THE FUNCTIONAL INDEPENDENCE MEASURE FOR CHILDREN (WEEFIM) - CONCEPTUAL BASIS AND PILOT USE IN CHILDREN WITH DEVELOPMENTAL-DISABILITIES

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