![]() Girls aged 22 to 45 months had higher scores in self-care subscores and cognition subscores. At 60 months, the following ranked in order: memory (order 16), problem-solving (order 17), and toileting (order 18).Ĥ. ![]() Then, 9 items were achieved at around 54 to 56 months: tub or shower transfer (order 7), eating (order 8), bathing (order 9), bowel management (order 10), dressing of lower body (order 11), comprehension (order 12), dressing of upper body (order 13), bladder management (order 14), and grooming (order 15). Thereafter, there was a clustering of 4 items achieved at around 45 months: toilet transfer (order 3), stair (order 4), expression (order 5), and social interaction (order 6). In creating a developmental scale of achievement of level 6 (modified independence) for all 18 items, the developmental sequence clustered in the following order: chair transfer (order 1) and walk (order 2) were achieved much earlier (at 18 and 24 months, respectively). The 50th percentile of age in months for achieving level 6 (modified independence) of the 18 items were compared and ranked according to the age of achieving level 6. Chronological order for achieving different items. The item “walk” had the lowest correlation with ρ = 0.6–0.7.ģ. Only 1 item (chair transfer) showed moderate correlation with ρ = 0.7–0.8. Most items had high correlation with Spearman’s correlation coefficient of ρ >0.8. We further classified the 18 items into 3 groups according to the degree of correlation with age. The total WeeFIM score and 3 domain subscores correlated significantly with age. The WeeFIM cognition subscores increased progressively with age, reaching a later plateau at around 80 months.Ģ. The WeeFIM mobility subscores increased progressively with age, reaching a plateau at around 54 months. Similarly, the WeeFIM self-care subscores increased progressively with age, reaching a plateau at around 72 months. There was a progressive increase in subscores of self-care, mobility, and cognition independence between 6 to 62 months, especially between 6 to 45 months. The total WeeFIM scores increased progressively with age, reaching a plateau at 72 months. WeeFIM total score and 3 domains subscores versus age. Direct interviews were conducted for 445 normal Chinese children, aged 6 months to 7 years, in the community. To examine the utility of the WeeFIM in Chinese children and to create a normative WeeFIM profile suitable for Chinese children. Level 6 reflects modified independence and includes use of an assistive device or not completing the task in a timely or safe manner. During the task, there is no concern about safety or taking an inordinate amount of time. Level 7 requires no assistance for the child and the child completes the task independently without requiring a device. The WeeFIM is a 7-level criterion-specific ordinal scale. Scores 6 (modified independence) and 7 (complete independence) belonged to the “Independent” category. Scores 3 (moderate assistance), 4 (minimal contact assistance), and 5 (supervision or set-up) belonged to the “Modified Dependence” category. Scores 1 (total assistance) and 2 (maximal assistance) belonged to the “Complete Dependence” category. WeeFIM is categorized into 2 main functional streams: “Dependent” (ie, requires helper: scores 1–5) and “Independent” (ie, requires no helper: scores 6–7). Three main domains (self-care, mobility, and cognition) are assessed by interviewing or by observing a child’s performance of a task to criterion standards. WeeFIM is an 18-item, 7-level ordinal scale instrument that measures a child’s consistent performance in essential daily functional skills. With a normative database, the progression of independence at home and in the community can be evaluated. Because of cultural and environmental differences among countries, normative data for the Chinese population are needed. Normative WeeFIM data had been validated for American children. It can be used for children with developmental disabilities aged 6 months to 21 years. 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. The Functional Independence Measure (WeeFIM) for children is a simple-to-administer scale for assessing independence across 3 domains in American children.
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