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
Article Sidebar
Submitted
March 2, 2023
Published
October 18, 2023
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.
Full text article
Generated from XML file
Authors
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 Dec. 4];34(2):48-64. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/690
Copyright (c) 2023 The Author(s)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License By-NC-ND 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
