The Functional Status Questionnaire can be used as a self-administered functional assessment for a patient seen in primary care. It provides information on the patient's physical, psychological, social and role functions. It can be used both to screen initially for problems and to monitor the patient over time.
Sections:
(1) physical function in the activities of daily living
(2) psychological function
(3) role function
(4) social function
(5) variety of performance measures
Physical Function (Activities of Daily Living, or ADL): 9 items
|
Response |
Points |
|---|---|
|
usually did with no difficulty |
4 |
|
some difficulty |
3 |
|
much difficulty |
2 |
|
usually did not do because of health |
1 |
|
usually did not do for other reason |
0 |
Psychological Function (Mental Health): 5 items
|
Response to 1, 3 and 5 |
Points |
|---|---|
|
all of the time |
1 |
|
most of the time |
2 |
|
a good bit of the time |
3 |
|
some of the time |
4 |
|
a little of the time |
5 |
|
none of the time |
6 |
|
Response to 2 and 4 |
Points |
|---|---|
|
all of the time |
6 |
|
most of the time |
5 |
|
a good bit of the time |
4 |
|
some of the time |
3 |
|
a little of the time |
2 |
|
none of the time |
1 |
Social/Role Function: 6 items
|
Response to 2, 5 and 6 |
Points |
|---|---|
|
all of the time |
1 |
|
most of the time |
2 |
|
some of the time |
3 |
|
none of the time |
4 |
|
Response to 1, 3 and 4 |
Points |
|---|---|
|
all of the time |
4 |
|
most of the time |
3 |
|
some of the time |
2 |
|
none of the time |
1 |
Social Activity: 3 items
|
Response |
Points |
|---|---|
|
usually did with no difficulty |
4 |
|
some difficulty |
3 |
|
much difficulty |
2 |
|
usually did not do because of health |
1 |
|
usually did not do for other reasons |
0 |
Quality of social interaction: 5 items
|
Response to 1, 3 and 4 |
Points |
|---|---|
|
all of the time |
1 |
|
most of the time |
2 |
|
a good bit of the time |
3 |
|
some of the time |
4 |
|
a little of the time |
5 |
|
none of the time |
6 |
|
Response to 2 and 5 |
Points |
|---|---|
|
all of the time |
6 |
|
most of the time |
5 |
|
a good bit of the time |
4 |
|
some of the time |
3 |
|
a little of the time |
2 |
|
none of the time |
1 |
where:
• ((maximum response score) - (minimum response score)) = 5
• The subgroups of questions are scored in reverse. Since Table2 indicates that 0% is poor and 100% is good, I have scored as in the ables above.
Single Item Questions: 6 items
transformed scale score =
= (((SUM of response scores for each grouping) / (number of questions with valid information)) - 1) * (100 / ((maximum valid response score) - (minimum valid response score)))
where:
• The equation used for the transformed scale score in the original article was corrected in an erratum.
• In the implementation I have made it so that there are no unanswered questions, while the original article allows for unanswered questions.
Interpretation:
• Based on the diagram in Table 2 (page 145), the following are approximations were made from the length of the lines for the indicated warning zones.
• If the person scores within the warning zone, then the patient has a problem that needs to be investigated more.
|
Parameter |
Warning Zone |
Good |
|---|---|---|
|
basic activities of daily living |
0 - 87 |
88 - 100 |
|
intermediate activities of daily living |
0 - 77 |
78 - 100 |
|
mental health |
0 - 70 |
71 - 100 |
|
work performance (see note) |
0 - 78 |
79 - 100 |
|
social activities |
0 - 78 |
79 - 100 |
|
quality of interactions |
0 - 69 |
70 - 100 |
Note: Work performance not shown in table, so made same was social activities.
