Multidimensional Functional Assessment

Multidimensional functional assessment (MFA) is a clinical approach that measures various components of well-being rather than any single dimension. It is particularly useful for the analysis of older adults, who often have functional difficulties that are manifested in multiple interrelated areas. The dimensions that are assessed vary but most often include functional capacity [activities of daily living (ADL) and instrumental activities of daily living (IADL)], mental health, physical health, social functioning, and economic functioning. Somewhat less often, additional dimensions are assessed that include family help or social support, housing or environmental issues, and service use. MFA is related to, though not synonymous with, “comprehensive geriatric assessment,” which involves a multidimensional and interprofessional diagnostic evaluation.