ICF-based Comparison on Musculoskeletal Health in Poland and Spain

Comparative Analysis of the Musculoskeletal Health of General Population in Poland and Spain: a Cross-sectional Study Using the International Classification of Functioning, Disability and Health for Chronic Musculoskeletal Conditions

Musculoskeletal conditions are a major cause of disability worldwide. These conditions are often associated with chronicity, which is a challenge for healthcare systems to address. Health care must be person-centred and take into account the individual perspective from which the disease is experienced. The lived experience of health conditions depends to a large extent on contextual factors. Comparison between different contexts helps to identify which aspects are most relevant in the experience of the disease. The International Classification of Functioning, Disability and Health (ICF) provides a unified language that allows such comparisons to be made. The aim of this study is to identify differences in musculoskeletal health between the Polish and Spanish populations using the ICF as a frame of reference.

Study Overview

• Status: Not yet recruiting
• Conditions: Musculoskeletal Diseases or Conditions
• Intervention / Treatment: Other: ICF-based cross-country comparative analysis

Detailed Description

Musculoskeletal conditions are a major cause of disability worldwide. These conditions are often associated with chronicity, which is a challenge for healthcare systems to address. Health care must be person-centred and take into account the individual perspective from which the disease is experienced. The lived experience of health conditions depends to a large extent on contextual factors.

The ICF is the framework proposed by the World Health Organization to describe the organic changes caused by a condition and the modulating effect of contextual factors on the resulting disability. The ICF core sets are tools that facilitate the use of this classification in clinical practice. The ICF core sets have been developed for a wide range of health conditions, but there has traditionally been a lack of validation studies. In recent years, studies have been developed using ICF core sets for musculoskeletal conditions in different populations. In particular, the musculoskeletal health of the Polish and Spanish populations has been assessed using the brief ICF core set for post-acute musculoskeletal conditions. This availability of data allows comparisons to be made of the health status of these populations using the ICF as a frame of reference. This possibility of using ICF for this purpose is unknown in the scientific literature and could contribute to the identification of the aspects that are most relevant in the experience of the health condition.

The aim of this study is to identify differences in musculoskeletal health between the Polish and Spanish populations using the ICF as a frame of reference. The development of this study also has the aim of providing the methodological basis for the development of transnational comparisons on the basis of the ICF.

• Study Type: Observational
• Enrollment (Estimated): 800

Contacts and Locations

• Study Contact: Name: Agnieszka Wiśniowska-Szurlej, PhD; Phone Number: + 48 604 181 162; Email: agwisniowska@ur.edu.pl

Study Locations

• Poland
  • Rzeszów, Poland, 35-959
    • University of Rzeszow
    • Contact: Agnieszka Wiśniowska-Szurlej

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

People with musculoskeletal conditions from the general population in Poland and Spain will be the potential participants in this study.

Description

Inclusion Criteria:

• age between 18 and 65 years,
• diagnosed musculoskeletal disorder according to ICD-10,
• normal cognitive status to perform reliable study (The Abbreviated Mental Test Score >6),
• informed and voluntary consent to participate in the study,
• sufficient knowledge of the Spanish or Polish language.

Exclusion Criteria:

• mental disorders - depression or personality disorders confirmed by a medical diagnosis,
• referral for a non-musculoskeletal problem,
• referral from hospital services.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Poland; People with musculoskeletal conditions from the general population in Poland	Other: ICF-based cross-country comparative analysis; ICF-based cross-country comparative analysis
Spain; People with musculoskeletal conditions from the general population in Spain	Other: ICF-based cross-country comparative analysis; ICF-based cross-country comparative analysis

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Brief International Classification of Functioning, Disability and Health (ICF) core set for post-acute musculoskeletal conditions	The core set of codes cover categories, including Body Functions, Activities and Participation and Environment Factors. All codes from each category are quantitatively assessed with qualifiers using the same scale denoting the severity of the problem or the magnitude of the impairment on a scale of 0 to 4 (xxx.0 NO problem; xxx.1 MILD problem; xxx.2 MODERATE problem; xxx.3 SEVERE problem; xxx.4 COMPLETE problem; xxx.8 not specified and xxx.9 not applicable).	2024-01/2024-07

Secondary Outcome Measures

Outcome Measure	Time Frame
Sociodemographic data of the sample (nationality, age, sex, education level, work status, number of comorbidities)	2024-01/2024-07

Collaborators and Investigators

• Sponsor: University of Rzeszow
• Collaborators: Sanidad de Castilla y León
• Investigators: Principal Investigator: Agnieszka Wiśniowska-Szurlej, PhD, University of Rzeszow

Study record dates

Study Major Dates

• Study Start (Estimated): March 4, 2024
• Primary Completion (Estimated): June 3, 2024
• Study Completion (Estimated): November 4, 2024

Study Registration Dates

• First Submitted: February 21, 2024
• First Submitted That Met QC Criteria: February 21, 2024
• First Posted (Actual): February 28, 2024

Study Record Updates

• Last Update Posted (Estimated): March 1, 2024
• Last Update Submitted That Met QC Criteria: February 28, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Keywords: Disability Evaluation; Musculoskeletal Diseases; International Classification of Functioning, Disability and Health; Musculoskeletal Diseases
• Additional Relevant MeSH Terms: Pathologic Processes; Disease; Musculoskeletal Diseases
• Other Study ID Numbers: ICF

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No