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

Ai Wen Hwang, Chia Feng Yen, Tsan Hon Liou, Gary Bedell, Mats Granlund, Sue Wen Teng, Kwang Hwa Chang, Wen Chou Chi, Hua Fang Liao

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1170-1180
Number of pages11
JournalJournal of the Formosan Medical Association
Volume114
Issue number12
DOIs
Publication statusPublished - Dec 1 2015

Keywords

  • Disability evaluation
  • Disabled children
  • Eligibility determination
  • International Classification of Functioning, Disability, and Health
  • Social participation

ASJC Scopus subject areas

  • Medicine(all)

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