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The Functional Independence Measure for Children (WeeFIM)

Conceptual Basis and Pilot Use in Children With Developmental Disabilities

Department of Pediatrics, SUNY at Buffalo, Department of Rehabilitation Medicine, SUNY at Buffalo

Kathleen DiGaudio

Pediatric Nurse Practitioner, Robert Warner Rehabilitation Center, Children's Hospital of Buffalo, Buffalo, New York

Brian T. Rogers

Department of Pediatrics, SUNY at Buffalo, Department of Neurology, SUNY at Buffalo

Suzanne LaForest

Pediatric Nurse Practitioner, Robert Warner Rehabilitation Center, Children's Hospital of Buffalo, Buffalo, New York

Nancy L. Catanzaro

Pediatric Nurse Practitioner, Robert Warner Rehabilitation Center, Children's Hospital of Buffalo, Buffalo, New York

Jeanette Campbell

Pediatric Nurse Practitioner, Robert Warner Rehabilitation Center, Children's Hospital of Buffalo, Buffalo, New York

Felicia Wilczenski

Department of Educational Psychology, School of Medicine and Biomedical Sciences, SUNY at Buffalo, Buffalo, New York

Linda C. Duffy

Department of Pediatrics, SUNY at Buffalo

Few tools are available to pediatricians for tracking and monitoring disability status in children. We describe the conceptual basis and pilot use of the Functional Independence Measure for Children (WeeFIM) . Our pilot use of this instrument in children with limb deficiency, Down's syndrome, spina bifida, cerebral palsy, and extreme prematurity demonstrates that the WeeFIM is a valid measure for tracking disability in preschool age and middle childhood. The WeeFIM measures the impact of developmental strengths and difficulties on independence at home, in school, and in the community. This allows the pediatrician to prioritize interventions for enhancing comprehensive functional outcomes and supporting families.

Clinical Pediatrics, Vol. 33, No. 7, 421-430 (1994)
DOI: 10.1177/000992289403300708


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