Online Program

Conceptual consensus: The good, the (Potentially) not so good and the still to be determined

Tuesday, November 5, 2013

Diane Brandt, PT, MS, PhD, Rehabilitation Medicine Department, Epidemiology and Biostatistics Section, National Institutes of Health, Bethesda, MD
The 2010 Affordable Care Act requires standards to improve data collection and reporting, including data on disability status. As the World Health Organization (WHO) seeks to unite perspectives of disability through use of the International Classification of Functioning, Disability and Health (ICF), implications of conceptual consensus, manifested in the way disability is measured and the implications for related programs and policy, must be considered. With this in mind, the ICF frames “activity” as functioning from an individual perspective while “participation” is functioning from a societal perspective. The importance in distinguishing these components centers on the contextual role of the environment, conceptually linked to participation and not activity. We examine outcomes from ICF coding of national survey questions to distinguish between activity and participation content questions and to compare survey content with ICF coding of recommended disability questions endorsed by the Secretary of Health and Human Services (HHS) in 2011. Our findings suggest that data that capture information about activity have different utility compared to data focusing on participation. Therefore, it is important to recognize the implications of conceptually distinguishing ICF components with respect to measurement purposes; and, programmatic and policy need. We also compare ICF coding of the SSA Listings for adults, used to determine disability benefits, to ICF coding of the Australian Social Security Tables for the Assessment of Work-related Impairment for Disability Support. This comparison provides the opportunity to examine international approaches to the determination of public program (Social Security) benefits using a consistent conceptual lens, the ICF.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Public health or related public policy

Learning Objectives:
Describe how the International Classification of Functioning, Disability and Health (ICF) may be used to examine disability measures and programs; 2) discuss the implications of conceptual consensus in terms of measurement; and, programmatic and policy need; 3) assess conceptual consensus in terms of international application through a U.S. and Australian comparison; and, 4) discuss areas of future research

Keyword(s): Disability, Disability Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: In addition to extensive experience as a physical therapist, I have a PhD in political science specializing in public/health policy. I have used the ICF to conceptually examine disability programs and disability questions on national surveys.
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.