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Review
. 2021 Jun;25(2):1089-1100.
doi: 10.1007/s11325-020-02173-3. Epub 2020 Aug 31.

Are the International Classification of Functioning, Disability and Health (ICF) domains considered in the obstructive sleep apnea instruments? An integrative review

Francisca Soraya Lima Silva  1 , João Paulo da Silva Bezerra  2 , Beatriz Carneiro Mota  2 , Ana Cecília Silva de Oliveira  1 , Manoel Alves Sobreira-Neto  3 , Shamyr Sulyvan de Castro  1 , Camila Ferreira Leite  4
Affiliations
Review

Are the International Classification of Functioning, Disability and Health (ICF) domains considered in the obstructive sleep apnea instruments? An integrative review

Francisca Soraya Lima Silva et al. Sleep Breath. 2021 Jun.

Abstract

Purpose: Obstructive Sleep Apnea (OSA) is related to cardiovascular, metabolic, and neurocognitive diseases. Furthermore, OSA symptoms, such as excessive sleepiness, fatigue, and mood disorders, may interfere in functioning. The assessment of this aspect in patients with OSA is not frequent and no specific instrument is available in the literature. Our aim is to identify if the International Classification of Functioning, Disability and Health (ICF) domains are considered in the validated instruments used to assess patients with OSA.

Methods: In this integrative literature review, three databases were searched: Pubmed, Embase, and LILACS. Bibliographic survey was carried out in 2020, between March and July. Articles published in English, Portuguese, and Spanish with validated tools to assess OSA in adults were included.

Results: Thirty instruments have undergone a process of concept extraction and coding according to the ICF, generating a total of 769 significant concepts. It was observed that the function domain was the most prevalent, making 42% (n = 323) of the concepts, followed by domains of activity (16%), participation (10%), environmental factors (5%), personal factor (5%), and structure (1%). Only one instrument, the "Sleep Apnea Quality of Life Index (SAQLI)," encompasses all domains of the ICF in its constructs.

Conclusion: In the analyzed instruments, the function domain prevails, with most concepts related to sleep functions. Only one validated instrument included in this research covered all the ICF domains. This instrument closely matched the recommended way of assessing functioning, though it approached the domains in an unbalanced way.

Keywords: Evaluation; Functioning; International Classification of Functioning, Disability and Health; Obstructive Sleep Apnea; Review.

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