{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T18:03:08Z","timestamp":1780077788649,"version":"3.54.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":148,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005920","name":"Organization for Women in Science for the Developing World","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005920","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004513","name":"Harry Crossley Foundation","doi-asserted-by":"publisher","award":["HCG-2024"],"award-info":[{"award-number":["HCG-2024"]}],"id":[{"id":"10.13039\/501100004513","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Parkinson's Disease"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Most assessment tools may not be comprehensive enough to measure all relevant problems associated with Parkinson\u2019s disease (PD) and may focus only on activity. While specific performance\u2010based outcome assessments are crucial for intervention design, it is important to establish the epidemiology of functioning problems, to understand the broad range of disability associated with a disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to describe the prevalence and nature of functional problems and the contextual factors experienced by persons with PD (PwPD) using the International Classification of Functioning, Disability and Health (ICF) framework. The distribution of substantial functioning problems across selected demographic and clinical variables was also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional survey was conducted among PwPD attending one primary and two tertiary hospitals in southern Ghana. The ICF Checklist (Clinician Form) was adapted to record impairments, activity limitations, participation restrictions, and environmental facilitators and barriers. Descriptive and inferential analyses were performed, with significance set at\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001 for multiple comparisons using the Hochberg correction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 75 PwPD (61.3% male) with a mean (SD) age of 66.8 (9.6) years. The most frequently reported issues were impairments in body functions and participation restrictions, with the top 10 problems reported by 68%\u201391% and 67%\u201388% of participants, respectively. Participants reported more facilitators, while challenges with general social support were the most frequently reported barrier among 60% of participants. Women and individuals with advanced PD were significantly more likely (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) to report substantial functioning problems.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights critical functioning problems faced by PwPD in a resource\u2010limited setting and underscores the value of using the ICF framework in rehabilitation assessment and planning. The findings may inform gender\u2010 and disease\u2010stage\u2010sensitive interventions for PwPD across diverse healthcare contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/padi\/4054078","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T17:24:02Z","timestamp":1780075442000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["ICF\u2010Based Assessment of Functioning Problems in Parkinson\u2019s Disease: Findings From a Cross\u2010Sectional Survey in Southern Ghana"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1564-6800","authenticated-orcid":false,"given":"Mary Wetani","family":"Agoriwo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5520-544X","authenticated-orcid":false,"given":"Erika","family":"Franz\u00e9n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4557-9418","authenticated-orcid":false,"given":"Marianne","family":"Unger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3121-2685","authenticated-orcid":false,"given":"Conran","family":"Joseph","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_2_11_1_2","volume-title":"Monitoring Health for the SDGs, Sustainable Development Goals","author":"World Health Statistics","year":"2020"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(06)70471-9"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-4422(18)30499-x"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26424"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22786"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/mrr.0b013e328344ae09"},{"key":"e_1_2_11_7_2","volume-title":"European Physiotherapy Guideline for Parkinson\u2019s Disease: Development and Justification","author":"Keus S.","year":"2014"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/npt.0000000000000229"},{"key":"e_1_2_11_9_2","volume-title":"Disability and Health","author":"World Health Organization International Classification of Functioning","year":"2001"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.05.019"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2010.511688"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.4102\/phcfm.v5i1.426"},{"key":"e_1_2_11_13_2","article-title":"Projections for Prevalence of Parkinson\u2019s Disease and Its Driving Factors in 195 Countries and Territories to 2050: Modelling Study of Global Burden of Disease Study 2021","author":"Su D.","year":"2025","journal-title":"BMJ"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ensci.2021.100361"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ensci.2016.03.003"},{"key":"e_1_2_11_16_2","unstructured":"Ghana Districts Ghana Districts: a Repository of all Local Assemblies in Ghana 2006 https:\/\/www.ghanadistricts.com\/Home\/District\/104."},{"key":"e_1_2_11_17_2","unstructured":"KBTH About us \u2013 Brief History \u2013 Korle-Bu Teaching Hospital [Internet] 2019 https:\/\/kbth.gov.gh\/brief-history\/."},{"key":"e_1_2_11_18_2","volume-title":"Our Story \u2013 Richard Novati Catholic Hospital","author":"RNCH"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06737-1"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.55.3.181"},{"key":"e_1_2_11_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_11_22_2","first-page":"1","article-title":"Determining Sample Size","author":"Glenn I. 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