IDENTIFICATION OF COMMON CONTENT OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH (ICF) IN OUTCOME MEASURES REPORTED BY PATIENTS WITH TYPE 2 DIABETES
Diabetes; health outcomes; functionality; Patient-Reported Outcome Measures.
Introduction: Type II diabetes mellitus is a metabolic disease with a high prevalence, responsible for clinics and high demand for self-management. The use of patient-reported health outcome measures (PROMs) assist healthcare professionals in evaluating treatment strategies. The International Classification of Functioning (ICF), in turn, operationalizes the biopsychosocial model for a broader understanding of the health condition of people with diabetes. Objective: Binding instruments validated PROMs for patients with Type II Diabetes and the ICF, in order to identify differences between the components and describe a common appearance of the ICF. Study method was developed in two steps: (i) identification of validated PROMs and specificity for type 2 diabetes, and (ii) linkage between the instruments and the ICF through the ICF linking methodology proposed by Cieza et al. Additionally, a list of proposed categories was used to classify personal factors. Such methodology, among other conclusions and proposals, the identification of issues and the correspondence with representative ICF categories to the other conclusions and proposals in the PROMs. Results: From the 12 PROMs included, 184 statements were identified that were linked to 84 different categories, 78 of which were from the ICF and from the list of personal factors. Of these, 40% body function, 38% activity and participation, 8% environmental factors, 7% body structure followed by 7% personal factors. The categories were cited 365 times, and the activity and participation component was the most representative component. The most cited categories are related to health control of food, self-care and management activities in physical contexts. Conclusion: Overall, PROMs included in the ICF coverage, covering all categories of structure and function of activity and participation, environmental and personal factors to describe the components of patients with type II diabetes. There is divergence as to the degree of coverage of these components among the PROMs.