Care management in individuals with type II Diabetes: linking the International Classification of Functioning with patient-reported outcomes measures

Type II diabetes mellitus displays a high prevalece among metabolic disorders, triggering clinical repercussions and elevated demand for self-management. The use of patient-reported outcome measures (PROMs) helps healthcare professionals in evaluating treatment strategies. The International Classification of Functioning (ICF) operationalizes the biopsychosocial model for a broader understanding of health condition among people with diabetes. This study aimed link the ICF content and PROMs previously validated for people with type II Diabetes, to identify common significant contents and to describe the scope between the ICF components. The study was conducted in two steps: (i) identification of specific and validated PROMs for type II Diabetes, and (ii) linkage between the instruments and the ICF, through the linkage methodology proposed by Cieza et al. Additionally, a proposed list of categories was used to classify personal factors. From the 12 PROMS included, 184 items were identified and linked to 84 different categories, where 78 belonged to the ICF and 6 to the list of personal factors. Of these, 40% represented body function, 38% activity and participation, 8% environmental factors, 7% body structure, and 7% personal factors. The categories were cited 365 times, and the activity and participation component was the most representative component, accounting for 38% of the citations. The most cited categories are related to food control, health care and managing activities in the physical and mental contexts.