WeeFIM - Weebly

WeeFIM - Weebly

WeeFIM Alyssa Sherd & Rachel Elery History Created in 1987 Adaptation of the Functional Independence Measure (FIM) for adults Criterion and norm-referenced

WeeFIM Purpose & Philosophy Intended to provide an overview of childs functional status Should be used in conjunction with other assessments of daily living skills Measures Assists Tracks burden of care and disability

in setting treatment goals childs outcomes and monitors changes Who can administer? Not domain-specific, so used by multiple health professionals Administrators must be trained and pass exam Re-certification every 2 years

Cost & Availability $4,100 for inpatient & outpatient training programs Includes: WeeFIM instrument & Data set WeeFIMware National software

Database & Benchmark Reports Education, Research training, credentialing, & consulting & Development Who does it measure? No disability: children 6 months to 7 years Initial normative sampling of 400 children

Disability: children 6 months to 18 or 21 years Congenital, developmental, or acquired disabilities Functioning at or below 7 years Assessment Direct

observation, interview, or both 15-30 minute administration time Inpatient, settings outpatient, & community-based Measurement 18 items measured within 3 domains: Self-care

Mobility Cognition All 18 must be rated Scoring 7-level 1= ordinal scale Total assistance (child performs >25% of task) 2=Maximal

assistance (25-49%) 3=Moderate 4=Minimal assistance (50-74%) assistance (<75%) 5=Supervision/setup 6=Modified independence 7=Complete independence

Rating & Interpretation Calculate WeeFIM items (self-care, moblility, cognition) & total raw score Convert raw scores to functional quotients (raw score age-based norm score) x 100 Refer

to norm table and graphs for data Psychometric Properties Normative sampling of over 400 children without disabilities ages 6 months to 8 years Statistically significant correlation between WeeFIM ratings and chronological age Studies of children with disability

Test/retest & inter/intrarater reliability Equivalence reliability Research: Cerebral Palsy in Turkey 134 children ages 6 months to 16 years Varying degrees of CP WeeFIM

has strong: Test-retest Internal reliability consistency Interrater reliability Research: Norms for Children in China 445

typically developing children Ages As 6 month to 7 years age progresses, so does independence Concluded environmental and cultural differences in level of independence by age Research: Equivalence

Reliability 30 children with developmental disabilities Ages 19-71 months Assessed with direct observation and parental interview Agreement between the two methods was

found Established usefulness of interviewing 0-3 Module Measures the precursors to functioning Contains 36 items in 3 domains (motor, cognitive, behavioral) Used

when child is rating is less than 30 on WeeFIM Uses a four-level rating system: 3=Usually 2=Sometimes 1=Rarely 0=Never Group Activity Case EDIT studies

THIS TO INCLUDE THE 3 ITEMS WE WANT THEM TO SCORE Strengths & Weaknesses Strengths: Weaknesses: Still could be some room for subjectivity in scoring Can be administered by a variety of healthcare professionals

Parents may not give true/accurate depiction of their childs abilities Training program for facilities is very expensive Can be administered in a variety of healthcare settings

Scoring sheet is confusing and difficult to navigate Helps determine goals for client and monitor gains in functioning Short administration time Information and norms may need to be updated since this evaluation tool was established

almost thirty years ago Abundance of research across ethnicities and diagnoses in support of the reliability and validity References Niemeijer, A.S., Reinders-Messelink, H.A., Disseldorp, L.M., & Nieuwenhuis, M.K. (2012). Feasibility, reliability, and agreement of the WeeFIM instrument in Dutch children with burns. Physical Therapy. 93(7), 958-966. Occupational Therapy for Children Assessment Portfolio. (2013). Pediatric functional independence measure (WeeFIM). Retrieved from http://otforchildrenassessmentportfolio.blogspot.com/2013/04/pediatricfunctional- independence.html Sperle, P.A., Ottenbacher, K.J., Braun, S.L., Lane, S.J., & Nochajski, S. (1997). Equivalence reliability of the

Functional Independence Measure for Children (WeeFIM) administration methods. The American Journal of Occupational Therapy. 51(1), 35-41. Tur, B.S., Kucukdeveci, A.A., Kutlay, S., Yavuzer, G., Elhan, A.H., & Tennant, A. (2009). Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey. Developmental Medicine and Child Neurology, 51(9), pp. 732-738. DOI: 10.1111/j.1469-8749.2008.03255.x Uniform Data System for Medical Rehabilitation. (2009). The WeeFIM II teaching guide, version 1.0. Buffalo, NY: UDSMR. WeeFIM System Clinical Guide: Version 5. (1998). Buffalo, NY: University at Buffalo Wong, V., Wong, S., Chan, K., & Wong, W. (2002). Functional Independence Measure (WeeFIM) for Chinese children: Hong Kong Cohort (Abstract). Pediatrics (Evanston). 109(2), pp. 309-310.

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