
    2. WHO-FIC Collaborating Center in China, Beijing 100068, China
    3. China Research Center on the Sports of Persons with Disability, Beijing Sport University, Beijing 100084, China
    4. Department of Physical Education, Shenzhen University, Shenzhen, Guangdong 518052, China
    5. School of Rehabilitation, Jiangsu Vocational College of Medicine, Yancheng, Jiangsu 224005, China
    6. Hong Kong Institute of Occupational Therapy, Hong Kong, China
  • Received:2022-05-26 Revised:2022-06-06 Published:2022-06-25 Online:2022-07-05
  • Contact: SONG Weiqun E-mail:songwq66@163.com

Abstract:

Objective To study the conceptual framework and methodological system of the International Classification of Functioning, Disability and Health (ICF) in occupational therapy and its systematic implementation in clinical practice. Methods Based on the ICF theory and the policy documents of the World Federation of Occupational Therapists, the conceptual framework of occupational therapy and the systematic implementation in clinical settings based on the ICF framework were analyzed. Results This study constructed a conceptual framework and approach for occupational therapy based on ICF, and clarified the goals, principles, and implementation methods of integrated occupational therapy interventions in rehabilitation services. The goal of occupational therapy interventions was to improve the individual activity and participation through multidisciplinary and cross-cutting implementation of integrated occupational therapy programs to optimize functioning. Occupational therapy was based on the bio-psycho-social model, adhered to the principles of person-centeredness and functioning orientation, and implemented individualized intervention programs in different context. In clinical practice, it was recommended to follow ICF-based standardized process and systematically use World Health Organization Family International Classifications: functioning and unmet needs analysis using ICHI; functional classification, assessment and coding using ICF; disease classification, diagnosis and coding using ICD; intervention of occupational therapies using ICHI to build a systematic occupational therapy service system. Conclusion An ICF-based occupational therapy concept and methodological system has been built, a comprehensive clinical occupational therapy implementation model has been established, the goal of activity and participation oriented occupational therapy interventions has been clarified, and the systematic, structured, standardized and refined level of occupational therapy has been enhanced.

Key words: International Classification of Functioning, Disability and Health, occupational therapy, rehabilitation service

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