The ICF as a “way of thinking”: An exploratory study of Australian speech-language pathologists’ perceptions regarding application of the International Classification of Functioning, Disability and Health

The International Classification of Functioning, Disability and Health (ICF) is a compelling framework and classification system with the potential to enhance person- centred care. This mixed methods study investigates the degree to which the ICF is used by speech-language pathologists (SLPs) in Australia and ascertains their knowledge, endorsement, and perceptions of ICF implementation. Survey data were collected from 117 SLPs and analysed statistically and thematically. Respondents rated their knowledge as “good” and reported using the broader ICF framework more than the detailed classification system. Comparison revealed significantly lower ICF knowledge and use in practitioners working with children and in settings serving children, than those in adult based settings or working with adults. The ICF was discussed as being “a way of thinking” and respondents strongly indicated desire to use it further. Education and promotion strategies should aim to enhance ICF uptake and holistic, person-centred care, leading to improved client outcomes and realisation of the 2030 vision of Speech Pathology Australia.