Structural validity of an icf-based measure of activity and participation for children in taiwan’s disability eligibility determination system

Ai Wen Hwang, Chia Feng Yen*, Hua Fang Liao, Wen Chou Chi, Tsan Hon Liou, Ben Sheng Chang, Ting Fang Wu, Lin Ju Kang, Shu Jen Lu, Rune J. Simeonsson, Tze Hsuan Wang, Gary Bedell

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)

    Abstract

    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, n = 4111, mean age of 11.3 ± 3.5) and confirmatory factor analysis (CFA, n = 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.

    Original languageEnglish
    Article number6134
    Pages (from-to)1-16
    Number of pages16
    JournalInternational journal of environmental research and public health
    Volume17
    Issue number17
    DOIs
    Publication statusPublished - 2020 Sep 1

    Keywords

    • Adolescence
    • Children
    • Disability
    • Measurement
    • Participation

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health
    • Health, Toxicology and Mutagenesis

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