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Evaluating ICF-Based Case Management in Adults With Intellectual Disabilities

5 november 2026 bijgewerkt door: Po Leung Kuk

Effectiveness of ICF-based Case Management in Promoting Independence and Vocational Participation Among Adults With Intellectual Disabilities: A Randomized Controlled Trial

The goal of this clinical trial is to evaluate whether an ICF-based interdisciplinary case management model can improve adaptive functioning, functioning and participation, and vocational functioning among adults aged 18 to 60 years with mild to moderate intellectual disabilities receiving residential care or vocational rehabilitation services in Hong Kong. The main questions it aims to answer are:

  • Does ICF-based interdisciplinary case management lead to greater improvements in adaptive functioning, as measured by the Vineland Adaptive Behavior Scales, Third Edition (Vineland-3), compared with conventional multidisciplinary rehabilitation care?
  • Does ICF-based interdisciplinary case management improve functioning and participation outcomes across relevant ICF domains compared with conventional multidisciplinary rehabilitation care?
  • Among participants receiving vocational rehabilitation services, does the intervention improve vocational functioning and work-related behaviours compared with conventional multidisciplinary rehabilitation care?

Researchers will compare participants receiving ICF-based interdisciplinary case management with those receiving conventional multidisciplinary rehabilitation care to determine whether the ICF-based approach produces better outcomes in adaptive functioning, functioning and participation, and vocational functioning.

Participants will:

  • Complete baseline and post-intervention assessments over a 6-month study period.
  • Be randomly assigned to either the ICF-based case management group or the conventional care group.
  • Receive rehabilitation services from multidisciplinary professionals.
  • If assigned to the intervention group, undergo ICF-based assessment, interdisciplinary goal setting, case conferences, and coordinated rehabilitation planning guided by the ICF Rehab-Cycle®.
  • Complete outcome evaluations using the Vineland-3, WHO ICF Checklist v2.1a, and, where applicable, the Chinese Work Personality Profile (CWPP).

Studie Overzicht

Toestand

Nog niet aan het werven

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

Adults with intellectual disabilities often experience complex and interrelated challenges in adaptive functioning, participation, and community integration that require coordinated interdisciplinary rehabilitation. The World Health Organization's International Classification of Functioning, Disability and Health (ICF) provides a biopsychosocial framework for understanding functioning and disability and facilitates communication, goal setting, and collaborative care planning among rehabilitation professionals.

This randomized controlled trial aims to evaluate the effectiveness of an ICF-based interdisciplinary case management model for adults with intellectual disabilities receiving residential care or vocational rehabilitation services. Participants will be randomly allocated to either an ICF-based interdisciplinary case management group or a conventional multidisciplinary rehabilitation care group and followed for six months.

The intervention is guided by the ICF Rehab-Cycle®, which comprises four key processes: assessment, assignment, intervention, and evaluation. Using the ICF framework, interdisciplinary team members will conduct a comprehensive assessment of participants' body functions, activities, participation, environmental factors, and personal factors. Assessment findings will be used to develop a shared understanding of each participant's functioning profile and to formulate individualized rehabilitation goals through interdisciplinary case conferences. These goals will guide coordinated intervention planning and service delivery. Participants' progress and goal attainment will be reviewed regularly, and intervention strategies will be adjusted according to changes in functioning and participation throughout the rehabilitation process.

Participants in the control group will receive routine multidisciplinary rehabilitation services according to existing service practices without the use of a structured ICF-based case management framework.

The findings will provide evidence regarding the clinical effectiveness and feasibility of implementing an ICF-based interdisciplinary case management approach in intellectual disability rehabilitation services and may inform future service development, interdisciplinary practice, and the application of the ICF framework in rehabilitation settings.

Studietype

Ingrijpend

Inschrijving (Geschat)

84

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Locaties

  • Hongkong
      • Hong Kong, Hongkong, 999077
        • Po Leung Kuk Lau Chan Siu Po Integrated Rehabilitation Centre
        • Contact:

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 60 jaar (Volwassen)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

To be eligible for participation, individuals must:

  1. be aged between 18 and 60 years;
  2. have a formal medical diagnosis of mild or moderate intellectual disability;
  3. be currently receiving residential care or vocational rehabilitation services;
  4. be medically stable and able to participate in routine rehabilitation programmes; and
  5. provide informed consent directly or via a legally authorized representative.

Individuals will be excluded if they:

  1. experience an acute or unstable medical condition requiring intensive treatment;
  2. present with acute psychiatric episodes that may substantially interfere with participation;
  3. are currently participating in ICF-Based Interdisciplinary Case Management Programme; or
  4. lack an available consent pathway through either personal consent or legal representation.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: ICF-Based Interdisciplinary Case Management

Participants will receive rehabilitation services coordinated using the International Classification of Functioning, Disability and Health (ICF) framework. The intervention includes standardized ICF-based assessment, interdisciplinary case conferences, collaborative goal setting, individualized rehabilitation planning, and coordinated intervention delivery by multidisciplinary team members over a 6-month period. Outcomes are monitored and reviewed according to participants' functioning, participation, environmental, and personal factors.
Gedragsmatig: ICF-Based Interdisciplinary Case Management

A structured case management model utilizing the ICF framework to guide assessment, goal setting, intervention planning, and interdisciplinary collaboration for adults with intellectual disabilities receiving rehabilitation services.
Actieve vergelijker: Conventional Multidisciplinary Rehabilitation Care

Participants will receive usual rehabilitation services provided by multidisciplinary professionals according to existing service practices. Assessment, goal setting, and intervention planning will be conducted in accordance with routine procedures without the use of a structured ICF-based case management framework.
Ander: Conventional Multidisciplinary Rehabilitation Care

Standard rehabilitation services delivered by multidisciplinary professionals, including discipline-specific assessment, rehabilitation planning, and intervention based on existing service protocols.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Adaptive Functioning
Tijdsspanne: Baseline and 6 months (post-intervention)

Adaptive functioning measured by the Vineland Adaptive Behavior Scales, Third Edition (Vineland-3). The Vineland-3 assesses participants' adaptive behavior across domains including communication, daily living skills, and socialization. Change in scores from baseline to 6 months will be compared between the intervention and control groups.
Baseline and 6 months (post-intervention)

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Functioning and Participation
Tijdsspanne: Baseline and 6 months post-intervention.

Functioning and participation measured using the WHO ICF Checklist Version 2.1a. The assessment evaluates functioning across body functions, activities and participation, environmental factors, and personal factors. Changes from baseline to 6 months will be compared between groups.
Baseline and 6 months post-intervention.
Vocational Functioning
Tijdsspanne: Baseline and 6 months post-intervention.

Vocational functioning measured using the Chinese Work Personality Profile (CWPP). The assessment evaluates work-related behaviors and vocational performance among participants receiving vocational rehabilitation services. Changes from baseline to 6 months will be compared between groups.
Baseline and 6 months post-intervention.

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Po Leung Kuk

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Geschat)

26 november 2026

Primaire voltooiing (Geschat)

30 september 2027

Studie voltooiing (Geschat)

30 oktober 2027

Studieregistratiedata

Eerst ingediend

5 november 2026

Eerst ingediend dat voldeed aan de QC-criteria

5 november 2026

Eerst geplaatst (Werkelijk)

12 november 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

12 november 2026

Laatste update ingediend die voldeed aan QC-criteria

5 november 2026

Laatst geverifieerd

1 november 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • PLK/REC/2026/01

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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