Functional Autonomy Measurement System
SMAF (from the original title “Système de Mesure de l'Autonomie Fonctionnelle”)
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...
References and Readings
- 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: Journal of Canadian Geriatric Society, 1–7.Google Scholar