Development and validation of the ICF-CY-Based Functioning Scale of the Disability Evaluation System-Child Version in Taiwan
Resource
J. Formos. Med. Assoc., 114(12), 1170-1180
Journal
J. Formos. Med. Assoc.
Journal Volume
114
Journal Issue
12
Pages
1170-1180
Date Issued
2015
Date
2015
Author(s)
Hwang, Ai-Wen
Yen, Chia-Feng
Liou, Tsan-Hon
Bedell, Gary
Granlund, Mats
Teng, Sue-Wen
Chang, Kwang-Hwa
Chi, Wen-Chou
Liao, Hua-Fang
Abstract
Background/Purpose: The International Classification of Functioning, Disability, and Healthd Children and Youth version (ICF-CY) depicts human functioning [body functions (b), structures (s), and activities and participation (d) components] as the product of the interaction between health conditions and contextual factors [environmental factors (e) and personal factors]. In Taiwan, testers use the Functioning Scale of the Disability Evaluation System-Child version (FUNDES-Child) to collect information related to b, d, and e for children aged 6.0 -17.9 years in the Disability Eligibility System (DES). The purpose of this study was to examine the content and construct validity of the FUNDES-Child. ;Methods: We developed the FUNDES-Child through translating the existing questionnaires, cross-cultural adaptation, expert consensus, and field tests. Consensus meetings were conducted to link items from the FUNDES-Child to ICF-CY codes. To investigate construct validity, we examined associations among scores from the FUNDES-Child that reflected ICF-CY chapter-linked components. ;Results: The FUNDES-Child items were successfully linked to all nine d-, five b-, and four e-chapters of the ICF-CY. Moderate correlations were found between scores that were expected to be related to specific chapters in the b, d, and e components. The scores of the b-chapters had stronger relationships with the d independence scores, while attitudes of others (e4) had stronger relationships with the d participation frequency scores. ;Conclusion: The FUNDES-Child had acceptable content validity and construct validity in the DES. The associations found among the ICF-CY chapter scores provided a model for investigating the impact of body functions and environmental factors on children's activities and participation. Copyright (C) 2015, Elsevier Taiwan LLC & Formosan Medical Association. All rights reserved.
Subjects
disability evaluation
disabled children
eligibility determination
International Classification of Functioning, Disability, and Health
social participation
SDGs
Other Subjects
adaptation; adolescent; Article; child; construct validity; environmental factor; female; functional status assessment; Functioning Scale of the Disability Evaluation System Child version; health status; human; International Classification of Functioning, Disability, and Health Children and Youth version; major clinical study; male; preschool child; questionnaire; school child; scoring system; Taiwan; disability; handicapped child; International Classification of Functioning, Disability and Health; social participation; standards; Taiwan; validation study; Adolescent; Child; Disability Evaluation; Disabled Children; Female; Humans; International Classification of Functioning, Disability and Health; Male; Social Participation; Surveys and Questionnaires; Taiwan