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

Brunani A, Raggi A, Sirtori A, Berselli ME, Villa V, Ceriani F, Corti S, Leonardi M, Capodaglio P, ICF-OBESITY Gro - Int J Environ Res Public Health (2015)

Bottom Line: 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. 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, Piancavallo, 28921 Verbania, Italy. brunani@auxologico.it.

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.

No MeSH data available.


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Example of the decision-making process in Individual Rehabilitation Project for obesity (IRPOb).
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ijerph-12-06084-f001: Example of the decision-making process in Individual Rehabilitation Project for obesity (IRPOb).

Mentions: The evaluation of the disability profile obtained from our checklist, represents the starting point for the formulation of the IRP, which includes the definition of specific interventions (nutrition, physiotherapy, psychological support, nursing), short-term goals, intervention modalities, healthcare professionals involved and outcome assessments, all of which have to be shared with the patient. Figure 1 shows an example of the decision-making process in IRPOb, where the functional diagnoses obtained from the ICF checklist are implemented. All members of the ICF-trained and obesity expert team were involved in formal and consensus process. This stage involved integrating the clinical evidence into the treatment of obesity, the consensual definition of all possible outcomes (Figure 2, Section B) and the specific interventions to achieve the short-term goals. Two multidisciplinary groups within the team discussed the feasibility of applying the IRPOb to a Rehab-CYCLE [11]. To complete the Rehab-CYCLE, we also defined the outcomes based on benchmark results as described in Precilios et al. [13]. The Institute’s Ethics Committee approved the study and each patient signed a written consent form.


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

Brunani A, Raggi A, Sirtori A, Berselli ME, Villa V, Ceriani F, Corti S, Leonardi M, Capodaglio P, ICF-OBESITY Gro - Int J Environ Res Public Health (2015)

Example of the decision-making process in Individual Rehabilitation Project for obesity (IRPOb).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4483688&req=5

ijerph-12-06084-f001: Example of the decision-making process in Individual Rehabilitation Project for obesity (IRPOb).
Mentions: The evaluation of the disability profile obtained from our checklist, represents the starting point for the formulation of the IRP, which includes the definition of specific interventions (nutrition, physiotherapy, psychological support, nursing), short-term goals, intervention modalities, healthcare professionals involved and outcome assessments, all of which have to be shared with the patient. Figure 1 shows an example of the decision-making process in IRPOb, where the functional diagnoses obtained from the ICF checklist are implemented. All members of the ICF-trained and obesity expert team were involved in formal and consensus process. This stage involved integrating the clinical evidence into the treatment of obesity, the consensual definition of all possible outcomes (Figure 2, Section B) and the specific interventions to achieve the short-term goals. Two multidisciplinary groups within the team discussed the feasibility of applying the IRPOb to a Rehab-CYCLE [11]. To complete the Rehab-CYCLE, we also defined the outcomes based on benchmark results as described in Precilios et al. [13]. The Institute’s Ethics Committee approved the study and each patient signed a written consent form.

Bottom Line: 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. 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, Piancavallo, 28921 Verbania, Italy. brunani@auxologico.it.

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.

No MeSH data available.


Related in: MedlinePlus