Encyclopedia of Clinical Neuropsychology

Living Edition
| Editors: Jeffrey Kreutzer, John DeLuca, Bruce Caplan

Functional Autonomy Measurement System

  • Jessica Fish
Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-56782-2_1839-2


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...

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References and Readings

  1. Boissy, P., Briere, S., Tousignant, M., & Rousseau, E. (2007). The eSMAF: A software for the assessment and follow-up of functional autonomy in geriatrics. BMC Geriatrics, 7, 2.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Desrosiers, J., Bravo, G., Hébert, R., & Dubuc, N. (1995). Reliability of the revised functional autonomy measurement system (SMAF) for epidemiological research. Age and Ageing, 24, 402–406.CrossRefPubMedGoogle Scholar
  3. Desrosiers, J., Rochette, A., Noreau, L., Bravo, G., Hebert, R., & Boutin, C. (2003). Comparison of two functional independence scales with a participation measure in post-stroke rehabilitation. Archives of Gerontology and Geriatrics, 37, 157–172.CrossRefPubMedGoogle Scholar
  4. Dubuc, N., Hebert, R., Desrosiers, J., Buteau, M., & Trottier, L. (2006). Disability-based classification system for older people in integrated long-term care services: The Iso-SMAF profiles. Archives of Gerontology and Geriatrics, 42, 191–206.CrossRefPubMedGoogle Scholar
  5. Hébert, R., Carrier, R., & Bilodeau, A. (1988). The functional autonomy measurement system (SMAF): Description and validation of an instrument for the measurement of handicaps. Age and Ageing, 17, 293–302.CrossRefPubMedGoogle Scholar
  6. 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
  7. Pinsonnault, E., Desrosiers, J., Dubuc, N., Kalfat, H., Colvez, A., & Delli-Colli, N. (2003). Functional autonomy measurement system: Development of a social subscale. Archives of Gerontology and Geriatrics, 37, 223–233.CrossRefPubMedGoogle Scholar
  8. Pinsonnault, E., Dubuc, N., Desrosiers, J., Delli-Colli, N., & Hebert, R. (2009). Validation study of a social functioning scale: The social-SMAF (social-Functional Autonomy Measurement System). Archives of Gerontology and Geriatrics, 48, 40–44.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Medical Research Council Cognition and Brain Sciences UnitCambridgeUK