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Review
. 2020:54:45.
doi: 10.11606/s1518-8787.2020054001463. Epub 2020 May 20.

International Classification of Functioning in professional rehabilitation: instruments for assessing work disability

[Article in English, Portuguese]
Juliana Scholtão Luna  1 , Gina Torres Rego Monteiro  2 , Rosalina Jorge Koifman  2 , Anke Bergmann  3
Affiliations
Review

International Classification of Functioning in professional rehabilitation: instruments for assessing work disability

[Article in English, Portuguese]
Juliana Scholtão Luna et al. Rev Saude Publica. 2020.

Abstract
in English, Portuguese

OBJECTIVE To review the main instruments of functional assessment and health status cited in the literature to evaluate Brazilian workers and verify the compatibility of their items with the core set for professional rehabilitation. METHODS A review of the literature was conducted in the main databases in search of articles that used assessment instruments in populations of workers between 2007 and 2017. Subsequently, the contents of the identified instruments were retrieved, and two evaluators analyzed their items to verify the compatibility with the categories of the core set of the International Classification of Functioning for professional rehabilitation. Cohen's kappa coefficient was used to evaluate the agreement between the evaluators. RESULTS Five specific and eight generic instruments were selected to evaluate the functioning of workers. The analysis of the items of the total instruments allowed the definition of 58 categories (64.5%) of the core set with minimal overlap: 13 (76.5%) of the body functions component, 29 (72.5%) of the activities and participation component and 16 (49%) environmental factors. CONCLUSIONS The association of several instruments requires time and makes it difficult to use the classification. The development of instruments with direct association with its categories is essential to operationalize it.

OBJETIVO: Revisar os principais instrumentos de avaliação funcional e situação de saúde citados na literatura para avaliar trabalhadores brasileiros e verificar a compatibilidade de seus itens com o core set para reabilitação profissional.

MÉTODOS: Foi realizada uma revisão da literatura nas principais bases de dados em busca de artigos que utilizaram instrumentos de avaliação em populações de trabalhadores entre 2007 e 2017. Posteriormente foram recuperados os conteúdos dos instrumentos identificados e dois avaliadores analisaram seus itens para verificar a compatibilidade com as categorias do core set da Classificação Internacional de Funcionalidade para reabilitação profissional. O coeficiente kappa de Cohen foi utilizado para avaliar a concordância entre os avaliadores.

RESULTADOS: Foram selecionados cinco instrumentos específicos e oito genéricos que avaliaram a funcionalidade de trabalhadores. A análise dos itens do total de instrumentos permitiu o preenchimento de 58 categorias (64,5%) do core set com o mínimo de sobreposição: 13 (76,5%) do componente funções corporais, 29 (72,5%) do componente de atividades e participação e 16 (49%) de fatores ambientais.

CONCLUSÕES: A associação de vários instrumentos requer tempo e dificulta o uso da classificação. A elaboração de instrumentos com associação direta às suas categorias se faz essencial para operacionalizá-la.

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Conflict of interest statement

Conflict of Interest: The authors declare no conflict of interest.

Figures

Graph 1
Graph 1. Proportion of categories filled by the instruments analyzed in each domain of the core set for professional rehabilitation.
WAI; Work Ability Index; CUPID: Cultural and Psychosocial Influences on Disability questionnaire; WoDDI: Work Disability Diagnosis Interview; WRFQ: Work Role Functioning Questionnaire; ORTWQ: Obstacles to Return-to-Work Questionnaire; DASH: Disabilities of the Arm, Shoulder and Hand questionnaire; ODI: Oswestry Low Back Pain Disability Questionnaire; FIM: Functional Independence Measure; NHP: Nottingham Health Profile; RMQ: Roland-Morris Questionnaire; SF-36: Short Form (36) Health Survey; WHODAS: World Health Organization Disability Assessment Schedule II; WHOQOL-BREF: short version of the World Health Organization Quality of Life questionnaire.
Gráfico 1
Gráfico 1. Proporção de categorias preenchidas pelos instrumentos analisados em cada domínio do core set para reabilitação profissional.
ICT: índice de capacidade para o trabalho; CUPID: Cultural and Psychosocial Influences on Disability questionnaire ; WoDDI: Work Disability Diagnosis Interview ; WRFQ: Work Role Functioning Questionnaire ; ORTWQ: Obstacles to Return-to-Work Questionnaire ; DASH: Disabilities of the Arm, Shoulder and Hand questionnaire ; ODI: Owestry Low Back Pain Disability Questionnaire ; MIF: Medida de Independência Funcional; NHP: Nottingham Health Profile ; RMQ: Roland-Morris Questionnaire ; SF-36: Short Form (36) Health Survey ; WHODAS: World Health Organization Disability Assessment Schedule II ; WHOQOL-BREF: versão reduzida do World Health Organization Quality of Life questionnaire
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MeSH terms