IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v135y2015icp133-142.html
   My bibliography  Save this article

Moderators, mediators, and bidirectional relationships in the International Classification of Functioning, Disability and Health (ICF) framework: An empirical investigation using a longitudinal design and Structural Equation Modeling (SEM)

Author

Listed:
  • Rouquette, Alexandra
  • Badley, Elizabeth M.
  • Falissard, Bruno
  • Dub, Timothée
  • Leplege, Alain
  • Coste, Joël

Abstract

The International Classification of Functioning, Disability and Health (ICF) published in 2001 describes the consequences of health conditions with three components of impairments in body structures or functions, activity limitations and participation restrictions. Two of the new features of the conceptual model were the possibility of feedback effects between each ICF component and the introduction of contextual factors conceptualized as moderators of the relationship between the components. The aim of this longitudinal study is to provide empirical evidence of these two kinds of effect. Structural equation modeling was used to analyze data from a French population–based cohort of 548 patients with knee osteoarthritis recruited between April 2007 and March 2009 and followed for three years. Indicators of the body structure and function, activity and participation components of the ICF were derived from self-administered standardized instruments. The measurement model revealed four separate factors for body structures impairments, body functions impairments, activity limitations and participation restrictions. The classic sequence from body impairments to participation restrictions through activity limitations was found at each assessment time. Longitudinal study of the ICF component relationships showed a feedback pathway indicating that the level of participation restrictions at baseline was predictive of activity limitations three years later. Finally, the moderating role of personal (age, sex, mental health, etc.) and environmental factors (family relationships, mobility device use, etc.) was investigated. Three contextual factors (sex, family relationships and walking stick use) were found to be moderators for the relationship between the body impairments and the activity limitations components. Mental health was found to be a mediating factor of the effect of activity limitations on participation restrictions.

