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Family APGAR

Measures how a person perceives their family’s functioning, screening for family dysfunction in primary care and older-adult care.

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Check the population, units and version. The result shows the formula or classification; it does not make an automatic treatment decision.

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Method · Limits of application

Family APGAR/Smilkstein 1978: 5 items 0–2, total 0–10; cited Portuguese adaptation Duarte 2020

Family APGAR records the respondent’s perception and satisfaction with five aspects of family function; it is not neonatal Apgar or an objective assessment of all members. The original definition of family includes the patient and other people committed to mutual support, without requiring biological kinship. Responses may indicate a need to explore the interview further, not establish a family diagnosis by themselves. The 1982 abstract mentions a study in Taiwanese students aged 10 or older; this does not automatically validate every age, culture or the Portuguese wording cited in this implementation.

Required fields: 0/5 completed

Complete all required fields. Optional fields are marked.

Adaptation: I am satisfied with the help I receive from my family when something worries me required

Participation: I am satisfied with how my family talks with me and shares problems required

Growth: I am satisfied with how my family accepts and supports my wishes to begin new activities or change direction required

Affection: I am satisfied with how my family shows affection and responds to my emotions (anger, sadness, love) required

Resolve: I am satisfied with how my family and I share time together required

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

Adaptation: I am satisfied with the help I receive from my family when something worries me
Participation: I am satisfied with how my family talks with me and shares problems
Growth: I am satisfied with how my family accepts and supports my wishes to begin new activities or change direction
Affection: I am satisfied with how my family shows affection and responds to my emotions (anger, sadness, love)
Resolve: I am satisfied with how my family and I share time together

4/4 reference cases checked. Numerical tests are not clinical validation.

Sources and documentation

Documented formula

Transcribed from the source or a recorded revision; this is not a clinical recommendation.

Five items (Adaptation, Partnership, growth or Growth, Affection and Resolve), each scored 2 (almost always), 1 (sometimes) or 0 (hardly ever). Total 0 to 10.

References

Identifier: apgar-familiar

Original clinical content: Brazilian Portuguese.

Method version

Family APGAR/Smilkstein 1978: 5 items 0–2, total 0–10; cited Portuguese adaptation Duarte 2020

apgar-familiar@native-2026-10-05+78ea77f09750

Smilkstein G. The family APGAR: a proposal for a family function test and its use by physicians. J Fam Pract, 1978.

The bibliographic edition identifies the source. By itself, it proves neither full conformity of the formula nor clinical approval.

Synthetic cases checked (4)

Synthetic cases for checking the implementation, with no patient data.

Case 1

reference-001

Inputs

Adaptation: I am satisfied with the help I receive from my family when something worries me: Almost always
Participation: I am satisfied with how my family talks with me and shares problems: Almost always
Growth: I am satisfied with how my family accepts and supports my wishes to begin new activities or change direction: Almost always
Affection: I am satisfied with how my family shows affection and responds to my emotions (anger, sadness, love): Almost always
Resolve: I am satisfied with how my family and I share time together: Almost always

{
  "a": "2",
  "p": "2",
  "g": "2",
  "af": "2",
  "r": "2"
}

Expected result

{
  "score": 10,
  "level": "low"
}

Actual result

{
  "score": 10
}

Case 2

reference-002

Inputs

Adaptation: I am satisfied with the help I receive from my family when something worries me: Almost always
Participation: I am satisfied with how my family talks with me and shares problems: Almost always
Growth: I am satisfied with how my family accepts and supports my wishes to begin new activities or change direction: Sometimes
Affection: I am satisfied with how my family shows affection and responds to my emotions (anger, sadness, love): Sometimes
Resolve: I am satisfied with how my family and I share time together: Sometimes

{
  "a": "2",
  "p": "2",
  "g": "1",
  "af": "1",
  "r": "1"
}

Expected result

{
  "score": 7,
  "level": "low"
}

Actual result

{
  "score": 7
}

Case 3

reference-003

Inputs

Adaptation: I am satisfied with the help I receive from my family when something worries me: Almost always
Participation: I am satisfied with how my family talks with me and shares problems: Sometimes
Growth: I am satisfied with how my family accepts and supports my wishes to begin new activities or change direction: Sometimes
Affection: I am satisfied with how my family shows affection and responds to my emotions (anger, sadness, love): Sometimes
Resolve: I am satisfied with how my family and I share time together: Almost never

{
  "a": "2",
  "p": "1",
  "g": "1",
  "af": "1",
  "r": "0"
}

Expected result

{
  "score": 5,
  "level": "mid",
  "verdict": "moderada"
}

Actual result

{
  "score": 5
}

Case 4

reference-004

Inputs

Adaptation: I am satisfied with the help I receive from my family when something worries me: Sometimes
Participation: I am satisfied with how my family talks with me and shares problems: Sometimes
Growth: I am satisfied with how my family accepts and supports my wishes to begin new activities or change direction: Sometimes
Affection: I am satisfied with how my family shows affection and responds to my emotions (anger, sadness, love): Almost never
Resolve: I am satisfied with how my family and I share time together: Almost never

{
  "a": "1",
  "p": "1",
  "g": "1",
  "af": "0",
  "r": "0"
}

Expected result

{
  "score": 3,
  "level": "high",
  "verdict": "elevada"
}

Actual result

{
  "score": 3
}

Code and reproducibility

This tool’s code on GitHub

Download code and tests

Sources, version and reproduction instructions

README

Local installation

Code license: Apache-2.0

Guidelines and conditions

This repository’s license applies to the code. Third-party instruments, questionnaires, data and models remain subject to their owners’ conditions.

The code tests are technical checks. Clinical approval and professional translation review are recorded separately.

Relationship with cancer research

General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.