9. ICF-Participation

Screen shot 2016-08-26 at 9.56.26 PMIn my opinion, participation is the most fun part of the ICF.    Participation is using an activity to interact with others or with the environment.  When the activity is walking, participation is walking on the beach with friends, or walking in the grocery store to help with the shopping.  Participation is one of the most motivating and satisfying levels of functioning.  New activities should be put into participation as soon as possible to build motor control.  These happen in many different environments:  Home, friends’ homes, schools, libraries and parks.  Therapists usually only know about this aspect of functioning by listening closely or by asking questions.  Therapists can increase participation by being knowledgeable about community activities and resources that match the child’s interests and ability level.

Participation usually involves one of the F-Domains:

  • Friends
  • Family
  • Fun
  • Future
  • Fitness
  • Function


  • Collaborative goal setting with and for children as part of therapeutic intervention. Children’s responses underlined the significance of self-efficacy and participation for a child’s health and well-being. They gave priority to their independence, competence, and joy in meaningful everyday activities and indicated social motives such as belonging to and being accepted by others for their mainly participation-oriented goals.



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