Journal of the Academy of Nutrition and Dietetics

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Journal of the Academy of Nutrition and Dietetics Toward Harmonization of the Nutrition Care Process Terminology and the International Classification of Functioning, Disability and Health−Dietetics: Results of a Mapping Exercise and Implications for Nutrition and Dietetics Practice and Research Gabriele Gäbler, MSc, Michaela Coenen, PhD, MPH, Claudia Bolleurs, MSc, LD, Willy K. Visser, RD, Sytske Runia, RD, Yvonne F. Heerkens, PhD, Tanja A. Stamm, PhD Journal of the Academy of Nutrition and Dietetics DOI: 10.1016/j.jand.2016.12.002 Copyright © 2017 Academy of Nutrition and Dietetics Terms and Conditions

Figure 1 Nutrition Care Practice Terminology (NCPT)5/International Classification of Functioning, Disability and Health (ICF)−Dietetics (Dutch Dietetic Association and Dutch Institute of Allied Health Care, ICF-Dietetics Draft-α version, unpublished data, 2012) mapping. The ICF-Dietetics is based on the Biopsychosocial Model of Functioning and Disability and on the hierarchical structure of the ICF.19 The figure depicts the interactions between components of the ICF (Body Functions/Body Structures, Activities, Participation, Environmental Factors, Personal Factors) and an example of the hierarchical structure of original ICF categories and added more precise dietetics categories (highlighted in red). The ICF describes human functioning from different perspectives (Body Functions/Body Structures and Activities/Participation) that is influenced on the one hand by health conditions (classified with the International Statistical Classification of Diseases and Related Health Problems, 10th revision21) and, on the other hand, by contextual factors (Environmental and Personal factors). Each ICF component is organized in a hierarchical structure. The ICF-Dietetics enlarges the original ICF by adding categories and codes (highlighted in red) addressing nutrition and dietetics−related issues to enhance the granularity in this field. Throughout the whole ICF-Dietetics, the hierarchical structure of the ICF is maintained and further lower (more detailed) levels are added. Adapted and reprinted from: International Classification of Functioning, Disability and Health: ICF. Geneva, Switzerland: World Health Organization; page 18, Copyright 2001.19 Journal of the Academy of Nutrition and Dietetics DOI: (10.1016/j.jand.2016.12.002) Copyright © 2017 Academy of Nutrition and Dietetics Terms and Conditions

Figure 2 Process of Nutrition Care Practice Terminology (NCPT)/International Classification of Functioning, Disability and Health (ICF)−Dietetics mapping exercise. Journal of the Academy of Nutrition and Dietetics DOI: (10.1016/j.jand.2016.12.002) Copyright © 2017 Academy of Nutrition and Dietetics Terms and Conditions

Figure 3 Nutrition Care Practice Terminology (NCPT)/International Classification of Functioning, Disability and Health (ICF)−Dietetics mapping: decision process (adapted from Cieza and colleagues33) complemented with closeness-of-match categories (adapted from Zielstorff and colleagues36). Journal of the Academy of Nutrition and Dietetics DOI: (10.1016/j.jand.2016.12.002) Copyright © 2017 Academy of Nutrition and Dietetics Terms and Conditions

Figure 4 Nutrition Care Practice Terminology (NCPT)/International Classification of Functioning, Disability and Health (ICF)−Dietetics mapping results: Frequencies of 830 mapped concepts regarding NCPT domains and ICF components. The ovals represent NCPT domains and rectangles represent ICF components. Dark black arrows show to which ICF component the NCPT concepts of each domain were mainly linked. The additional dotted arrows indicate frequencies <20%. Journal of the Academy of Nutrition and Dietetics DOI: (10.1016/j.jand.2016.12.002) Copyright © 2017 Academy of Nutrition and Dietetics Terms and Conditions