{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T22:32:44Z","timestamp":1782426764635,"version":"3.54.5"},"reference-count":27,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T00:00:00Z","timestamp":1692748800000},"content-version":"unspecified","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"German Federal Ministry of Education and Research","award":["01GY1605"],"award-info":[{"award-number":["01GY1605"]}]},{"name":"Bavarian Health and Food Safety Authority","award":["K1-2496-IMV-21-V2-D28259\/2021"],"award-info":[{"award-number":["K1-2496-IMV-21-V2-D28259\/2021"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,8,16]]},"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Functioning of older adults needs to be adequately described before it can become the focus of care. The International Classification of Functioning, Disability and Health (ICF) provides a basis for describing functioning. As the ICF is too extensive for daily practice in primary care, there is a need for a reduced number of categories. The aim is to develop an ICF-subset for community-dwelling older adults aged 75 and above in primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The scientific basis for decision-making in our consensus study was laid by four preparatory studies, identifying potentially relevant ICF categories from four perspectives (research, patients\u2019, experts\u2019 and clinical perspective). The results of the preparatory phase were discussed by an international expert panel in a consensus study following the Nominal Group Technique (NGT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>An international 1-day online consensus conference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>International experts (n=7) participated in the consensus conference, meeting the following criteria: extensive expertise in the field of the ICF and\/or caring for older adults, and being fluent in English.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Each preparatory study yielded a different number of categories with some overlaps but also differences. The expert panel decided to: (1) restrict the subset to second-level categories and reduce the number of categories from the preparatory phase, (2) limit the subset to the component activities and participation and (3) weight the patients\u2019 perspective as the most relevant one.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>By using consensus techniques and the NGT, the process led to 51 second-level ICF categories to describe the functioning of community-dwelling older adults. The decisions made in the consensus conference emphasised the importance of considering the individual life situation from a more holistic perspective and addressing functioning as a focus of care. Next, the 51 categories will contribute to the development of an ICF-based questionnaire.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-072184","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T22:27:05Z","timestamp":1692916025000},"page":"e072184","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Development of a subset of the international classification of functioning, disability and health as a basis for a questionnaire for community-dwelling older adults aged 75 and above in primary care: a consensus study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0493-3628","authenticated-orcid":false,"given":"Laura","family":"Rink","sequence":"first","affiliation":[{"name":"Institute of General Practice, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5571-421X","authenticated-orcid":false,"given":"Johanna","family":"Tomandl","sequence":"additional","affiliation":[{"name":"Institute of General Practice, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Womser","sequence":"additional","affiliation":[{"name":"Institute for Biomedicine of Aging, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"K\u00fchlein","sequence":"additional","affiliation":[{"name":"Institute of General Practice, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0838-7989","authenticated-orcid":false,"given":"Maria","family":"Sebasti\u00e3o","sequence":"additional","affiliation":[{"name":"Institute of General Practice, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,8,24]]},"reference":[{"key":"2025121602173122000_13.8.e072184.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61460-4"},{"key":"2025121602173122000_13.8.e072184.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2011.03.003"},{"key":"2025121602173122000_13.8.e072184.3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.6.716"},{"key":"2025121602173122000_13.8.e072184.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsb042458"},{"key":"2025121602173122000_13.8.e072184.5","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afs100"},{"key":"2025121602173122000_13.8.e072184.6","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2318-9-30","article-title":"Inappropriate medication use and risk of falls-a prospective study in a large community-dwelling elderly cohort","volume":"9","author":"Berdot","year":"2009","journal-title":"BMC Geriatr"},{"key":"2025121602173122000_13.8.e072184.7","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1007\/s00228-016-2084-3","article-title":"Drug-related hospital admissions among old people with dementia","volume":"72","author":"Gustafsson","year":"2016","journal-title":"Eur J Clin Pharmacol"},{"key":"2025121602173122000_13.8.e072184.8","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.h176","article-title":"Managing patients with Multimorbidity in primary care","volume":"350","author":"Wallace","year":"2015","journal-title":"BMJ"},{"key":"2025121602173122000_13.8.e072184.9","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.healthpol.2017.09.006","article-title":"Multimorbidity care model: recommendations from the consensus meeting of the joint action on chronic diseases and promoting healthy ageing across the life cycle (JA-CHRODIS)","volume":"122","author":"Palmer","year":"2018","journal-title":"Health Policy"},{"key":"2025121602173122000_13.8.e072184.10","doi-asserted-by":"crossref","DOI":"10.1186\/s12916-014-0223-1","article-title":"The Ariadne principles: how to handle Multimorbidity in primary care consultations","volume":"12","author":"Muth","year":"2014","journal-title":"BMC Med"},{"key":"2025121602173122000_13.8.e072184.11","unstructured":"WHO . 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