Equivalence Reliability of the Functional Independence Measure for Children (WeeFIM®) Administration Methods

Sperle, Patricia A.; Ottenbacher, Kenneth J.; Braun, Susan; Lane, Shelly J.; Nochajski, Susan M.

doi:10.5014/ajot.51.1.35

Cited by 70 publications

(47 citation statements)

References 11 publications

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“…12 In other studies, interrater reliability had been confirmed for WeeFIM with Pearson's correlation coefficients and excellent agreement was indicated by Interclass Correlation Coefficient (ICC) Ͼ0.75. [13][14][15][16][17] Our study demonstrated good interrater reliability with ICC Ͼ0.98 and weighted kappas () of 0.92. We chose direct face-to-face interview with the mother as the usefulness of information collected by clinical interview had demonstrated good agreement when WeeFIM was administered either by direct observation or by interview with a parent.…”

Section: Discussionmentioning

confidence: 89%

“…We chose direct face-to-face interview with the mother as the usefulness of information collected by clinical interview had demonstrated good agreement when WeeFIM was administered either by direct observation or by interview with a parent. 17 Interestingly, Chinese children in Hong Kong scored better than the American counterparts in domain 1 (self-care) in all ages. This might be attributable to early attendance in preschool settings where children are taught to tend to their needs.…”

Section: Discussionmentioning

confidence: 99%

“…Its reliability and validity have been studied in healthy and disabled children. [13][14][15][16][17] Normative WeeFIM data have been validated for American children. 8 Because of cultural and environmental differences among countries, normative data for the Chinese population is needed.…”

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confidence: 99%

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Functional Independence Measure (WeeFIM) for Chinese Children: Hong Kong Cohort

Wong

Chan

et al. 2002

Pediatrics

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ABSTRACT. Background. The Functional Independence Measure (WeeFIM) for children is a simple-toadminister scale for assessing independence across 3 domains in American children. WeeFIM was based on a conceptual framework by the World Health Organization (1980) of pathology, impairment, disability and handicap, and the "burden of care." WeeFIM is useful in assessing functional independence in children aged 6 months to 7 years. It can be used for children with developmental disabilities aged 6 months to 21 years. Normative WeeFIM data had been validated for American children. Because of cultural and environmental differences among countries, normative data for the Chinese population are needed. With a normative database, the progression of independence at home and in the community can be evaluated.WeeFIM is an 18-item, 7-level ordinal scale instrument that measures a child's consistent performance in essential daily functional skills. Three main domains (selfcare, mobility, and cognition) are assessed by interviewing or by observing a child's performance of a task to criterion standards. WeeFIM is categorized into 2 main functional streams: "Dependent" (ie, requires helper: scores 1-5) and "Independent" (ie, requires no helper: scores 6 -7). Scores 1 (total assistance) and 2 (maximal assistance) belonged to the "Complete Dependence" category. Scores 3 (moderate assistance), 4 (minimal contact assistance), and 5 (supervision or set-up) belonged to the "Modified Dependence" category. Scores 6 (modified independence) and 7 (complete independence) belonged to the "Independent" category. The WeeFIM is a 7-level criterion-specific ordinal scale. Level 7 requires no assistance for the child and the child completes the task independently without requiring a device. During the task, there is no concern about safety or taking an inordinate amount of time. Level 6 reflects modified independence and includes use of an assistive device or not completing the task in a timely or safe manner.Objective. To examine the utility of the WeeFIM in Chinese children and to create a normative WeeFIM profile suitable for Chinese children.Method. Direct interviews were conducted for 445 normal Chinese children, aged 6 months to 7 years, in the community.Results. 1. WeeFIM total score and 3 domains subscores versus age. The total WeeFIM scores increased progressively with age, reaching a plateau at 72 months.There was a progressive increase in subscores of selfcare, mobility, and cognition independence between 6 to 62 months, especially between 6 to 45 months. Similarly, the WeeFIM self-care subscores increased progressively with age, reaching a plateau at around 72 months. The WeeFIM mobility subscores increased progressively with age, reaching a plateau at around 54 months. The WeeFIM cognition subscores increased progressively with age, reaching a later plateau at around 80 months.2. WeeFIM subtotal scores versus age. The total WeeFIM score and 3 domain subscores correlated significantly with age. We further classified the 18 items into 3 ...

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Functional Independence Measure (WeeFIM) for Chinese Children: Hong Kong Cohort

Wong

Chan

et al. 2002

Pediatrics

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“…The total WeeFIM score ranges between a minimum of 18 points (completely dependent in all activities) and a maximum of 126 points (completely independent in all activities). Its reliability and validity have been previously shown in children with SB patients and healthy children (10,11,13,14).…”

Section: Evaluation Criteriamentioning

confidence: 99%

“…However, there are few assessment methods available to evaluate functional status and QoL in these children. One of these measures is the Functional Independence Measure for Children (WeeFIM), which was generated from the adult FIM, and it is frequently used in order to assess the functional status of pediatric patients (10,11). Another measure that is used to evaluate the QoL of these patients is the Child Health Questionnaire PF-50 (CHQPF-50) scale (12).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Functional Status and Quality of Life in Children with Spina Bifida

Şahin¹,

Albayrak²,

Durmuş³

et al. 2014

Turk J Phys Med Rehab

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Objective: The aim of this study was to determine functional status and QoL of children with spina bifida (SB) by using the Functional Independence Measure for Children (WeeFIM) and the Child Health Questionnaire PF-50 (CHQPF-50) and to compare the functional status data of pediatric SB patients with those of healthy children. Material and Methods: Forty children with SB and 40 healthy children aged between 36 and 143 months were enrolled in the study. Both pediatric SB patients and healthy children were divided into three age groups: Group 1: 36-71 months, Group 2: 72-107 months, and Group 3: 108-143 months. The WeeFIM and CHQPF-50 were completed for children with SB, whereas the WeeFIM was completed only for healthy children. Results: In both assessments, the total score and subscale scores were lower than normal values in children with SB. However, improvement was found in self-care; communication; social, emotional, and mental status; and family factors with increasing age. On the other hand, there was no improvement in physical score, transfer, mobility, and sphincter control with increasing age. Functional status of children with SB was significantly lower compared to healthy children. Conclusion: There was progress in self-care, communication, family factors, and social, emotional and mental status in children with SB with increasing age.

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Botulinum toxin type A in the treatment of lower limb spasticity in cerebral palsy

Ade-Hall

Moore

2000

Cochrane Database of Systematic Reviews

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Equivalence Reliability of the Functional Independence Measure for Children (WeeFIM®) Administration Methods

Cited by 70 publications

References 11 publications

Functional Independence Measure (WeeFIM) for Chinese Children: Hong Kong Cohort

Functional Independence Measure (WeeFIM) for Chinese Children: Hong Kong Cohort

Assessment of Functional Status and Quality of Life in Children with Spina Bifida

Botulinum toxin type A in the treatment of lower limb spasticity in cerebral palsy

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