Linkage between International Classification of Functioning, Disability and Health Qualifiers to levels of the Functional Independence Measure: A proposal for applicability in clinical practice in a Developing Country

Authors

  • Bibiana Caldeira Monteiro Universidade Nove de Julho
  • Fernanda Botta Tarallo Rogatto University of São Paulo (USP)
  • Simone Minae Yoneyama University of São Paulo (USP)
  • Gabriela Menegatti Faculty of Medicine of the University of São Paulo (FMUSP)
  • Sintia Pereira Navarro Rodrigues Faculty of Medicine of the University of São Paulo (FMUSP)
  • Letícia Cristina de Aquino de Castro Faculdade de Medicina do ABC
  • Soraia Micaela Silva Universidade Nove de Julho

DOI:

https://doi.org/10.20372/dcidj.690

Keywords:

International Classification of Functioning, Disability and Health, Patient Outcome Assessments, functional outcome, Functional Independence Measure

Abstract

Aim: To propose a link between Functional Independence Measure (FIM) levels and International Classification of Functioning, Disability and Health (ICF) qualifiers for use in a developing country (Brazil). Methods: A multidisciplinary committee was formed that discussed the need for standardization of the classification so that different professionals could accurately record the functioning and, at the same time, be meaningful for the individual and his support group, allowing observation and participation in the rehabilitation process. They proposed steps to adapt linking ICF qualifiers with FIM scores and functional levels: 1. Transposition, 2. Parity, 3. Inversion and 4. Adaptation. Results: FIM’s seven levels of functioning have been linked to the five ICF qualifiers. FIM levels "7" (independent) and "6" (modified independence) have been linked to qualifiers ("0 = no problem" and "1 = mild problem)", respectively. FIM levels "4" and "5" have been grouped and linked to ICF qualifier "2 = moderate". FIM levels "3" and "2" have been related to qualifier "3 = severe". FIM level 1 which indicates complete dependence has been linked to qualifier "4 = complete". Conclusion: This methodology allows us to create a link between the FIM and ICF preserving clinically important information and having a description and clear relationship, thus being able to facilitate clinical use of the ICF.

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Published

2023-10-18

How to Cite

1.
Monteiro BC, Rogatto FBT, Yoneyama SM, Menegatti G, Rodrigues SPN, de Castro LC de A, Silva SM. Linkage between International Classification of Functioning, Disability and Health Qualifiers to levels of the Functional Independence Measure: A proposal for applicability in clinical practice in a Developing Country. DCIDJ [Internet]. 2023 Oct. 18 [cited 2024 May 21];34(2):48-64. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/690

Issue

Section

Original Research Articles