1. THE FRAMEWORK

2. Allows codification of complex information, over 1400 codes
Bio-psycho-social view of the determinants of health
Health status in terms of Functionality (d.codes-”Activities - Participation”)
Biomedical condition as Capacity (b and s codes-”Body Functions – Structures”)
Context as barriers or facilitators for Performance (e codes- “Environmental Factors”)

3. ICF model: not helpful to guide enquiry and action, a “change model” is needed

4. Proposed modification of causal relationships
Environmental Factors (e codes)
Social
PERFORMANCE?
Participation (d codes) Activities
Overlap
FUNCTIONING?
CAPACITY?
Individual
Body Functions and Structures (b and s codes)

5. Proposed unit of analysis: “Activity Setting” (O’Donnell)
Components of an activity setting
Joint productive activity
Cultural values and group goals
Scripts for conduct and self-expression
Tasks/behavior/experience
outcomes
Motives that persons have
Inter-subjectivity
Persons

6. Activity Settings allowed us to use people’s stories of events as INPUTS:
Cultural values and group goals
Where?
When?
Scripts for conduct and
self-expression (norms)
How?
Why?
What?
Tasks/behavior/experience
Motives that persons have
Persons

7. And social and individual change as OUTPUTS:
Societal patterns of production and consumption
Current activity setting
Cultural values and group goals
Scripts for conduct and
self-expression (norms)
Joint productive activity
New activity setting
Tasks/behavior/experience
Inter-subjectivity
Motives that persons have
Persons
Individual pathways of embodiment (Krieger)
Time

8. MAPPING TO THE ICF CODES
Outcomes of Activity Settings……..to ICF Functionality
e. Environmental Factors
Culture/values
PERFORMANCE
Scripts for conduct
FUNCTIONALITY ? d. Activities and Participation
JOINT PRODUCTIVE ACTIVITY/ INTERSUBJECTIVITY?
CAPACITY
Motives of participants
b. Body Functions and Structures
Persons

9. BY MODIFIYNG THE ICF FRAMEWORK,
A dynamic ecological model is proposed
Convergence on multidisciplinary ideas is achieved
The core of relations in the model is intuitively accessible to diverse populations