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Structural Relationship between Stroke Indicators from the International Classification of Functioning, Disability and Health and Stroke Variables from the National Health Interview Survey

Rybski, Melinda Fritts

Abstract Details

2009, Doctor of Philosophy, Ohio State University, ED Policy and Leadership.
Many factors influence recovery from stroke. Structural equation modeling (SEM) was used to elucidate the second-order relationships between the International Classification of Functioning, Disability and Health (ICF) conceptual model components for persons who have experienced a stroke. The ICF Stroke Core set was used because it provided an internationally agreed upon classification of health, functioning and disability for the stroke population. The National Health Interview Survey (NHIS), considered the standard for assessing the health of the United States, was used as a link to the ICF Stroke Core Set codes. The results from this study conclude that the association between the component Body Function and Structure is more associated with Activities and Participation than Environmental Factors and Personal Factors in the ICF model. Personal Factors were not a separate contextual component as proposed by the ICF model. While many NHIS items could be linked to the ICF Stroke Core set, there was a serious lack of items about interpersonal relationships and communication. This study confirmed the association between the components of the ICF conceptual model and also identified important gaps in the NHIS as it relates to the amount and distribution of impairments associated with stroke in the U.S.
Ann O'Connell, EdD (Advisor)
Richard Lomax, PhD (Committee Member)
Chris Taylor, PhD (Committee Member)
378 p.

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Citations

  • Rybski, M. F. (2009). Structural Relationship between Stroke Indicators from the International Classification of Functioning, Disability and Health and Stroke Variables from the National Health Interview Survey [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1253021381

    APA Style (7th edition)

  • Rybski, Melinda. Structural Relationship between Stroke Indicators from the International Classification of Functioning, Disability and Health and Stroke Variables from the National Health Interview Survey. 2009. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1253021381.

    MLA Style (8th edition)

  • Rybski, Melinda. "Structural Relationship between Stroke Indicators from the International Classification of Functioning, Disability and Health and Stroke Variables from the National Health Interview Survey." Doctoral dissertation, Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1253021381

    Chicago Manual of Style (17th edition)