Monday, 23 September 2024

Functional Capacity Questionnaires and Tools to Evidence Symptoms and Severities

 


“What happens if you do something?”










It is a good idea to answer the questionnaire together with someone who sees you in everyday life







FUNCAP Questionnaire


The FUNCAP Questionnaire is a relatively new tool to communicate functional capacity that helps capture symptom exacerbation caused by normal activities. The form comes in two versions, a longer with 55 questions, and a shorter with 27 questions.

FUNCAP was developed through several consecutive rounds of surveys and feedback from thousands of ME respondents. It has been designed to be used for assessing the Post Exertion Response in ME and functional capacity when investigating possible ME diagnosis, follow-up, assessment in connection with applying for disability benefits, and in research as outcome measure. 





FUNCAP 27

FUNCAP 27 is a patient-informed and validated questionnaire that uses 27 questions to measure Functional Capacity.

Completing the questionnaire provides a total score out of 6, where a score of 5.8-6 is typical of a healthy individual and a lower score e.g., 2.8 represents reduced Functional Capacity.

FUNCAP 27 questionnaire could be filled out once a month. Once you have done this for six months, for example, you can see your score on the 0 to 6 scale.
One individual with Severe ME noted their score is “holding steady at about 2.8 on the 0 to 6 scale”.


The questionnaire covers the following categories:

• personal hygiene/basic functions
• walking – moving around
• being upright
• activities in the home
• communication
• activities outside your home
• reactions to light and sound
• concentration


For each item in the above categories the questionnaire asks you to choose one of the following statements:


0: I cannot do this
1: My capacity will be severely reduced for at least three days
2: I can do little else on the same day and for one to two days afterwards
3: I can do little else on the same day
4: I must limit other activities on the same day
5: This rarely affects other activities
6: Unproblematic – does not affect other activities

 



FUNCAP 55

(the longer questionnaire)
To assess functional capacity in patients, we need to know the consequences of performing activities, and not if a patient can simply do something.
FUNCAP asks how performing an activity affects the ability to perform other activities.





More About the FUNCAP Project

The FUNCAP project was described at the 15th Invest in ME Research International ME Conference in 2023.

In his presentation Professor Kristian Sommerfelt discusses how the Functional Capacity Questionnaire came about. He talks about how they tried to move away from “can you” do something and focused on using language asking “what happens if you” do something.


Presentation (20+ mins)





FUNCAP 27 and FUNCAP 55 and more information are available via the FUNCAP website



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Other tools which may help you to communicate about your symptoms, disabilities and severities to your doctors and others



About my Symptoms and Severities

Assessing, tracking and evidencing checklist Symptoms & Severities using aSymptoms and Severities Questionnaire by De Paul (based on research)




About my exertion intolerance experience

Assessing, tracking and evidencing exertion intolerance using the DSQ-PEM-2 Post Exertion Questionnaire by De Paul (based on research):




Fitting the typical diagnosis of ME

Webform from the Swiss Society for ME which provides a printout indicating whether a patient fits the typical or atypical diagnosis of the ME-ICC, please access that webform here



Bells Disability Scale

David Bell M.D. Disability and Functional scale here




Functional Capacity Assessment for People with ME: a Guide for OTs 
ME Group Australia webpages include preparation, information gathering, report writing, and follow-up, webinar recording, and OT guides here




Severe ME
Visiting the Very Severe ME Patient (Jenny Wilson) provides essential information about the impact on the functional status of the Severe ME patient here














Disclaimer: The information in this post is for general information purposes only. While we endeavour to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the post or the information, products, services, etc contained in the post for any purpose. Any reliance you place on such information is therefore strictly at your own risk.The suitability of any solution is totally dependent on the individual. It is strongly recommended to seek professional advice and assistance. 









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