TY - JOUR
T1 - Development and validation of the ICF-CY-Based Functioning Scale of the Disability Evaluation System-Child Version in Taiwan
AU - Hwang, Ai Wen
AU - Yen, Chia Feng
AU - Liou, Tsan Hon
AU - Bedell, Gary
AU - Granlund, Mats
AU - Teng, Sue Wen
AU - Chang, Kwang Hwa
AU - Chi, Wen Chou
AU - Liao, Hua Fang
N1 - Funding Information:
This study was supported by the Ministry of Health and Welfare, Executive Yuan, Taiwan (Nos. 98M8178, 99M4080, 99M4073, 100M4145, 101M4100, 102M4022, M03F2194, and M04F5018). We would like to thank the Taiwanese ICF team members, particularly the following people: Wen-Chang Chen, Ling-Ju Kang, Ben-Sheng Chang, Shu-Jen Lu, Ting-Fang Wu, Yen-Nan Chiu, Tien-Chen Liu, Lu Lu, Shyh-Dye Lee, Fu-Sung Lo, Tai-Lung Cha, Ti-Li Kao, and Kuo-Lung Lee. International experts Christine Imms and Rune Simeonsson are also acknowledged for their contribution to the FUNDES-Child.
Publisher Copyright:
© 2015.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Background/Purpose: The International Classification of Functioning, Disability, and Health-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.
AB - Background/Purpose: The International Classification of Functioning, Disability, and Health-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.
KW - Disability evaluation
KW - Disabled children
KW - Eligibility determination
KW - International Classification of Functioning, Disability, and Health
KW - Social participation
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U2 - 10.1016/j.jfma.2015.11.002
DO - 10.1016/j.jfma.2015.11.002
M3 - Article
C2 - 26705138
AN - SCOPUS:84983162472
SN - 0929-6646
VL - 114
SP - 1170
EP - 1180
JO - Journal of the Formosan Medical Association
JF - Journal of the Formosan Medical Association
IS - 12
ER -
