Abstract
Background Although participation is a core concept in multiple models of disability, there
is no consensus on its definition.
Objective The aim of this study was to extract participation domains based on review of theories,
available outcome measures, and interviews with experts and the person with hand injuries
to compare with the ICF domains of participation.
Methods A qualitative approach using a deductive content analysis was employed to extend
definitions of participation from theories. Later on, inductive qualitative method
using semistructured interview with five experts in different fields and 30 patients
with different hand injuries was used. Coding was performed with extracted domains
from the content of data, and finally, the extracted domains were compared with the
ICF domains of participation.
Results Some of the extracted domains were not considered in ICF.
Conclusion Subjective participation is the main forbearance part. Role, leisure, domestic life,
environment, and others are also main missing meanings. This limitation can hinder
measuring disability and health.
Keywords
participation - ICF - disability - hand injuries
