Structural Validity of an ICF-Based Measure of Activity and Participation for Children in Taiwan's Disability Eligibility Determination System

To assess activity and participation for children in Taiwan's Disability Eligibility Determination System (DEDS), we developed a questionnaire, the Functioning Disability Evaluation Scale (FUNDES-Child), based on the Child and Adolescent Scale of Participation (CASP). The study follows a method...

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Veröffentlicht in:International journal of environmental research and public health 2020-08, Vol.17 (17), p.6134
Hauptverfasser: Hwang, Ai-Wen, Yen, Chia-Feng, Liao, Hua-Fang, Chi, Wen-Chou, Liou, Tsan-Hon, Chang, Ben-Sheng, Wu, Ting-Fang, Kang, Lin-Ju, Lu, Shu-Jen, Simeonsson, Rune J, Wang, Tze-Hsuan, Bedell, Gary
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container_title International journal of environmental research and public health
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creator Hwang, Ai-Wen
Yen, Chia-Feng
Liao, Hua-Fang
Chi, Wen-Chou
Liou, Tsan-Hon
Chang, Ben-Sheng
Wu, Ting-Fang
Kang, Lin-Ju
Lu, Shu-Jen
Simeonsson, Rune J
Wang, Tze-Hsuan
Bedell, Gary
description To assess activity and participation for children in Taiwan's Disability Eligibility Determination System (DEDS), we developed a questionnaire, the Functioning Disability Evaluation Scale (FUNDES-Child), based on the Child and Adolescent Scale of Participation (CASP). The study follows a methodology research design to investigate the construct validity of the frequency and independence dimensions of FUNDES-Child 7.0. Two samples were randomly stratified from the databank of 13,835 children and youth with disabilities aged 6.0-17.9 years to examine structural validity by exploratory factor analysis (EFA, = 4111, mean age of 11.3 ± 3.5) and confirmatory factor analysis (CFA, = 4823, mean age of 11.4 ± 3.5)). EFA indicated a 4-factor structure for the frequency dimension (51.3% variance explained) and a 2-factor structure for the independence dimension (53.6% variance explained). The CFA indicated that the second-order factor structures of both dimensions were more parsimonious with adequate fit indices (Goodness fit Index, GFI; Normed Fit Index, NFI; Comparative Fit Index, CFI; and Tucker-Lewis Index, TLI ≥ 0.95, Root Mean Square Error of Approximation, RMSEA < 0.06). Results provide evidence that the participation part of FUNDES-Child 7.0 has acceptable structural validity for use in Taiwan's DEDS. Utility of FUNDES-Child 7.0 in rehabilitation, welfare, and educational services needs further study.
doi_str_mv 10.3390/ijerph17176134
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subjects Adolescent
Age
Caregivers
Child
Children
Children & youth
Disability
Disability Evaluation
Disabled Persons
Eligibility Determination
Factor analysis
Families & family life
Female
Humans
Male
Nuclear factor I
Participation
People with disabilities
Psychometrics
Quantitative psychology
Rehabilitation
Reproducibility of Results
Research design
Surveys and Questionnaires
Taiwan
Validation studies
Validity
Youth
title Structural Validity of an ICF-Based Measure of Activity and Participation for Children in Taiwan's Disability Eligibility Determination System
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