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MFIS v.1

1. I have been less alert

2. I have had difficulty paying attention for long periods of time

3. I have been unable to think clearly

4. I have been clumsy and uncoordinated

5. I have been forgetful

6. I have had to pace myself in my physical activities.

7. I have been less motivated to do anything that requires physical effort

8. I have been less motivated to participate in social activities

9. I have been less motivated to do things away from home

10. I have had trouble maintaining physical effort for long periods

11. I have had difficulty making decisions

12. I have been less motivated to do anything that requires thinking

13. My muscles have felt weak

14. I have been physically uncomfortable

15. I have had trouble finishing tasks that require thinking

16. I have had difficulty organizing my thoughts when doing things at home or at work

17. I have been less able to complete tasks that require physical effort

18. My thinking has been slowed down

19. I have had trouble concentrating

20. I have limited my physical activities

21. I have needed to rest more often or for longer periods

The Modified Fatigue Impact Scale is used to rate and register the impact of fatigue on daily functioning in patients with multiple sclerosis. The instrument is useful for longterm tracking of current condition. It consists of 21 items which provides subscale assessment of the effects of fatigue in terms of physical, cognitive and psychosocial functioning.

Dennis Forslund

models@cambiocds.com

Cambio Healthcare Systems

To rate and register the impact of fatigue on daily functioning in patients with multiple sclerosis.

Use to rate and register the impact of fatigue on daily functioning in patients with multiple sclerosis. The instrument is useful for longterm tracking of current condition. The full version of the instrument provides subscale assessment of the effects of fatigue in terms of physical, cognitive and psychosocial functioning. It consists of 21 items related to these areas, and are divided into respective category: Physical score - sum of questions 4, 6, 7, 10, 13, 14, 17, 20, 21. Cognitive score - sum of questions 1, 2, 3, 5, 11, 12, 15, 16, 18, 19. Psychosocial score - sum of questions 8 and 9. Total score - sum of all items Each item is answered on a scale: 0 - Never 1 - Rarely 2 - Sometimes 3 - Often 4 - Very often The maximum total score thus amounts to 84p.

Only intended to register the full version of the Modified Fatigue Impact Scale.

Fisk JD, Pontefract A, Ritvo PG, Archibald CJ, Murray TJ. The impact of fatigue on patients with multiple sclerosis. Can J Neurol Sci. 1994 Feb;21(1):9-14. Tellez N et al. Does the Modified Fatigue Impact Scale offer a more comprehensive assessment of fatigue in MS? Mult Scler 2005;11(2):198– 202 Larson RD. Psychometric Properties of the Modified Fatigue Impact Scale.International Journal of MS Care. 2013;15(1):15-20. doi:10.7224/1537-2073.2012-019. Kos D, Nagels G, D'Hooghe MB, Duportail M, Kerckhofs E. A rapid screening tool for fatigue impact in multiple sclerosis. BMC Neurology. 2006;6:27.

OBSERVATION.modified_fatigue_impact_scale.v1

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