Adding a subjective dimension to an ICF-based disability measure for people with multiple sclerosis: development and use of a measure for perception of disabilities

Wynia, Klaske; Middel, Berrie; de Ruiter, Han; van Dijk, Jitse P.; Lok, Willem S.; de Keyser, Jacques H. A.; Reijneveld, Sijmen A.

doi:10.1080/09638280802509488

Cited by 20Multiple Sclerosis Research StudiesHealth Systems, Economic Evaluations, Quality of LifeMedical Practices and Rehabilitation

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Adding a subjective dimension to an ICF-based disability measure for people with multiple sclerosis: development and use of a measure for perception of disabilities

Wynia, Klaske, Middel, Berrie, de Ruiter, Han, van Dijk, Jitse P., Lok, Willem S., de Keyser, Jacques H. A., Reijneveld, Sijmen A.·2009·Disability and Rehabilitation

DOI 10.1080/09638280802509488

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Abstract

OBJECTIVE: The subjective dimension of disability, the perception of disability, is a dimension missing from the International Classification of Functioning, Disability and Health (ICF), and from health-related quality of life (HRQOL) instruments. However, it is a highly relevant dimension for clinical practice as perceived disability may identify care needs. We therefore developed a measure for this subjective dimension of disability in multiple sclerosis (MS) and examined the contribution of this dimension to QOL. METHOD: A measure named the Multiple Sclerosis Impact Profile-Disability Perception (MSIP-DP) was developed to reflect a person's perception of disabilities reported using the original MSIP-disability (MSIP-D) items. MS patients (n=530) completed both MSIP sections, the medical outcome study short form questionnaire (SF-36), the World Health Organisation Quality Of Life-BREF (WHOQOL-BREF) and questions concerning disease severity. The contribution of disability perception (DP) to QOL in MS was estimated using hierarchical multiple regression analyses after controlling for MS severity. RESULTS: Confirmative factor analysis confirmed the hypothesised disability perception domains that correspond with the related disability domains in the MSIP. DP scales yielded sufficient reliability. DP explained a unique and substantial part of the variance in QOL, particularly the perception of impairments in mental functions. DISCUSSION: Results indicated that the subjective dimension of functioning and health operationalised in the MSIP-DP is a relevant concept in explaining QOL in MS. In clinical practice psychological interventions addressing a patient's perception of disability, particularly of impairments in mental functioning, may contribute to QOL.

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Treatment effects concerning QoL in MS are best evaluated using the WHOQOL-BREF, although there is not a norm group specific for MS patients.
“Treatment effects concerning QoL in MS are best evaluated using the WHOQOL-BREF, although there is not a norm group specific for MS patients.31”
From EMDR treatment for anxiety in MS patients: A pilot study (2020) · cites this paper as [31]

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Self-citation

Authors: Wynia, K., Middel, B., de Ruiter, H., van Dijk, J. P., Lok, W. S., de Keyser, J. H. A., & Reijneveld, S. A.
Affiliations: University Medical Center Groningen (NL)
Corresponding author: Wynia, Klaske
ORCID: Wynia, Klaske
Reijneveld, Sijmen A.
Venue: Disability and Rehabilitation
Publisher: Informa UK Limited
Published: 2009-01
Volume: 31
Issue: 12
Pages: 1008-1017
ISSN: 0963-8288 (ISSN-L)
1464-5165
DOI: 10.1080/09638280802509488
OpenAlex: W1998880417
Cited by: 20
References: 24
Citations by year: 2020: 2 · 2017: 1 · 2014: 1 · 2013: 2 · 2012: 3
FWCI: 3.05
Type: journal article
Language: en
Open access: closed
Locations: Disability and Rehabilitation (publishedVersion)
PubMed (publishedVersion)
University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
VUBIR (Vrije Universiteit Brussel) (submittedVersion)
University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Funders: Ministry of Science, ICT and Future Planning
Topics: Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords: multiple sclerosis, perceptions of disability, International Classification of Functioning, Disability and Health, health-related quality of life, disease severity, psychological intervention
MeSH terms: Adult, Aged, Aged, 80 and over, Disability Evaluation, Female, Humans, Male, Middle Aged, Multiple Sclerosis, Quality of Life, Surveys and Questionnaires

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Adding a subjective dimension to an ICF-based disability measure for people with multiple sclerosis: development and use of a measure for perception of disabilities

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