Application of the International Classification of Functioning, Disability and Health (ICF) in dementia research and practice: A scoping review

Objectives The International Classification of Functioning, Disability and Health (ICF) endorsed by the World Health Organization provides a conceptual framework for describing functioning and disability based on a biopsychosocial model. Although dementia is one of the leading causes of disability, yet little is known on the extent to how the ICF has been utilized in dementia research and practice. The study aimed to examine and map the current applications of the ICF with dementia from a body of earlier studies and to explore the potential use in person-centred dementia care. Methods The Arksey and O'Malley framework was used to guide the searching, selecting, and synthesizing process. The scoping review was reported following The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR) guidelines. Results A total of 34 studies were included. The applications of ICF were classified into 4 themes: (1) in clinical practice and the education of health professionals (n = 20); (2) community support services and income support (n = 3); (3) population-based, census, or survey data (n = 10); (4) advocacy and empowerment purposes (n = 1). Conclusion The ICF has made a major impact on dementia in clinical settings. Findings strongly support applying the ICF to person-centered dementia care. In the future, more empirical studies are needed to expand the scope of ICF use in dementia research and practice.

Automated summary

This study reviewed 34 studies and classified the applications of ICF in dementia into four themes: (1) clinical practice and education of health professionals; (2) community support services and income support; (3) population-based, census, or survey data; (4) advocacy and empowerment purposes. The findings suggest that ICF has had a significant impact on dementia in clinical settings and supports the use of ICF in person-centered dementia care. More empirical studies are needed in the future to expand the use of ICF in dementia research and practice.