An ICF-Based Model for Implementing and Standardizing Multidisciplinary Obesity Rehabilitation Programs within the Healthcare System

Int J Environ Res Public Health. 2015 May 29;12(6):6084-91. doi: 10.3390/ijerph120606084.

Abstract

Introduction/objective: In this study, we aimed to design an ICF-based individual rehabilitation project for obese patients with comorbidities (IRPOb) integrated into the Rehab-CYCLE to standardize rehabilitative programs. This might facilitate the different health professionals involved in the continuum of care of obese patients to standardize rehabilitation interventions.

Methods: After training on the ICF and based on the relevant studies, ICF categories were identified in a formal consensus process by our multidisciplinary team. Thereafter, we defined an individual rehabilitation project based on a structured multi-disciplinary approach to obesity.

Results: the proposed IRPOb model identified the specific intervention areas (nutritional, physiotherapy, psychology, nursing), the short-term goals, the intervention modalities, the professionals involved and the assessment of the outcomes. Information was shared with the patient who signed informed consent.

Conclusions: The model proposed provides the following advantages: (1) standardizes rehabilitative procedures; (2) facilitates the flow of congruent and updated information from the hospital to outpatient facilities, relatives, and care givers; (3) addresses organizational issues; (4) might serve as a benchmark for professionals who have limited specific expertise in rehabilitation of comorbid obese patients.

Keywords: ICF; Rehab-CYCLE; obesity; rehabilitation.

MeSH terms

  • Comorbidity
  • Disability Evaluation
  • Health Personnel
  • Humans
  • International Classification of Functioning, Disability and Health
  • Models, Theoretical*
  • Obesity / epidemiology
  • Obesity / rehabilitation*
  • Rehabilitation Centers / standards*