BMJ paediatrics open · 2026
Identification of International Classification of Functioning, Disability and Health (ICF) codes most frequently used to describe functioning in children: a systematic review.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
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Santos Vieira Lisboa Bordalo Idalina Maria, Pereira Carla Martins, Fonseca César, Bico Isabel
Аннотация
OBJECTIVES: To identify and synthesise the International Classification of Functioning, Disability and Health (ICF) categories most used to describe child functioning across health conditions, informing inclusive, context-sensitive assessments and policy frameworks.
DESIGN: Systematic review.
DATA SOURCES: PubMed, Scopus, Web of Science and CINAHL were searched from inception to September 2024 following Cochrane guidelines.
ELIGIBILITY CRITERIA: Peer-reviewed studies using ICF categories to assess functioning in children (0-18 years), regardless of health condition, were included. Eligible designs comprised randomised controlled trials, observational and qualitative studies reporting ICF Core Set (CS).
DATA EXTRACTION AND SYNTHESIS: Two reviewers independently conducted screening, data extraction and risk of bias assessment using the Mixed Methods Appraisal Tool (MMAT, 2018). ICF codes were categorised by domain and synthesised narratively.
RESULTS: Eight studies met inclusion criteria, comprising 29 ICF CS (1665 instances; 194 unique ICF categories after deduplication). Most instances related to activities and participation (40.7%) and environmental factors (30.6%), followed by body functions (27.3%) and body structures (1.4%). Key chapters included learning and applying knowledge, interpersonal interactions, support and relationships and services and policies.
CONCLUSIONS: Findings highlight a shift towards a biopsychosocial model of child functioning, emphasising participation and environmental context. Results support use of the ICF framework in multidisciplinary assessment and policy development and inform development of a Portuguese National Functioning Table for Children.
PROSPERO REGISTRATION NUMBER: CRD42024588533.
DESIGN: Systematic review.
DATA SOURCES: PubMed, Scopus, Web of Science and CINAHL were searched from inception to September 2024 following Cochrane guidelines.
ELIGIBILITY CRITERIA: Peer-reviewed studies using ICF categories to assess functioning in children (0-18 years), regardless of health condition, were included. Eligible designs comprised randomised controlled trials, observational and qualitative studies reporting ICF Core Set (CS).
DATA EXTRACTION AND SYNTHESIS: Two reviewers independently conducted screening, data extraction and risk of bias assessment using the Mixed Methods Appraisal Tool (MMAT, 2018). ICF codes were categorised by domain and synthesised narratively.
RESULTS: Eight studies met inclusion criteria, comprising 29 ICF CS (1665 instances; 194 unique ICF categories after deduplication). Most instances related to activities and participation (40.7%) and environmental factors (30.6%), followed by body functions (27.3%) and body structures (1.4%). Key chapters included learning and applying knowledge, interpersonal interactions, support and relationships and services and policies.
CONCLUSIONS: Findings highlight a shift towards a biopsychosocial model of child functioning, emphasising participation and environmental context. Results support use of the ICF framework in multidisciplinary assessment and policy development and inform development of a Portuguese National Functioning Table for Children.
PROSPERO REGISTRATION NUMBER: CRD42024588533.