Department of Occupational Therapy, Tufts University, Medford, MA, USA.
Department of Public Health, Buddhist Tzu Chi University, Hualien, Taiwan.
Res Dev Disabil. 2017 Sep;68:111-121. doi: 10.1016/j.ridd.2017.07.007. Epub 2017 Jul 25.
The Child and Adolescent Factors Inventory (CAFI) is a parent-report measure that assesses type and severity of impairments experienced by children and youth with a range of disabling conditions. The CAFI was translated from English into Traditional Chinese (CAFI-C) and has been used in the Disability Evaluation System (DES) in Taiwan. The aim of this study was to validate the use of the CAFI-C in the DES. Participants included 18,119 children and youth with disabilities between the ages of 6.0-17.9 (Mean=11.6; SD=3.46). The factor structure, internal consistency, convergent validity, and discriminant (known groups) validity were examined. The results indicated that the CAFI-C had a two-factor structure (Mental/speech and Physical/sensory impairment) that explained 54.3% of the variance, and had adequate internal consistency (α=0.80-0.90). Children and youth with higher CAFI-C scores had significantly more participation restrictions and environment barriers. CAFI-C scores were significantly different among children and youth with different disability types and of four severity levels (mild, moderate, severe, and profound) rated by physicians. These findings support the internal consistency and validity of the CAFI-C for assessing type and severity of impairment in children and youth with disabilities in Chinese-speaking population.
儿童与青少年因素量表（CAFI）是一种家长报告式的评估工具，用于评估患有各种残疾的儿童和青少年所经历的障碍类型和严重程度。CAFI 已从英文翻译成繁体中文（CAFI-C），并已在台湾的残疾评估系统（DES）中使用。本研究的目的是验证 CAFI-C 在 DES 中的使用。参与者包括年龄在 6.0-17.9 岁之间的 18119 名残疾儿童和青少年（平均值=11.6；标准差=3.46）。研究考察了其因子结构、内部一致性、聚合效度和区分（已知群体）效度。结果表明，CAFI-C 具有两因子结构（精神/言语和身体/感觉障碍），可解释 54.3%的方差，具有足够的内部一致性（α=0.80-0.90）。CAFI-C 得分较高的儿童和青少年在参与受限和环境障碍方面有显著更多的问题。CAFI-C 得分在不同残疾类型和医生评定的四个严重程度级别（轻度、中度、重度和极重度）的儿童和青少年之间存在显著差异。这些发现支持 CAFI-C 在中国人群中评估残疾儿童和青少年的障碍类型和严重程度的内部一致性和有效性。
