{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T12:47:15Z","timestamp":1785934035526,"version":"3.56.0"},"reference-count":21,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,7,15]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The International Classification of Functioning, Disability and Health (ICF) represents a major milestone in understanding functioning and disability and is widely used in clinical practice, management and health research. Despite its relevance, implementation of the ICF remains inconsistent across health services and care settings. Evidence on barriers and facilitators to implementation remains fragmented, limiting the development of effective, context-sensitive implementation strategies. This scoping review aims to map barriers and facilitators influencing ICF implementation in health services and to identify implementation strategies reported in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This scoping review protocol will follow the methodological recommendations of the Joanna Briggs Institute, Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Qualitative, quantitative and mixed-methods primary studies describing the implementation of the ICF in health services will be included with no language restrictions, published since 2001. Searches will be conducted in PubMed\/MEDLINE, Scopus, Embase, Web of Science, LILACS, SciELO and PEDro databases. Studies will be selected in two stages by two independent reviewers using the Rayyan platform. Disagreements will be resolved by consensus or by a third reviewer. Data will be extracted using a standardised form. Barriers and facilitators will be mapped and categorised according to the Consolidated Framework for Implementation Research (CFIR), enabling a theory-informed synthesis of implementation determinants across settings. Findings will be summarised using descriptive statistics and narrative synthesis, including implementation contexts, strategies, barriers and facilitators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethical approval is not required because this review will use data from publicly available published studies and will not involve human participants. Findings will be disseminated through peer-reviewed publication, conference presentation and knowledge translation activities targeting researchers, healthcare professionals, service managers and policymakers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>10.17605\/OSF.IO\/VRQPD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-120967","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:55:29Z","timestamp":1785930929000},"page":"e120967","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers and facilitators to the implementation of the International Classification of Functioning, Disability and Health in health services: a scoping review protocol"],"prefix":"10.1136","volume":"16","author":[{"given":"Julianne Machado","family":"Bonfim","sequence":"first","affiliation":[{"name":"Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreia Thayna Felipe","family":"Do Nascimento","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline Braga Galv\u00e3o Silveira","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6980-2202","authenticated-orcid":false,"given":"Gentil","family":"Gomes Da Fonseca Filho","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"2026080504551644000_16.8.e120967.1","first-page":"271","article-title":"International Classification of Functioning, Disability and Health (ICF) 2001","volume":"76","author":"Bu\u00f1uales","year":"2002","journal-title":"Rev Esp Salud Publica"},{"key":"2026080504551644000_16.8.e120967.2","doi-asserted-by":"publisher","DOI":"10.1080\/165019701750419545"},{"key":"2026080504551644000_16.8.e120967.3","doi-asserted-by":"crossref","DOI":"10.1111\/dmcn.14799","article-title":"The International Classification of Functioning, Disability and Health: the first 20 years","volume":"63","author":"Cieza","year":"2021","journal-title":"Dev Med Child Neurol"},{"key":"2026080504551644000_16.8.e120967.4","doi-asserted-by":"publisher","DOI":"10.1080\/09638280210148594"},{"key":"2026080504551644000_16.8.e120967.5","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph191811321","article-title":"20 Years of ICF-International Classification of Functioning, Disability and Health: Uses and Applications around the World","volume":"19","author":"Leonardi","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2026080504551644000_16.8.e120967.6","doi-asserted-by":"crossref","DOI":"10.3389\/fresc.2024.1420498","article-title":"The international classification of functioning, disability and health in clinical practice, research findings and their impact on training and education","volume":"5","author":"Simon","year":"2024","journal-title":"Front Rehabil Sci"},{"key":"2026080504551644000_16.8.e120967.7","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1080\/17483107.2024.2385051","article-title":"Two decades of the International Classification of Functioning, Disability and Health (ICF) in health research: a bibliometric analysis","volume":"20","author":"Stojic","year":"2025","journal-title":"Disabil Rehabil Assist Technol"},{"key":"2026080504551644000_16.8.e120967.8","doi-asserted-by":"crossref","first-page":"131","DOI":"10.2340\/16501977-2030","article-title":"Setting up a cohort study of functioning: From classification to measurement","volume":"48","author":"Prodinger","year":"2016","journal-title":"J Rehabil Med"},{"key":"2026080504551644000_16.8.e120967.9","doi-asserted-by":"crossref","first-page":"261","DOI":"10.32598\/irj.19.3.1362.1","article-title":"Revisiting the International Classification of Functioning, Disability and Health, a Comprehensive Model for Exploring Disablement in Low- and Middle-income Countries: A Narrative 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