239015 An ICD and ICF related classification of secondary conditions

Tuesday, November 1, 2011

René I. Jahiel, MD, PhD , President, Ecole Libre des Hautes Etudes, Riverdale, NY
Rooshey Hasnain, EdD , Disability and Human Development, University of Illinois at Chicago, Chicago, IL
It is well accepted in the disability and rehabilitation sectors that secondary conditions (SC) include health, behavioral, attitudinal, and social conditions affecting individuals with a pre-existing primary disability (PD). Our aim is a classification of SCs that facilitates their epidemiological studies and prevention. Method: Medline and related instruments were searched to develop a comprehensive listing of entries on SC and references citing these entries. A subset of articles selected for completeness of information, quality of research and diversity of disabilities was analyzed for relationship of the SC to a) the individual's PD; b) environmental factors; and c) preventive interventions. Results: 1) SCs can generally be assigned to codes of the ICF or ICD with the same qualifiers of severity as in ICF; 2) Two additional qualifiers are proposed for each of the 3 ICF components of SCs; a) the "connector"" (SCC) is an indicator of the type of association between SC and PD: statistical only (blackbox); theoretical; or, causal. b) the "modifier" (SCM) is an indicator of the extent to which, if any, the SC has increased the dysfunctional aspects of the PD. Conclusion: This methodology provides a logical framework and features for assessment of SC for epidemiological studies or preventive interventions.

Learning Areas:
Chronic disease management and prevention
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
The learner will be able to: 1. Explain the use of the classification of secondary conditions in disability research 2. Utilize this classification in designing population-based surveys and ethnographic studies of secondary conditions.

Keywords: Disability, Information Databases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an established disability researcher. I developed and wrote the final text of the abstract
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.