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Can the International Classification of Functioning, Disability and Health (ICF) be used to understand risk factors for falls in older Australian women?

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Health 2013年第12期5卷 39-48页

作者： afsoon hassani mehraban Lynette Mackenzie Julie Byles Richard Gibson Cassie Curryer Discipline of Occupational Therapy University of Sydney Sydney Australia Occupational Therapy Department Rehabilitation Research Center School of Rehabilitation Sciences Iran University of Medical Sciences Tehran Iran Research Centre for Gender Health and Ageing University of Newcastle Newcastle Australia

Purpose: To evaluate the relevance and accuracy of determining and predicting risk factors for falls in older women using the International Classification of Functioning, Disability and Health (ICF). Methods: We tested the accuracy of the ICF against risk of falls amongst 568 community dwelling participants of the Australian Longitudinal Survey on Women’s Health (ALSWH). We linked health-related variables to the ICF using ten linking rules. The logistic regression analysis evaluated the relationship between the variables and the outcome of falls. Self-report surveys measured daily functioning, health service use, medications, housing and social support. Results: Variables aligned with the ICF components of body function, health conditions, environment, activity and participation (ADL/IADL), and general health were significantly associated with falls. Discussion and conclusion: Mapping ALSWH health-related data to ICF components identified significant risk factors for falls are related to health conditions, functional limitations and home hazards. Biopsycho-social approaches guided by the ICF framework are crucial for fall prevention.

关键词： Accidental Falls Home Hazards Activities of Daily Living Participation Occupational Therapy

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Life Balance of Mothers of Children with Cerebral Palsy

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International Journal of Clinical Medicine 2017年第11期8卷 583-594页

作者： Sepideh Nazi Narges Shafaroodi Laleh Lajevardi afsoon hassani mehraban Farzaneh Yazdani Samaneh Hosseinzadeh Department of Occupational Therapy School of Rehabilitation Sciences Iran University of Medical Sciences Tehran Iran Faculty of Health and Life Sciences Oxford Brookes University Oxford UK Department of Statistics and Computer Sciences University of Social Welfare and Rehabilitation Sciences Tehran Iran

Purpose: Having the child with Cerebral palsy is a very stressful experience for the family that could affect daily patterns and routines, habits, needs and occupational performances of all family members specially mothers. This study aimed to investigate life balance of mothers of children with Cerebral palsy (MCCPs) based on the Life Balance Model. Method: Fifty MCCPs aged 3 to 9 years with sample convenient method participated in this descriptive and cross-sectional study. The Severity of cerebral palsy was determined by Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) and the life balance of mothers was evaluated by Persian version of the LBI (P_LBI). The collected data were evaluated and analyzed using SPSS software. Results: The total mean score of LBI and its subscales showed that there is no balanced or very balanced life in mothers and they could be categorized to unbalanced (n = 21) and very unbalanced (n = 29). The total mean score of LBI was 1.46. χ2 test revealed statistically significant difference between two categories (unbalanced and very unbalanced) of mothers regarding GMFCS level (p = 0.009). Also, the total mean score of LBI and its subscales showed no significant difference between two categories (unbalanced and very unbalanced) regarding mother job and age and child age (p > 0.05) but it has significant difference regarding mother education (p = 0.009). Evaluation of the results of LBI and its different subscales indicated that the life balance at balanced or very balanced levels was not observed in any of the studied mothers, and they could be categorized in 2 groups of unbalanced (21 mothers ) and very unbalanced (29 mothers) (Table 2). Discussion: Based on the result of this study, mothers of Cerebral Palsy do not experience balanced life and this feeling of unbalance is related to the level of their child’s disability. Thus, it is necessary to consider this fact in family-centered evaluatio

关键词： Life Balance Cerebral Palsy Main Caregiver

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