Impact of ICF in improving Knowledge, Attitudes and Behaviour regarding Interprofessional Practice among Health Professionals in Rwanda Jean Baptiste Sagahutu

Introduction Good collaboration between HP can: Improved patient care. Reduce medical errors Assist in interpretation of health information Improved patient care. The ICF: potential framework to help HP provide a common language Better collaboration

Methodology Setting: Rwanda, district hospitals CRCT was used to select Hospitals 2 Experimental and 2 Control Targeted services: Medical, Surgical & Pediatric wards Intervention: 2 Experimental Hospitals: In-service one day ICF training programme 2 Control Hospitals: A short talk and booklet on ICF. Participants: Medical Doctors , Nurses, Physiotherapists, Social Workers, Nutritionists, Mental health nurse and/or Clinical psychologists + Patients’ records of discharged patients

Results A total of 203 HP participated (Exp=103;Cont=100) Ranging from 50 to 53 in each hospital. The mean age was 35.7 years (SD=8.29). No significant difference in age btn 2 groups (p=.208). No significant association between gender, profession, place of work and group.

Comparison of knowledge across professions

Comparison of attitudes across professions

Audit of scores of Experimental and Control group at different occasions

The items with greatest improvement at 2 months ICF domain & IPP  Items Post-Pre difference (Experimental) Post-Pre difference (Control) Interprofessional Practice (IPP) Case managed by different professionals 38 3.5 IPP Health professional team identified 34.5 4.5 Health professionals treating the patient have documented 4 Discharge note 34 Referrals to other disciplines 27.5 3 Environmental Factors Health condition managed in context 22 1 Referral to other services 21 -15 Participation Restriction Occupation 20.7 -10.7 Activity Limitation Impact of condition on functioning 18.5 Impairment Impairment addressed Preventive measures of recurrence of health condition or complications related to condition 18 -1 Personal Factors Personal factors including mental and spiritual needs 16.5 6.5 Functioning addressed Impact of environmental factors 14.5 Health condition and diagnosis 9.5 2.5 Health condition Environmental factors addressed 6 Demographic information Discharge date 9 Symptoms 7 5 Assessment of Impairment 5.5 11.5 Demographic Information Marital status 3.6 Gender -2.5 Address Name 0.5 Age Medical Aid/ No medical aid Education Admission Date Record Number

Conclusion The introduction of the ICF as the framework to inform IPP in Rwanda could result in the adaptation of the bio-psycho-social model and a more holistic approach to care. It is, therefore, hoped that the findings of this study may contribute to improving health care delivery in Rwandan district hospitals and health system at large