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

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  • Ai-Wen Hwang

    (Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou 33305, Taiwan)

  • Chia-Feng Yen

    (Department of Public Health, Tzu Chi University, Hualien 97004, Taiwan)

  • Hua-Fang Liao

    (School and Graduate Institute of Physical Therapy, National Taiwan University, Taipei 10055, Taiwan)

  • Wen-Chou Chi

    (Department of Occupational Therapy, College of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Tsan-Hon Liou

    (Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 11031, Taiwan
    Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei 11031, Taiwan)

  • Ben-Sheng Chang

    (Department of Psychology, Soochow University, Taipei 11102, Taiwan)

  • Ting-Fang Wu

    (Graduate Institute of Rehabilitation Counseling, National Taiwan Normal University, Taipei 10610, Taiwan)

  • Lin-Ju Kang

    (Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou 33305, Taiwan)

  • Shu-Jen Lu

    (College of Medicine, School of Occupational Therapy, National Taiwan University, Taipei 10055, Taiwan)

  • Rune J. Simeonsson

    (School Psychology and Early Childhood Education, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-3500, USA)

  • Tze-Hsuan Wang

    (Graduate Institute of Physical Education, National Taiwan Sport University, Taoyuan 33301, Taiwan)

  • Gary Bedell

    (Department of Occupational Therapy, Tufts University, Medford, MA 02155-5539, USA)

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.

Suggested Citation

  • 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, 2020. "Structural Validity of an ICF-Based Measure of Activity and Participation for Children in Taiwan’s Disability Eligibility Determination System," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6134-:d:403069
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    References listed on IDEAS

    as
    1. Wen-Chou Chi & Kwang-Hwa Chang & Reuben Escorpizo & Chia-Feng Yen & Hua-Fang Liao & Feng-Hang Chang & Hung-Yi Chiou & Sue-Wen Teng & Wen-Ta Chiu & Tsan-Hon Liou, 2014. "Measuring Disability and Its Predicting Factors in a Large Database in Taiwan Using the World Health Organization Disability Assessment Schedule 2.0," IJERPH, MDPI, vol. 11(12), pages 1-14, November.
    2. Ai-Wen Hwang & Chia-Feng Yen & Tsan-Hon Liou & Rune J Simeonsson & Wen-Chou Chi & Donald J Lollar & Hua-Fang Liao & Lin-Ju Kang & Ting-Fang Wu & Sue-Wen Teng & Wen-Ta Chiu, 2015. "Participation of Children with Disabilities in Taiwan: The Gap between Independence and Frequency," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-19, May.
    3. Ya-Tzu Liao & Ai-Wen Hwang & Hua-Fang Liao & Mats Granlund & Lin-Ju Kang, 2019. "Understanding the Participation in Home, School, and Community Activities Reported by Children with Disabilities and Their Parents: A Pilot Study," IJERPH, MDPI, vol. 16(12), pages 1-14, June.
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