Content comparison of assessment tools of activity and participation,and quality of life:based on ICD-11 and ICF
YANG Yaru
YANG Jian
Abstract：Objective To encode and analyze the measurement items of major activity and participation function assessment tools and quality of life assessment tools using International Classification of Functioning,Disability and Health(ICF).
Methods Representative tools in the activity category,comprehensive activity and participation category,as well as qual-ity of life assessment tools were selected for analysis of their measurement structures and content.Based on the ICF linking rule and content matching method,the concepts of measurement items in various tools were matched with ICF categories,analyzing the relationships between the content of measurement items and the concepts of ICF categories,and then coded in ICF and ICD-11.
Results Measurement tools in the activity category,such as Barthel index(BI)and Instrumental Activities of Daily Liv-ing(IADL),were primarily standardized activity assessment tools in medical,rehabilitation,and community set-tings.The measurement was conducted through direct observation of activity function and semi-structured inter-views with individuals or their caregivers,with 25 to 60 minutes.Most measurement tools were standardized ref-erence tools.Assessment tools related to overall functioning in the activity and participation category,such as 36-item Short-Form Health Survey(SF-36),World Health Organization Quality of Life Questionnaire(WHOQOL-BREF),World Health Organization Quality of Life-Disability(WHOQOL-DIS)and World Health Orgnization Disability Assessment Scheme 2.0(WHODAS 2.0)were norm-referenced assessment tools applicable in medi-cal,rehabilitation,education,and social service contexts.The measurement was carried out by professionals through interviews and observations,or completed by the assessed individuals through self-administered ques-tionnaires,with a measurement duration of 30 to 60 minutes.In terms of measurement content,IADL and BI mainly focus on activities of self care and functional activities,corresponding to ICF categories such as mobility(d4),self-care(d5),and domestic life(d6).SF-36 primarily covers general tasks and demands(d2),communica-tion(d3),mobility(d4),self-care(d5),and domestic life(d6).WHOQOL-BREF and WHOQOL-DIS items relat-ed to general tasks and demands(d2),communication(d3),mobility(d4),interpersonal interactions and relation-ships(d7),and community,social,and civic life(d9).WHODAS 2.0 was the most comprehensive measurement tool covering all nine domains of activity and participation in the ICF.
Conclusion This study amalyzed the structures and contents of items of six assessments tools using ICF nomenclature,terminology,codes and linking rules.WHOQOL-BREF,WHOQOL-DIS and WHODAS 2.0 are comprehensive functioning evaluation tools,covering all nine ICF domains of activity and participation,as well as quality of life and well-being.
Keywords：International Classification of Diseases 11th RevisionInternational Classification of FunctioningDisability and Healthactivities of daily livinghealth-related quality of lifeassessment
Publication Date：2023-12-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：11( 1454-1464 )