Important aspects of participation and participation restrictions in people with a mild intellectual disability
2014 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, no 15, 1264-1272 p.Article in journal (Refereed) Published
Purpose: This study explored a possibility to assess the concepts of participation and participation restrictions in the International Classification of Functioning, Disability and Health (ICF) by combining self-ratings of the perceived importance with the actual performance of different everyday activities in people with a mild intellectual disability. Method: Structured interviews regarding 68 items from the ICF activity/participation domain were conducted (n = 69). The items were ranked by perceived importance, performance and by combined measures. Furthermore, the measures were related to a single question about subjective general well-being. Results: Rankings of performance highlighted about the same items as "important participation", while rankings of low performance addressed quite different items compared with "important participation restriction". Significant correlations were found between subjective general well-being and high performance (r = 0.56), high performance/high importance (important participation) (r = 0.56), low performance (r = -0.56) and low performance/high importance (important participation restriction; r -0.55). Conclusions: The results support the clinical relevance of the ICF and the studied selection of 68 items. Although performance only may sometimes be a relevant aspect, knowledge about the relationship between the perceived importance and the actual performance is essential for clinical interventions and for research aiming to understand specific needs regarding participation.
Place, publisher, year, edition, pages
Informa Healthcare, 2014. Vol. 36, no 15, 1264-1272 p.
Assessment; ICF; intellectual disability; participation; self-ratings
IdentifiersURN: urn:nbn:se:liu:diva-110499DOI: 10.3109/09638288.2013.845252ISI: 000340450300005PubMedID: 24160858OAI: oai:DiVA.org:liu-110499DiVA: diva2:746417
Funding Agencies|County Council of Gavleborg, Sweden; FAS (Swedish Research Council on Work and Social Life)2014-09-122014-09-122014-10-09Bibliographically approved