Self-perceived functioning, goals and action plans: an evaluation of an ICF-based E-health application in an intervention for people with a combination of mental and physical health conditions

Disability and Rehabilitation, vol. 47, pp. 2075–2083

Abstract

PURPOSE: In the BigMove intervention, people with physical and mental health conditions assess their functioning, set goals, and define action plans to achieve their goals recorded in an e-health application using all categories of the International Classification of Functioning, Disability, and Health (ICF). This study investigates whether data from this application can provide insight into participants' self-perceived functioning, goals and action plans and observe changes over time. METHODS: Data from 446 participants were analysed with descriptive statistics to describe self-perceived functioning and the ICF categories related to the 15 most frequently chosen goals. Action plans were analysed using inductive analysis. Changes over time were investigated by comparing assessments before and after at least 4 months in the intervention. RESULTS: The data provided insight into the self-perceived functioning, goals and action plans. Also, changes over time were observed. Self-perceived functioning changed from being mainly negative before, to mainly positive after the intervention. While goals were mostly related to the same ICF categories, the action plans changed from more specific short-term to more general long-term plans. CONCLUSIONS: Our study demonstrates that all categories of the ICF can be used to record self-perceived functioning, goals and action plans and monitor changes over time.

Authors 5

1. Sabina van der Veen corresponding Aachen Faculty of Social Sciences Institute of Psychology, Health Medical and Neuropsychology Unit

   Leiden University · Amsterdam University Medical Centers · Vrije Universiteit Amsterdam

   Affiliation as printed

   Department of Ethics, Law and Humanities, Amsterdam UMC, VU University

   Faculty of Social Sciences, Institute of Psychology, Health, Medical and Neuropsychology unit, Leiden University

   Department of Ethics, Law and Humanities, Amsterdam UMC, VU University, Amsterdam, The Netherlands

   Faculty of Social Sciences, Institute of Psychology, Health, Medical and Neuropsychology unit, Leiden University, Leiden, The Netherlands

2. Natalie Evans

   Amsterdam University Medical Centers · Vrije Universiteit Amsterdam

   Affiliation as printed

   Department of Ethics, Law and Humanities, Amsterdam UMC, VU University

   Department of Ethics, Law and Humanities, Amsterdam UMC, VU University, Amsterdam, The Netherlands

3. Marijn Aalders

   Diehl (Germany)

   Affiliation as printed

   Bettery Institute

   Bettery Institute, Diemen, The Netherlands

4. Martijn A. Huisman

   Amsterdam Public Health · Amsterdam University Medical Centers · Vrije Universiteit Amsterdam

   Affiliation as printed

   Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam UMC

   Faculty of Social Sciences, Department of Sociology, VU University

   Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam, The Netherlands

   Faculty of Social Sciences, Department of Sociology, VU University, Amsterdam, The Netherlands

5. Guy A. M. Widdershoven

   Amsterdam University Medical Centers · Vrije Universiteit Amsterdam

   Affiliation as printed

   Department of Ethics, Law and Humanities, Amsterdam UMC, VU University

   Department of Ethics, Law and Humanities, Amsterdam UMC, VU University, Amsterdam, The Netherlands