Implementation of functional autonomy measurement system: barriers and facilitators in PISE-Dordogne project

Gervais, Pauline; Hébert, Réjean; Lamontagne, Julie; Tousignant, Michel

doi:10.1684/pnv.2011.0306

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Both the SMAF and Iso-SMAF tools are used elsewhere in the world (e.g. in France [36], Switzerland [37] and Brazil [38], namely). The profiles constitute a central part of integrated care pathways [39] to plan services for older people.…”

Section: Source Of the Data And Measuresmentioning

confidence: 99%

Covariates of Disability-Profile Transitions in Older People Living at Home

Raı̂che

Hébert

Dubois

et al. 2014

JBM

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The objective of this study was to explore the relationship of sociodemographic, clinical, and health-services use-related variables with transitions between disability-based profiles. In a longitudinal study of 1386 people aged 75 and over living in the community at baseline, disabilities were assessed annually for up to four years with the Functional Autonomy Measurement System (SMAF), which generates 14 Iso-SMAF profiles. These profiles are grouped into 4 disability states, which are predominant alterations in instrumental activities of daily living (IADLs), mobility, mental functions as well as severe and mixed disabilities. Continuous-time, multi-state Markov modeling was used to identify the factors associated with transitions made by older people between these states and to institutionalization and death. Greater age and receiving help for ADL were associated with four transitions, while altered cognitive functions and hospitalization were associated with three, all involving more decline or less recovery. From mild IADL profiles, men have a higher risk of transitioning to intermediate predominantly mental profiles, while women are at higher risk of transitioning to intermediate predominantly mobility profiles. Unmet needs are associated with deterioration, from mild IADL to intermediate predominantly mobility profiles. These results help understanding the complex progression of disabilities in older people.

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Section: Source Of the Data And Measuresmentioning

confidence: 99%

Covariates of Disability-Profile Transitions in Older People Living at Home

Raı̂che

Hébert

Dubois

et al. 2014

JBM

Self Cite

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Converting Functional Autonomy Measurement System Scores of Patients Post-Stroke to FIM Scores

Bravo

Richards

Corriveau

et al. 2018

Physiotherapy Canada

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Purpose: The Functional Independence Measure (FIM) is widely used to assess persons post-stroke. The Quebec government has selected the Functional Autonomy Measurement System (SMAF) for use in all care settings. In this article, we propose simple equations to convert SMAF scores to FIM scores for persons undergoing post-stroke rehabilitation. Method: Persons post-stroke (n=143) from three rehabilitation centres were assessed at admission and discharge using the FIM and SMAF. The sample was randomly split into derivation and validation data sets. Regression analysis was performed on the first data set to derive a conversion equation at each time point. The validity of the equations was measured using correlation coefficients, and differences between the observed and predicted FIM scores were computed from the second data set. Results: The relationship between the SMAF and FIM scores was linear at admission but quadratic at discharge. The proposed equations are, at admission, FIM=139−1.5×SMAF and, at discharge, FIM=118−0.018×SMAF2. The observed and predicted FIM scores were highly correlated in the validation data set (rs=0.92 and 0.93 at admission and discharge, respectively). Furthermore, the equations performed well in classifying stroke severity compared with a classification based on the observed FIM scores. Conclusions: SMAF scores can be reliably converted to FIM scores using the proposed equations, thus facilitating international trials in stroke rehabilitation.

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Implementation of functional autonomy measurement system: barriers and facilitators in PISE-Dordogne project

Cited by 2 publications

References 11 publications

Covariates of Disability-Profile Transitions in Older People Living at Home

Covariates of Disability-Profile Transitions in Older People Living at Home

Converting Functional Autonomy Measurement System Scores of Patients Post-Stroke to FIM Scores

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