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

Autor: Lin-Ju Kang, Rune J. Simeonsson, Wen Chou Chi, Gary Bedell, Ting-Fang Wu, Tze Hsuan Wang, Tsan Hon Liou, Shu Jen Lu, Chia Feng Yen, Hua-Fang Liao, Ben Sheng Chang, Ai-Wen Hwang
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Environmental Research and Public Health
Volume 17
Issue 17
International Journal of Environmental Research and Public Health, Vol 17, Iss 6134, p 6134 (2020)
ISSN: 1660-4601
DOI: 10.3390/ijerph17176134
Popis: To assess activity and participation for children in Taiwan&rsquo
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&ndash
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 &ge
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&rsquo
s DEDS. Utility of FUNDES-Child 7.0 in rehabilitation, welfare, and educational services needs further study.
Databáze: OpenAIRE