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Functional Assessment and Care of Children with Neurodevelopmental Disabilities

Ottenbacher, Kenneth J. PhD; Msall, Michael E. MD; Lyon, Nancy RN, PNP; Duffy, Linda C. PhD; Ziviani, Jenny PhD; Granger, Carl V. MD; Braun, Susan MLS, OTR

American Journal of Physical Medicine & Rehabilitation: March-April 2000 - Volume 79 - Issue 2 - p 114-123
Research Article: Functional Assessment

Objectives: To determine the relationship between pediatric assessment scores and ratings by parents and teachers regarding the amount of assistance required to complete basic activities of daily living; and to examine the relationship among scores for three commonly used pediatric assessments.

Design: Prospective correlational study. 205 children with developmental disabilities. The children ranged in age from 11 to 87 mo and included 72 females and 133 males of diverse socioeconomic and ethnic backgrounds. The children were evaluated by using the Battelle Developmental Inventory Screening Test, Vineland Adaptive Behavior Scales, Functional Independence Measure for Children (WeeFIM™ instrument), and the Amount of Assistance Questionnaire.

Results: The test-retest reliability coefficients for items on the Amount of Assistance Questionnaire were found to range from 0.82 to 0.97. Correlations among subscale scores and amount of assistance ratings were highest for the WeeFIM instrument and Battelle Developmental Inventory Screening Test. The highest correlation was between WeeFIM total rating and total amount of assistance rating (r = 0.91).

Conclusion: Total WeeFIM instrument ratings and severity of disability were the best predictors of amount of assistance ratings provided by parents and teachers.

From the University of Texas Medical Branch, Galveston, Texas (KJO), the Child Development Center, Providence, Rhode Island (MEM), the Robert Warner Rehabilitation Center, Buffalo, New York (NL), the Children's Hospital of Buffalo, Buffalo, New York (LCD), the University of Queensland, Brisbane, Australia (JZ), and the State University of New York, Buffalo, New York (CVC, SB).

Reprints: All correspondence and requests for reprints should be addressed to Kenneth J. Ottenbacher, PhD, University of Texas Medical Branch, SAHS 4.202, 301 University Boulevard, Galveston, TX 77555-1028.

Disclosures: Supported by a grant from the Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (MCJ-360646).

FIM™ is a trademark of the Uniform Data System for Medical Rehabilitation, a division of U B Foundation Activities, Inc.

© 2000 Lippincott Williams & Wilkins, Inc.