Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Person—extent of environmental factor influence, code (ICF 2001) [X]N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termInfluence of environmental factor
METeOR identifier:Help on this term320198
Registration status:Help on this termHealth, Standard 29/11/2006
Disability, Standard 13/08/2015
Community Services (retired), Standard 16/10/2006
Definition:Help on this term

The degree to which a specified environmental factor influences the body function or structure, the activity or participation of a person, as represented by a code.

Context:Help on this termThe environment in which a person functions or experiences disability.
Data Element Concept:Person—extent of environmental factor influence

Value domain attributes

Representational attributes

Classification scheme:International Classification of Functioning, Disability and Health 2001
Representation class:Help on this termCode
Data type:Help on this termString
Format:Help on this term[X]N
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
0No barrier
1Mild barrier
2Moderate barrier
3Severe barrier
4Complete barrier
+0No facilitator
+1Mild facilitator
+2Moderate facilitator
+3Substantial facilitator
+4Complete facilitator
Supplementary values:Help on this term
8Barrier not specified
+8Facilitator not specified
9Not applicable

Collection and usage attributes

Guide for use:Help on this term

This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person.

Extent of influence of environmental factors corresponds to the degree, strength or magnitude of the influence and the amount of time the influence is experienced by the person. It is essentially a summary measure, in which are embedded the concepts of availability, quality and importance, that indicates the effect the specified environmental factor has on the person.

Whether, and by how much, environmental factors are influencing an individual's level of functioning, and whether the influence is a facilitator or barrier, may indicate the sorts of interventions that will optimise the individual's functioning. This information may be for policy development, service provision, or advocacy purposes. Preventative strategies could be indicated by this information.

This value domain can be used to collect information across the whole spectrum of influence, for example, tactile flooring may be a facilitator to a person with visual impairment and a barrier to a person with mobility impairments. In line with the ICF approach to functioning and disability, this value domain recognises, and gives the means to record, the positive influence of environmental factors as well as those factors that limit the level of functioning of a person.

The codes are mutually exclusive. The choice of codes depends on the context of the data collection. For example; if collecting information about the positive influence of an environmental factor such as a community service it would be appropriate to use Code 0 No facilitator if the service was not influencing the person's level of functioning (even if the service were not a barrier to the person's functioning).

Code +0     No facilitator:

Used when the environment factor does not impact in a positive way on the body structure or function, activity or participation of a person.

Code +1     Mild facilitator:

Used when the environmental factor impacts in a positive way on the body structure or function, activity or participation of a person between 5-24% of the time the person participates in the specified domain of functioning or has a low level of impact on the person's functioning.

Code +2     Moderate facilitators:

Used when the environmental factor impacts in a positive way on the body structure or function, activity or participation of a person between 25-49% of the time the person participates in the specified domain of functioning or has a significant, but moderate impact on the person's functioning.

Code +3     Substantial facilitators:

Used when the environmental factor impacts in a positive way on the body structure or function, activity or participation of a person between 50-95% of the time the person participates in the specified domain of functioning or has an extreme effect on the person's functioning.

Code +4     Complete facilitators:

Used when the environmental factor impacts in a positive way on the body structure or function, activity or participation of a person between 96-100% of the time the person participates in the specified domain of functioning or the person functions optimally with this environmental factor.

Code +8     Facilitator not specified:

Used when there is insufficient information to record the Extent of environmental influence code (ICF 2001) N in classes +1 to +4.

Code 0     No barrier:

Used when the environment factor does not impact in a negative way on the body structure or function, activity or participation of a person.

Code 1     Mild barriers:

Used when the environmental factor impacts in a negative way on the body structure or function, activity or participation of a person between 5-24% of the time the person participates in the specified domain of functioning or has a low level of impact on the person's functioning.

Code 2     Moderate barriers:

Used when the environmental factor impacts in a negative way on the body structure or function, activity or participation of a person between 25-49% of the time the person participates in that specified domain of functioning or has a significant, but moderate impact on the person's functioning.

Code 3     Severe barriers:

Used when the environmental factor impacts in a negative way on the body structure or function, activity or participation of a person between 50-95% of the time the person participates in that specified domain of functioning or has an extreme effect on the person's functioning.

Code 4     Complete barriers:

Used when the environmental factor impacts in a negative way on the body structure or function, activity or participation of a person between 96-100% of the time the person participates in the specified domain of functioning or is of such magnitude that the person is unable to function.

Code 8     Barrier not specified:

Used when there is insufficient information to record the Extent of environmental influence code (ICF 2001) N in classes 1 to 4.

Code 9     Not applicable:

Used when environmental factors impacts in neither a positive or negative way on the body structure or function, activity or participation of a person or for between 0-4% of the time the person participates in that specified area and has minimal impact on the person's level of functioning in the specified domain.

Source and reference attributes

Submitting organisation:Help on this termAustralian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications.
Origin:Help on this termWHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW
Reference documents:Help on this term

Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites:

 

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Environmental factors represent the circumstances in which the individual lives. These factors are conceived as immediate (e.g. physical features of the environment, social environment) and societal (formal and informal social structures, services and systems). Different environments may have a very different impact on the same individual with a given health condition.

The influence of environmental factors may be positive, increasing the level of functioning (a facilitator), or negative, decreasing the level of functioning (a barrier).

The extent of influence of the Environmental factors is affected both by the degree, strength of influence, and the amount of time the influence is experienced by the person.

This metadata item is recorded in conjunction with Environmental factor code N to indicate the extent to which specified environmental factors influence the body function or structure, the activity or participation of a person.

Source and reference attributes

Submitting organisation:Help on this termAustralian Institute of Health and Welfare which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications.

Relational attributes

Related metadata references:Help on this term

See also Person—environmental factor, code (ICF 2001) AN[NNN] Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006

Implementation in Data Set Specifications:Help on this term

Environmental factors cluster Health, Standard 29/11/2006
Disability, Standard 13/08/2015
Community Services (retired), Standard 16/10/2006

My items Help on this term
Download Help on this term