239991 ICF: Important emerging issues in promoting healthy communities

Tuesday, November 1, 2011

Els R. Nieuwenhuijsen, PhD, MPH, OTRL , Dept. of Physical Medicine and Rehabillitation, University of Michigan Medical School, Ann Arbor, MI
Kristine A. Mulhorn, PhD, MHSA , College of Nursing&Health Professions-Health Srvcs Admin Prgrm, Drexel Univ., Philadelphia, PA
Community-based initiatives have emerged which are most relevant for uniform disability-related communication and information sharing. This presentation consists of three parts: 1) comparing and contrasting the indicators of age- and disability- friendly cities using the International Classification of Functioning, Disability and Health (ICF), 2) the crucial role of policymakers in promoting health and well-being for people with disabilities in the community, and 3) compelling benefits of using the ICF. The authors will compare and contrast the health-related indicators of the concepts of “age-friendly” and “disability-friendly” cities. The World Health Organization Global Network for Age Friendly Cities focuses on 8 indicators, including outdoor space, transportation, housing, participation, and community support. Two US cities have joined this endeavor. The National Organization on Disability (NOD) identified slightly different indicators for cities to submit an application for the annual Accessible America competition: demographic awareness, accessibility, participation, communicating a welcoming attitude, and emergency preparedness. The ICF codes will be used to compare and contrast these indicators and to analyze the implications for participation in community, social and civic life. Empirical data from a Midwestern city and pilot data from the NOD award cities (N11) provide persuasive evidence of the crucial role of city leaders in promoting health and functioning in the community. The benefits of the ICF will be discussed as a comprehensive framework for raising awareness and for collecting uniform data. Recommendations for future research include community-based participatory action strategies to enhance accessibility and participation for residents with disability and the aging population.

Learning Areas:
Communication and informatics
Implementation of health education strategies, interventions and programs
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Describe a common, uniform language for promoting functioning, health, and disability in the community 2. Evaluate the utility of the ICF as a tool for change, for evidence-based practices, and for participatory research. 3. Identify the way ICF can be used as a mechanism for moving towards a meaningful framework for applicable policy recommendations.

Keywords: Disability Policy, Community Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have published extensively in the area of the ICF, I am coordinating a participatory action strategic approach focused on accessibility and participation by and for people with disabilities in the community and I have given numerous presentations at local, national and international levels about the ICF
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.