Suggested Citation

  • Rouquette, Alexandra & Badley, Elizabeth M. & Falissard, Bruno & Dub, Timothée & Leplege, Alain & Coste, Joël, 2015. "Moderators, mediators, and bidirectional relationships in the International Classification of Functioning, Disability and Health (ICF) framework: An empirical investigation using a longitudinal design," Social Science & Medicine, Elsevier, vol. 135(C), pages 133-142.
    • Handle: RePEc:eee:socmed:v:135:y:2015:i:c:p:133-142
    DOI: 10.1016/j.socscimed.2015.05.007
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953615002804
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2015.05.007?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Verbrugge, Lois M. & Jette, Alan M., 1994. "The disablement process," Social Science & Medicine, Elsevier, vol. 38(1), pages 1-14, January.
    2. Badley, Elizabeth M., 2008. "Enhancing the conceptual clarity of the activity and participation components of the International Classification of Functioning, Disability, and Health," Social Science & Medicine, Elsevier, vol. 66(11), pages 2335-2345, June.
    3. Davis, A.M. & Perruccio, A.V. & Ibrahim, S. & Hogg-Johnson, S. & Wong, R. & Badley, E.M., 2012. "Understanding recovery: Changes in the relationships of the International Classification of Functioning (ICF) components over time," Social Science & Medicine, Elsevier, vol. 75(11), pages 1999-2006.
    4. Bickenbach, Jerome E. & Chatterji, Somnath & Badley, E. M. & Üstün, T. B., 1999. "Models of disablement, universalism and the international classification of impairments, disabilities and handicaps," Social Science & Medicine, Elsevier, vol. 48(9), pages 1173-1187, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Cecilia Perin & Marta Bolis & Marco Limonta & Roberto Meroni & Katarzyna Ostasiewicz & Cesare Maria Cornaggia & Sandra Regina Alouche & Gabriela da Silva Matuti & Cesare Giuseppe Cerri & Daniele Pisci, 2020. "Differences in Rehabilitation Needs after Stroke: A Similarity Analysis on the ICF Core Set for Stroke," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    2. Bussière, Clémence & Sicsic, Jonathan & Pelletier-Fleury, Nathalie, 2016. "Simultaneous effect of disabling conditions on primary health care use through a capability approach," Social Science & Medicine, Elsevier, vol. 154(C), pages 70-84.
    3. Carlo Francescutti & Alessandra Battisti & Giampiero Griffo & Alessandro Solipaca, 2017. "Conceptualization and measurement of disability in studies on subjective well-being: a critical review and evidence from the Italian Health Surveys," International Review of Economics, Springer;Happiness Economics and Interpersonal Relations (HEIRS), vol. 64(2), pages 179-195, June.
    4. Liaqat Ali & Salim Khan & Syed Jamal Shah & Aman Ullah & Hina Ashraf & Mushtaq Ahmad & Abida Begum & Heesup Han & Antonio Ariza-Montes & Luis Araya-Castillo & Afed Ullah Khan & Muhammad Anas & Abdul M, 2021. "Road and Transportation Lead to Better Health and Sustainable Destination Development in Host Community: A Case of China Pakistan Economic Corridor (CPEC)," IJERPH, MDPI, vol. 18(23), pages 1-16, December.
    5. Zhou, Peiling & Grady, Sue C. & Chen, Guo, 2017. "How the built environment affects change in older people's physical activity: A mixed- methods approach using longitudinal health survey data in urban China," Social Science & Medicine, Elsevier, vol. 192(C), pages 74-84.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Badley, Elizabeth M., 2008. "Enhancing the conceptual clarity of the activity and participation components of the International Classification of Functioning, Disability, and Health," Social Science & Medicine, Elsevier, vol. 66(11), pages 2335-2345, June.
    2. Levasseur, Mélanie & Richard, Lucie & Gauvin, Lise & Raymond, Émilie, 2010. "Inventory and analysis of definitions of social participation found in the aging literature: Proposed taxonomy of social activities," Social Science & Medicine, Elsevier, vol. 71(12), pages 2141-2149, December.
    3. Mathieu Philibert & Robert Pampalon & Mark Daniel, 2015. "Conceptual and Operational Considerations in Identifying Socioenvironmental Factors Associated with Disability among Community-Dwelling Adults," IJERPH, MDPI, vol. 12(4), pages 1-21, April.
    4. Jan Reinhardt & Ulrich Mansmann & Bernd Fellinghauer & Ralf Strobl & Eva Grill & Erik Elm & Gerold Stucki, 2011. "Functioning and disability in people living with spinal cord injury in high- and low-resourced countries: a comparative analysis of 14 countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(3), pages 341-352, June.
    5. Matthias Forstner, 2022. "Conceptual Models of Disability: The Development of the Consideration of Non-Biomedical Aspects," Disabilities, MDPI, vol. 2(3), pages 1-24, September.
    6. van Zon, Sander K.R. & Bültmann, Ute & Reijneveld, Sijmen A. & de Leon, Carlos F. Mendes, 2016. "Functional health decline before and after retirement: A longitudinal analysis of the Health and Retirement Study," Social Science & Medicine, Elsevier, vol. 170(C), pages 26-34.
    7. Lourdes Marco & Alejandro Pozo & Gabriel Huecas & Juan Quemada & Álvaro Alonso, 2021. "User-Adapted Web Services by Extending the eIDAS Specification with Functional Attributes," IJERPH, MDPI, vol. 18(8), pages 1-20, April.
    8. Newton, Nicky J. & Ryan, Lindsay H. & King, Rachel T. & Smith, Jacqui, 2014. "Cohort differences in the marriage–health relationship for midlife women," Social Science & Medicine, Elsevier, vol. 116(C), pages 64-72.
    9. Plaisier, Inger & Verbeek-Oudijk, Debbie & de Klerk, Mirjam, 2017. "Developments in home-care use. Policy and changing community-based care use by independent community-dwelling adults in the Netherlands," Health Policy, Elsevier, vol. 121(1), pages 82-89.
    10. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    11. Wei Chen & Ya Fang & Fanzhen Mao & Shichao Hao & Junze Chen & Manqiong Yuan & Yaofeng Han & Y Alicia Hong, 2015. "Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-12, June.
    12. West, Jessica S., 2017. "Hearing impairment, social support, and depressive symptoms among U.S. adults: A test of the stress process paradigm," Social Science & Medicine, Elsevier, vol. 192(C), pages 94-101.
    13. James N. Laditka & Douglas A. Wolf, 2004. "Duration Data from the National Long-Term Care Survey: Foundation for a Dynamic Multiple-Indicator Model of ADL Dependency," Center for Policy Research Working Papers 65, Center for Policy Research, Maxwell School, Syracuse University.
    14. Clarke, Philippa J. & Ailshire, Jennifer A. & Nieuwenhuijsen, Els R. & de Kleijn - de Vrankrijker, Marijke W., 2011. "Participation among adults with disability: The role of the urban environment," Social Science & Medicine, Elsevier, vol. 72(10), pages 1674-1684, May.
    15. Oliver Schilling & Hans-Werner Wahl & Frank Oswald, 2013. "Change in Life Satisfaction Under Chronic Physical Multi-morbidity in Advanced Old Age: Potential and Limits of Adaptation," Journal of Happiness Studies, Springer, vol. 14(1), pages 19-36, March.
    16. Henrike Galenkamp & Dorly J. H. Deeg, 2016. "Increasing social participation of older people: are there different barriers for those in poor health? Introduction to the special section," European Journal of Ageing, Springer, vol. 13(2), pages 87-90, June.
    17. Tomey, Kristin & Sowers, MaryFran R. & Harlow, Sioban & Jannausch, Mary & Zheng, Huiyong & Bromberger, Joyce, 2010. "Physical functioning among mid-life women: Associations with trajectory of depressive symptoms," Social Science & Medicine, Elsevier, vol. 71(7), pages 1259-1267, October.
    18. Zachary Zimmer & Luoman Bao & Nanette L. Mayol & Feinian Chen & Tita Lorna L. Perez & Paulita L. Duazo, 2017. "Functional limitation trajectories and their determinants among women in the Philippines," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(30), pages 863-892.
    19. Zajacova, Anna & Montez, Jennifer Karas, 2018. "Explaining the increasing disability prevalence among mid-life US adults, 2002 to 2016," Social Science & Medicine, Elsevier, vol. 211(C), pages 1-8.
    20. Andrasfay, Theresa & Goldman, Noreen, 2020. "Physical functioning and survival: Is the link weaker among Latino and black older adults?," Social Science & Medicine, Elsevier, vol. 255(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:135:y:2015:i:c:p:133-142. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.