Activities and Participation cluster
Identifying and definitional attributes
|Metadata item type:||Data Set Specification|
|Registration status:||Health, Standard 29/11/2006|
Disability, Standard 13/08/2015
Community Services (retired), Standard 16/10/2006
|DSS type:||Data Element Cluster|
This data cluster is one of four clusters that make up the Functioning and Disability DSS. To ensure a complete description of human functioning it is recommended that this cluster be collected along with the following three clusters over time and by a range of health and community care providers:
In the context of health, activity refers to the execution of a task or action by an individual, and participation refers to involvement in a life situation.
The Activities and Participation cluster collects information on a person's level of difficulty with activities, assistance needed to perform activities, extent of participation, and satisfaction with participation in the following life areas:
The use of this cluster to collect information on activity limitations and participation restrictions should enhance data quality for medical purposes as well as for a range of purposes related to understanding human functioning. This data cluster should be complementary to information on diseases.
The information collected in the Activities and Participation cluster may also indicate the sorts of interventions that could result in improved functioning. This could be in the form of rehabilitation, health-related interventions, equipment, or support for example.
Collection and usage attributes
|Guide for use:|
The following four measures are used to describe activities and participation in life areas:
For each life area code recorded there can be one response for each of the measures. The choice of measure will depend on the user and their information requirements.
There are numerous possible methods for collecting activity, activity limitation, participation and participation restriction. A decision could be made to collect information:
See also the ICF Australian User Guide for further guidelines.
The Person—activities/participation life area, code (ICF 2001) AN[NNN] data element is supported by a value domain - Activities and participation code (ICF 2001) AN[NNN] - representing a single list of activity and participation domains that are grouped together.
The World Health Organization suggests the list be used in one of four operational ways.
a) To designate some domains as activities and others as participation, not allowing any overlap.
b) Same as (a) above, but allowing partial overlap.
c) To designate all detailed domains as activities and the broad category headings as participation.
d) To use all domains as both activities and participation.
The ICF Australian User Guide proposes the use of either option (b) or (d) with the use of additional qualifiers to delineate between activity and participation.
The Person—activities and participation life area, code (ICF 2001) AN[NNN] data element can be used on its own as a neutral list of tasks, actions and life situations, or together with the four additional data elements in this cluster to record positive or neutral performance as well as activity limitations and participation restrictions. (It is important to note that the Person—activities and participation life area, code (ICF 2001) AN[NNN] data element must always be used when recording any of the other four data elements.)
This cluster is based on the International Classification of Functioning, Disability and Health (ICF). The ICF is a reference member of the WHO Family of International Classifications (endorsed by the World Health Assembly in 2001) and of the Australian Family of Health and Related Classifications (endorsed by the National Health Information Management Group in 2002).
The ICF provides a framework for the description of human functioning and disability. The components of ICF are defined in relation to a health condition. A health condition is an ‘umbrella term for disease (acute or chronic), disorder, injury or trauma’ (WHO 2001). A health condition may be recorded, for example, as:
The ICF recognises two constructs that can be used with 'Activities and Participation': performance and capacity. 'Performance' is what the person does in their usual environment. 'Capacity' describes 'an individual's ability to execute a task or an action in a standardised environment, where a standardised environment may be:
The standardised environment has not been generally operationalised. However, the recognition of these two constructs in the ICF underscores the importance of recording the environment in which activities are being performed.
Source and reference attributes
|Submitting organisation:||Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications.|
|Implementation in Data Set Specifications:|
Disability and need for assistance cluster Disability, Standard 13/08/2015
Functioning and Disability DSS Health, Standard 29/11/2006