*Article* **Developing a Culturally Sensitive ICF-Based Tool to Describe Functioning of Children with Autism Spectrum Disorder: TEA-CIFunciona Version 1.0 Pilot Study**

**Silvana B. Napoli 1,\*, María Paula Vitale 1, Pablo J. Cafiero 1, María Belén Micheletti 1, Paula Pedernera Bradichansky 1, Celina Lejarraga 1, Maria Gabriela Urinovsky 1, Anabella Escalante 1, Estela Rodriguez <sup>1</sup> and Verónica Schiariti <sup>2</sup>**


**Citation:** Napoli, S.B.; Vitale, M.P.; Cafiero, P.J.; Micheletti, M.B.; Bradichansky, P.P.; Lejarraga, C.; Urinovsky, M.G.; Escalante, A.; Rodriguez, E.; Schiariti, V. Developing a Culturally Sensitive ICF-Based Tool to Describe Functioning of Children with Autism Spectrum Disorder: TEA-CIFunciona Version 1.0 Pilot Study. *Int. J. Environ. Res. Public Health* **2021**, *18*, 3720. https://doi.org/10.3390/ijerph18073720

Academic Editors: Pasquale Caponnetto and Paul Tchounwou

Received: 9 January 2021 Accepted: 23 March 2021 Published: 2 April 2021

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**Abstract:** Background: Autism spectrum disorder (ASD) affects the daily functioning of children and their families; however, in Argentina, there are no standardized tools to guide the description, evaluation, and follow-up of functioning and disability of children with ASD. To fill this gap, the overarching purpose of this study was to create a novel tool guided by the International Classification of Functioning, Disability, and Health (ICF) Core Sets for ASD for clinical practice. Methods: A multistep methodology was used to identify the most relevant ICF categories for an Argentinian clinical setting. The content of this ICF-based shortlist was piloted and revised according to the results. Subsequently, a toolbox of measures was proposed to operationalize each ICF category. Finally, profiles of the functioning of 100 children with ASD were created. Results: An ICF-based tool called TEA-CIFunciona was created, consisting of 32 ICF categories (10 body functions, 15 activities and participation, 7 environmental factors categories). The application of TEA-CIFunciona incorporated a family-centered approach in ASD evaluations and helped identify functional needs. Conclusions: TEA-CIFunciona is the first ICF-based instrument that guides the description of functioning of children with ASD in Argentina. TEA-CIFunciona standardizes collaborative assessments in pediatric ASD populations in Latin American contexts.

**Keywords:** ICF; autism spectrum disorder; functioning; child; measure; assessment
