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Functional Autonomy Measurement System

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Synonyms

SMAF (from the original title “Système de Mesure de l’Autonomie Fonctionnelle”)

Description

The Functional Autonomy Measurement System (SMAF) contains 29 items designed to fit the World Health Organization International Classification of Functioning, disability and health (WHO ICF) classification of impairments, disabilities, and handicap to assess functional problems in geriatric populations. Items cover the following domains: activities of daily living (ADLs), mobility, communication, mental functions, and instrumental ADLs. Ability was traditionally scored at one of four levels (autonomous, needs supervision/stimulation, needs help, and dependent), but a revision of the scale added an intermediate level indicating that a function was completed independently, but with difficulty (Desrosiers et al., 1995). Ratings should be made based on a person’s performance rather than his/her potential, and should also be made in light of any environmental modifications that may reduce...

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  • DOI: 10.1007/978-0-387-79948-3_1839
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References and Readings

  • Boissy, P., Briere, S., Tousignant, M., & Rousseau, E. (2007). The eSMAF: A software for the assessment and follow-up of functional autonomy in geriatrics. BMC Geriatrics, 7, 2 [epub].

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  • Desrosiers, J., Bravo, G., & Hébert, R., Dubuc, N. (1995). Reliability of the revised functional autonomy measurement system (SMAF) for epidemiological research. Age Ageing, 24, 402–406.

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  • Desrosiers, J., Rochette, A., Noreau, L., Bravo, G., Hebert, R., & Boutin, C. (2003). Comparison of two functional independence scales with a participation measure in post-stroke rehabilitation. Archives of Gerontology and Geriatrics, 37, 157–172.

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  • Dubuc, N., Hebert, R., Desrosiers, J., Buteau, M., & Trottier, L. (2006). Disability-based classification system for older people in integrated long-term care services: The Iso-SMAF profiles. Archives of Gerontology and Geriatrics, 42, 191–206.

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  • Hébert, R., Carrier, R., & Bilodeau, A. (1988). The functional autonomy measurement system (SMAF): Description and validation of an instrument for the measurement of handicaps. Age Ageing, 17, 293–302.

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  • Herbert, R., Guilbault, J., Desrosiers, J., & Dubuc, N. (2001). The functional autonomy measurement system (SMAF): A clinical-based instrument for measuring disabilities and handicaps in older people. Geriatrics Today, September.

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  • Pinsonnault, E., Desrosiers, J., Dubuc, N., Kalfat, H., Colvez, A., & Delli-Colli, N. (2003). Functional autonomy measurement system: Development of a social subscale. Archives of Gerontology and Geriatrics, 37, 223–233.

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  • Pinsonnault, E., Dubuc, N., Desrosiers, J., Delli-Colli, N., & Hebert, R. (2009). Validation study of a social functioning scale: The social-SMAF (social-Functional Autonomy Measurement System). Archives of Gerontology and Geriatrics, 48, 40–44.

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Fish, J. (2011). Functional Autonomy Measurement System. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_1839

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