Yen Chia-Feng, Hwang Ai-Wen, Liou Tsan-Hon, Chiu Tzu-Ying, Hsu Hsin-Yuan, Chi Wen-Chou, Wu Ting-Fang, Chang Ben-Shang, Lu Shu-Jen, Liao Hua-Fang, Teng Su-Wen, Chiu Wen-Ta
Department of Public Health, Tzu Chi University, Hualien, Taiwan.
Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
J Formos Med Assoc. 2014 Nov;113(11):839-49. doi: 10.1016/j.jfma.2014.08.008. Epub 2014 Oct 5.
BACKGROUND/PURPOSE: The disability eligibility determination system is based on the International Classification of Functioning, Disability and Health (ICF) framework in Taiwan. The Functioning Disability Evaluation Scale (FUNDES) has been developed since 2007 for assessing the status of an individual's activities and participation in the disability eligibility system. The purpose of this study was to examine the reliability and validity of the FUNDES-Adult Version (FUNDES-Adult).
During 2011-2012, a total of 5736 adults with disabilities (aged 58.4 ± 18.2 years) were randomly recruited for a national population-based study. These adults were assessed in person by certified professionals in the authorized hospitals. Domains 1-6 of the FUNDES-Adult addressing the performance and capability dimensions are modified from the World Health Organization Disability Assessment Schedule 2.0-36-item version, and Domain 7 (Environmental attribute) and capability and capacity dimensions of Domain 8 (Motor action) are designed based on the ICF coding system.
The internal consistency was excellent (Cronbach's α ≥ 0.9). An exploratory factor analysis yielded a five-factor FUNDES structure with a variance of 76.1% and 76.9% and factor loadings of 0.56-0.94 and 0.55-0.94 for the performance and capability dimensions, respectively. The factor loadings for the second-order confirmatory factor analysis for the performance and capability dimensions were from 0.81 to 0.89. In Domains 1-6 and 8, the ceiling effects were from 9% to 36%, and the floor effects were from 5% to 45%.
FUNDES-Adult has acceptable reliability and validity and can be used to measure activities and participation for people with disabilities.
背景/目的：台湾的残疾资格判定系统基于国际功能、残疾和健康分类（ICF）框架。自2007年起开发了功能残疾评估量表（FUNDES），用于评估个人在残疾资格系统中的活动和参与状况。本研究的目的是检验成人版FUNDES（FUNDES - Adult）的信度和效度。
在2011 - 2012年期间，共随机招募了5736名成年残疾人（年龄58.4±18.2岁）参与一项基于全国人口的研究。这些成年人由授权医院的认证专业人员进行亲自评估。FUNDES - Adult涉及表现和能力维度的第1 - 6个领域是根据世界卫生组织残疾评估量表2.0 - 36项版本修改而来，第7个领域（环境属性）以及第8个领域（运动行为）的能力和容量维度是基于ICF编码系统设计的。
内部一致性极佳（克朗巴哈α系数≥0.9）。探索性因素分析得出了一个五因素的FUNDES结构，表现维度和能力维度的方差分别为76.1%和76.9%，因素负荷分别为0.56 - 0.94和0.55 - 0.94。表现维度和能力维度的二阶验证性因素分析的因素负荷为0.81至0.89。在第1 - 6和第8个领域中，天花板效应为9%至36%，地板效应为5%至45%。
FUNDES - Adult具有可接受的信度和效度，可用于测量残疾人的活动和参与情况。
