Development of Activity and Participation Norms among General Adult Populations in Taiwan

Chia-Feng Yen, Tzu-Ying Chiu, Tsan-Hon Liou, Wen-Chou Chi, Hua-Fang Liao, Chung-Chao Liang and Reuben Escorpizo
Additional contact information
Chia-Feng Yen: Department of Public Health, Tzu Chi University, Hualien 97004, Taiwan
Tzu-Ying Chiu: Institute of Health Policy and Management, National Taiwan University, Taipei 10055, Taiwan
Tsan-Hon Liou: Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
Wen-Chou Chi: Department of Occupational Therapy, Chung Shan Medical University, Taichung 40201, Taiwan
Hua-Fang Liao: School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei 10051, Taiwan
Chung-Chao Liang: Department of Physical Medicine and Rehabilitation, Buddhist Tzu Chi General Hospital, Hualien 97002, Taiwan
Reuben Escorpizo: Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington, VT 05401, USA

IJERPH, 2017, vol. 14, issue 6, 1-10

Abstract: Based on the International Classification of Functioning, Disability, and Health (ICF) and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), The Functioning Disability Evaluation Scale-Adult version (FUNDES-Adult) began development in 2011. The FUNDES-Adult was designed to assess the difficulty level of an individual’s activities and participation in daily life. There is a lack of research regarding the profile of activity and participation for the general adult population. The purposes of this study were to establish activity and participation norms for the general adult population in Taiwan and to describe, discuss, and compare the activity and participation profile with other population. Method: A population-based survey was administered in 2013 using a computer-assisted telephone interviewing system (CATI system). Using probability proportional to size (PPS) sampling and systematic sampling with random digit dialing (RDD), 1500 adults from Taiwan’s general population were selected to participate in the survey. The FUNDES-Adult with six domains and two dimensions (performance and capability) was used to obtain data on activities and participation levels. A higher domain score indicated higher participation restriction. Results: Approximately 50% of the respondents were male, and the average age of the respondents was 45.23 years. There were no significant differences in the demographic features between the sample and the population. Among the six domains, the self-care domain score was the lowest (least restriction) and the participation domain score was the highest (most restriction). Approximately 90% of the sample scored were less than 15, and only 0.1% scored more than 80. This is the first cross-national population-based survey to assess norms of activity and participation relevant to the general population of Taiwan. As such, the results of this survey can be used as a reference for comparing the activity and participation (AP) functioning of other countries and subgroups.

Keywords: activity and participation; functioning; disability; norms; WHODAS 2.0 (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
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