Research Article

The Priority Goals and Underlying Impairments Contributing to Goal-Related Problems of People with Parkinson’s Disease Receiving a Community-Based Rehabilitation Program

Table 3

Number and percentage of goals classified by nature of goals according to ICF activity and participation chapters.

ICF activity and participation first and second level chapter codesn (%)ICF description of chapter and example GAS goals

Self-care20 (22.7)This chapter is about caring for oneself, washing and drying oneself, caring for one’s body and body parts, dressing, eating and drinking, and looking after one’s health
 d5701 managing diet and fitness17 (19.3)Increase participation in home exercise programs
 d540 dressing2 (2.3)Independently dress in clothing desired to wear instead of what can manage
 d5702 maintaining one’s health1 (1.1)Reduce missed dose or late dose incidences to 3 times per week
General tasks and demands18 (20.5)This chapter is about general aspects of carrying out single or multiple tasks, organising routines and handling stress. These items can be used in conjunction with more specific tasks or actions to identify the underlying features of the execution of tasks under different circumstances
 d2302 completing the daily routine7 (8.0)Use a list to prioritise tasks and completes 85–89% of tasks on list
 d220 undertaking multiple tasks2 (2.3)Sort, scan, and upload photos of children to create photobooks
 d230 carrying out daily routine2 (2.3)Improve planning with washing and dressing related to going out and being on time
 d2303 managing one’s own activity level2 (2.3)Fatigue management with scheduling and activity completion
 d2100 undertaking a simple task1 (1.1)Decrease time taken to send emails on smart phone
 d2304 adapting to changes in daily routine1 (1.1)Reduce the incidence and impact of tremors at work
 d240 handling stress and other psychological demands1 (1.1)Improve ability to manage emotions in loud environments
 d2400 handling responsibilities1 (1.1)Reduce incidence of forgetting appointments
 d2401 handling stress1 (1.1)Reduce incidence of forgetting things when stressed
Domestic life13 (14.8)This chapter is about carrying out domestic and everyday actions and tasks. Areas of domestic life include caring for one’s belongings and space, acquiring food, clothing and other necessities, household cleaning and repairing, caring for personal and other household objects, and assisting others
 d640 doing housework8 (9.1)Use pressure cleaner at home
 d650 caring for household objects4 (4.5)Refurbish adirondack chairs
 d630 preparing meals1 (1.1)Increase independence and ease with vegetable preparation (peeling and cutting)
Community, social and civic life11 (12.5)This chapter is about the actions and tasks required to engage in organised social life outside the family, in community, social and civic areas of life
 d920 recreation and leisure8 (9.1)Increase participation in creative and leisure activities
 d9100 informal associations2 (2.3)Engage in social and leisure activities with others 3-4 days per week
 d950 political life and citizenship1 (1.1)Engage in social and volunteer activities 3-4 days per week
Mobility11 (12.5)This chapter is about moving by changing body position or location or by transferring from one place to another, by carrying, moving or manipulating objects, by walking, running or climbing, and by using various forms of transportation
 d420 transferring oneself5 (5.7)Increase independence with sit to stand transfers
 d415 maintaining body position1 (1.1)Reduce incidence of falls
 d429 changing and maintaining body position, other specified and unspecified1 (1.1)Experience decreased pain/discomfort in recliner chair in the evenings
 d4301 carrying in the hands1 (1.1)Reduction of spilling when carrying drinks
 d4400 picking up1 (1.1)Improve ease and speed with getting keys from handbag
 d4401 grasping1 (1.1)Improve ease and speed opening packets and jars
 d4452 reaching1 (1.1)Improve ability to access things in low cupboards
Communication8 (9.1)This chapter is about general and specific features of communicating by language, signs and symbols, including receiving and producing messages, carrying on conversations, and using communication devices and techniques
 d345 writing messages6 (6.8)Improve touch typing speed
 d3501 sustaining a conversation2 (2.3)Maintain engagement and participates in conversation
Learning and applying knowledge4 (4.5)This chapter is about learning, applying the knowledge that is learned, thinking, solving problems, and making decisions
 d140 learning to read1(1.1)Improve fluency (speed, accuracy, and expression) when reading aloud
 d155 acquiring skills1 (1.1)Reduce incidence of forgetting names that I should know
 d1601 focusing attention on the environment1 (1.1)Recover from and reduce frustration from distractions
 d163 thinking1 (1.1)Minimise incidences of forgetfulness
Interpersonal interactions and relationships2 (2.3)This chapter is about carrying out the actions and tasks required for basic and complex interactions with people (strangers, friends, relatives, family members and lovers) in a contextually and socially appropriate manner
 d7502 informal relationships with acquaintances1 (1.1)Reduce tremor anxiety in social situations with others
 d799 interpersonal interactions and relationships, unspecified1 (1.1)Participate in 2 meaningful social interactions daily
Major life areas1 (1.1)This chapter is about carrying out the tasks and actions required to engage in education, work and employment and to conduct economic transactions
 d845 acquiring, keeping and terminating a job1 (1.1)Improve planning and scheduling of work activities to manage workload