Description
The Functional Assessment Measure (FAM) was developed as an adjunct to FIM™ (aka the Functional Independence Measure) to address functional areas of importance in brain injury rehabilitation that are less emphasized in FIM™, including communication, psychosocial adjustment, and cognition. The FAM consists of 12 items that are intended to be added to the 18 items of FIM™, creating a 30-item scale referred to as the FIM + FAM. The time required to administer the FIM + FAM is approximately 35 min. The 7-point rating scale is modeled after FIM™ and assesses the individual’s level of independence, amount of assistance required, use of adaptive or assistive devices, and the percentage of a given task completed successfully.
The FAM is a nonproprietary measure; however FIM™ is proprietary. The FAM can be completed in person, by phone, or by retrospective chart review. A decision tree is available for each item to aid in rating. Administration time...
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References and Readings
Center for Outcome Measurement in Brain Injury, http://www.tbims.org/combi/FAM
Hall, K. M. (1997). The functional assessment measure (FAM). Journal of Rehabilitation Outcomes Measurement, 1, 63–65.
Hall, K. M., Bushnik, T., Lakisic-Kazazic, B., Wright, J., & Cantagallo, A. (2001). Assessing traumatic brain injury outcome measures for long-term follow-up of community-based individuals. Archives of Physical Medicine and Rehabilitation, 82, 367–374.
Hall, K. M., Hamilton, B. B., Gordon, W. A., & Zasler, N. D. (1993). Characteristics and comparisons of functional assessment indices: Disability rating scale. Functional independence measure, and functional assessment measure. Journal of Head Trauma Rehabilitation, 8, 60–74.
Hall, K. M., Mann, N., High, W. M. Jr., Wright, J., Kreutzer, J. S., & Wood, D. (1996). Functional measures after traumatic brain injury: Ceiling effects of FIM, FIM+FAM, DRS, and CIQ. Journal of Head Trauma Rehabilitation, 11, 27–39.
Seel, R. T., Wright, G., Wallace, T., Newman, S., & Dennis, L. (2007). The utility of the FIM+FAM for assessing traumatic brain injury day program outcomes. Journal of Head Trauma Rehabilitation, 22, 267–277.
Turner-Stokes, L., Nyein, K., Turner-Stokes, T., & Gatehouse, C. (1999). The UK FIM+FAM:development and evaluation. Clinical Rehabilitation, 13, 277–287.
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Wright, J. (2011). Functional Assessment Measure. 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_1807
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DOI: https://doi.org/10.1007/978-0-387-79948-3_1807
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