Contents 
| Contents |
Table 5.1 attempts an A-P split of the domains in the single A-P list of domains, reflecting the WHO definitions and Australian Collaborating Centre draft criteria as far as possible. Comment has been sought within the AIHW and from its advisers. The italicised comments in the table show how much agreement there was on the split and the differing views in some areas.
An additional criterion was used in attempting the split; namely the split was done using broad groups of codes, so that ICF 'blocks' went into either one column or the other. This keeps comparison with the single A-P list (and any other split) as simple as possible.
Work along similar lines was undertaken by the Canadian Institute for Health Information on behalf of the North American Collaborating Centre (NACC) (CIHI 2001). Several options for splitting the domains were suggested, but the NACC has not adopted a particular split of the domains.
If option (a) is to be adopted, this table must be finalised to prevent overlap; that is, it must split the domains into activity domains and participation domains, so that no domain remains indeterminate, i.e. able to be used for either Activities or Participation.
Option (a) has been impossible to achieve over several years of testing. Although it is possible for individual users, it is not possible across different fields. Table 5.1 stems from different perspectives in the aged care and disability fields.
Table 5.1: Attempted split of Activities and Participation on the basis of domains
|
Activity |
Participation |
|
Ch 1: Learning and applying knowledge
All advisers agree these are 'A' |
|
|
Ch 2: General tasks and demands
Most agree these are 'A' |
|
|
Ch 3: Communication
Most agree these are all 'A' |
Ch 3: Communication
Disagreement on this. Some would like it in 'A' to keep the whole 'slab' together. If separated, could call one group 'communication activities' and the other 'participation in conversation/communication'. |
|
Ch 4: Mobility
All advisers agree these are 'A' |
Ch 4: Mobility
Disagreement on this. Some would like these in 'A' to keep the whole 'slab' together. A difficulty is that 'the home' could perhaps be better separated from the other parts of d460-469, but this makes an awkward split. Others are concerned that this is a fundamental human rights issue, not just a means to other ends - how can you participate in your society if you can't move around in it? If separated, one group could be called 'movement activities' and the other 'participation in movement around the home and community'. |
|
Ch 5: Self-care
All advisers agree these are 'A' |
|
|
Ch 6: Domestic life See discussion opposite. Some would put this entire chapter in 'A'. |
Ch 6: Domestic life
There is considerable disagreement here. Some would put all these in 'A', and suggest that some areas (e.g. 'household tasks') are very much like activities without very much social focus. Others see this group as so socially and environmentally determined as to make it difficult to ascribe meaning without the context of the physical household environment and the social expectations on the roles involved. Some see both sides! |
|
Ch 7: Interpersonal interactions and relationships
All agree these are 'P'. |
|
|
Ch 8: Major life areas
All agree these are 'P'. |
|
|
Ch 9: Community, social and civic life
All agree these are 'P'. |
Advice to users
The Australian Collaborating Centre is not able at this stage to recommend a split of the domains for general use; that is, it is not able to recommend option (a) as a general solution to delineating Activities and Participation.
Option (a) may nevertheless be suitable for specific applications, where users can obtain agreement among stakeholders on a suitable split of the domains, consistent with the ICF definitions. In this case, please record your experience in the template in Section 5.8.
| Contents |