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Tytuł:
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Structural Validity of an ICF-Based Measure of Activity and Participation for Children in Taiwan's Disability Eligibility Determination System.
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Autorzy:
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Hwang AW; Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.; Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou 33305, Taiwan.
Yen CF; Department of Public Health, Tzu Chi University, Hualien 97004, Taiwan.
Liao HF; School and Graduate Institute of Physical Therapy, National Taiwan University, Taipei 10055, Taiwan.
Chi WC; Department of Occupational Therapy, College of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
Liou TH; Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 11031, Taiwan.; Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei 11031, Taiwan.
Chang BS; Department of Psychology, Soochow University, Taipei 11102, Taiwan.
Wu TF; Graduate Institute of Rehabilitation Counseling, National Taiwan Normal University, Taipei 10610, Taiwan.
Kang LJ; Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan.; Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou 33305, Taiwan.
Lu SJ; College of Medicine, School of Occupational Therapy, National Taiwan University, Taipei 10055, Taiwan.
Simeonsson RJ; School Psychology and Early Childhood Education, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-3500, USA.
Wang TH; Graduate Institute of Physical Education, National Taiwan Sport University, Taoyuan 33301, Taiwan.
Bedell G; Department of Occupational Therapy, Tufts University, Medford, MA 02155-5539, USA.
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Źródło:
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International journal of environmental research and public health [Int J Environ Res Public Health] 2020 Aug 24; Vol. 17 (17). Date of Electronic Publication: 2020 Aug 24.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Basel : MDPI, c2004-
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MeSH Terms:
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Disability Evaluation*
Disabled Persons*
Eligibility Determination*
Adolescent ; Child ; Female ; Humans ; Male ; Psychometrics ; Reproducibility of Results ; Surveys and Questionnaires ; Taiwan
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References:
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Contributed Indexing:
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Keywords: adolescence; children; disability; measurement; participation
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Entry Date(s):
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Date Created: 20200828 Date Completed: 20201209 Latest Revision: 20201214
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Update Code:
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20240105
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PubMed Central ID:
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PMC7504534
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DOI:
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10.3390/ijerph17176134
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PMID:
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32846919
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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.
