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Assessment of Life Habits (Life-H)
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Supplemental – Highly Recommended: Cerebral Palsy (CP)
Short Description of Instrument
The Assessment of Life Habits (LIFE-H) for children gathers information on characteristic life habits, in the children's various environments (home, school neighborhood). The LIFE-H includes two categories of life habits: daily activities (nutrition, fitness, personal care, communication housing and mobility) and social roles (responsibilities, interpersonal relationships, community life, education, employment and recreation).
Comments/Special Instructions
Inter-rater reliability is moderate to excellent. Modest convergent validity with the PEDI and WeeFim were demonstrated.
For children: for ages 5–13 years there are long (198 items) and short (64 items) formats. Birth to 4 years has long format only (10 items). Scoring is for two domains (degree of difficulty and level of assistance needed) and is based on 10 levels of difficulty (with or without assistive devices or adaptation scored 8 or 9), 6 levels of assistance needed (no assistance, assistive devices, adaptation, and human assistance, 2–7), also accomplished by a proxy (1) or not accomplished (0).
Although not CP specific, the LIFE-H has been used with individuals with CP. The LIFE- H is a useful tool for assessing wide variety of areas related to participation.
Assessment of Life Habits (LIFE-H) Quebec, Canada: International Network on the Disability Creation Process; 2016 [cited 2016 30 June]. Available from:
Noreau L, Lepage C, Boissiere L, Picard R, Fougeyrollas P, Mathieu J, Desmarais G, Nadeau L. Measuring participation in children with disabilities using the Assessment of Life Habits. Dev Med Child Neurol. 2007;49(9):666-671.
Lepage C, Noreau L, Bernard PM. Association between characteristics of locomotion and accomplishment of life habits in children with cerebral palsy. Phys Ther. 1998;78(5):458-469.
Bjornson KF, Zhou C, Stevenson RD, Christakis D. Relation of stride activity and participation in mobility-based life habits among children with cerebral palsy. Arch Phys Med Rehab. 2014;95(2):360-368.
Bjornson KF, Zhou C, Stevenson R, Christakis DA. Capacity to participation in cerebral palsy: evidence of an indirect path via performance. Arch Phys Med Rehab. 2013;94(12):2365-2372.


Document last updated July 2019