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

Ai-Wen Hwang, Chia-Feng Yen, Hua-Fang Liao, Wen-Chou Chi, Tsan-Hon Liou, Ben-Sheng Chang, Ting-Fang Wu, Lin-Ju Kang, Shu-Jen Lu, Rune J. Simeonsson, Tze-Hsuan Wang and Gary Bedell
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Ai-Wen Hwang: Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
Chia-Feng Yen: Department of Public Health, Tzu Chi University, Hualien 97004, Taiwan
Hua-Fang Liao: School and Graduate Institute of Physical Therapy, National Taiwan University, Taipei 10055, Taiwan
Wen-Chou Chi: Department of Occupational Therapy, College of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
Tsan-Hon Liou: Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 11031, Taiwan
Ben-Sheng Chang: Department of Psychology, Soochow University, Taipei 11102, Taiwan
Ting-Fang Wu: Graduate Institute of Rehabilitation Counseling, National Taiwan Normal University, Taipei 10610, Taiwan
Lin-Ju Kang: Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
Shu-Jen Lu: College of Medicine, School of Occupational Therapy, National Taiwan University, Taipei 10055, Taiwan
Rune J. Simeonsson: School Psychology and Early Childhood Education, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-3500, USA
Tze-Hsuan Wang: Graduate Institute of Physical Education, National Taiwan Sport University, Taoyuan 33301, Taiwan
Gary Bedell: Department of Occupational Therapy, Tufts University, Medford, MA 02155-5539, USA

IJERPH, 2020, vol. 17, issue 17, 1-16

Abstract: To assess activity and participation for children in Taiwan’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 6.0–17.9 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 ≥ 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’s DEDS. Utility of FUNDES-Child 7.0 in rehabilitation, welfare, and educational services needs further study.

Keywords: participation; disability; measurement; children; adolescence (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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