Development and validation of the ICF-CY-Based Functioning Scale of the Disability Evaluation System—Child Version in Taiwan

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• 作者：Ai-Wen Hwang^a ; Chia-Feng Yen^b ; Tsan-Hon Liou^c ; ^d ; Gary Bedell^e ; Mats Granlund^f ; Sue-Wen Teng^g ; Kwang-Hwa Chang^d ; ^h ; Wen-Chou Chiⁱ ; Hua-Fang Liao^j ; ^{hfliao@ntu.edu.tw" class="auth_mail" title="E-mail the corresponding author}
• 关键词：disability evaluation ; disabled children ; eligibility determination ; International Classification of Functioning ; Disability ; and Health ; social participation
• 刊名：Journal of the Formosan Medical Association
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：114
• 期：12
• 页码：1170-1180
• 全文大小：405 K

文摘

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.