The Chinese version of the Child and Adolescent Scale of Environment (CASE-C): Validity and reliability for children with disabilities in Taiwan
Resource
Res. Dev. Disabil., 38, 64-74
Journal
Research in Developmental Disabilities
Pages
64-74
Date Issued
2015
Date
2015
Author(s)
Kang, Lin-Ju
Yen, Chia-Feng
Bedell, Gary
Simeonsson, Rune J.
Liou, Tsan-Hon
Chi, Wen-Chou
Liu, Shu-Wen
Liao, Hua-Fang
Hwang, Ai-Wen
Abstract
Measurement of children's participation and environmental factors is a key component of the assessment in the new Disability Evaluation System (DES) in Taiwan. The Child and Adolescent Scale of Environment (CASE) was translated into Traditional Chinese (CASE-C) and used for assessing environmental factors affecting the participation of children and youth with disabilities in the DES. The aim of this study was to validate the CASE-C. Participants were 614 children and youth aged 6.0-17.9 years with disabilities, with the largest condition group comprised of children with intellectual disability (61%). Internal structure, internal consistency, test-retest reliability, convergent validity, and discriminant (known group) validity were examined using exploratory factor analyses, Cronbach's alpha coefficient, intra-class correlation coefficients (ICC), correlation analyses, and univariate ANOVAs. A three-factor structure (Family/Community Resources, Assistance/Attitude Supports, and Physical Design Access) of the CASE-C was produced with 38% variance explained. The CASE-C had adequate internal consistency (Cronbach's alpha = .74-.86) and test-retest reliability (ICCs = .73-.90). Children and youth with disabilities who had higher levels of severity of impairment encountered more environmental barriers and those experiencing more environmental problems also had greater restrictions in participation. The CASE-C scores were found to distinguish children on the basis of disability condition and impairment severity, but not on the basis of age or sex. The CASE-C is valid for assessing environmental problems experienced by children and youth with disabilities in Taiwan. (C) 2014 Elsevier Ltd. All rights reserved.
Subjects
Environment
Participation
Disability
Children
Youth
ICF-CY
SDGs
Other Subjects
adolescent; age; Article; attitude to illness; autism; child; Child and Adolescent Scale of Environment; child health care; Chinese; convergent validity; discriminant validity; disease severity; environmental factor; female; functional status assessment; gender; human; intellectual impairment; internal consistency; major clinical study; male; patient participation; physical disability; reliability; Taiwan; test retest reliability; validation process; autism; disability; environment; factorial analysis; handicapped child; publication; reproducibility; severity of illness index; social environment; social participation; Adolescent; Child; Child Development Disorders, Pervasive; Disability Evaluation; Disabled Children; Environment; Factor Analysis, Statistical; Female; Humans; Intellectual Disability; Male; Reproducibility of Results; Severity of Illness Index; Social Environment; Social Participation; Taiwan; Translations