Lee Lindsay, Kamenov Kaloyan, Fellinghauer Carolina, Sabariego Carla, Chatterji Somnath, Cieza Alarcos
Sensory Functions, Disability and Rehabilitation, Department of Noncommunicable Diseases, World Health Organization, Avenue Appia 20, 1211, Geneva, Switzerland.
Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Arch Public Health. 2022 Dec 7;80(1):249. doi: 10.1186/s13690-022-01001-2.
There is a global scarcity of good quality disability data, which has contributed to a lack of political will to address the challenges that persons with disabilities face. The current paper proposes a way forward to overcome this gap by demonstrating the psychometric properties of the World Health Organization Functioning and Disability Disaggregation Tool (FDD11) - a brief disability disaggregation instrument that countries can use.
The study demonstrated that FDD11 is a valid and reliable tool. Unidimensionality of the scale produced by each calibration was supported by the factor analysis performed. The analysis indicated good fit of the items, and targeting of the items was deemed to be sufficient. The person separation index was 0.82, indicating good reliability of the final scale.
FDD11 provides a good opportunity to researchers and governments to capture good quality disability data and to disaggregate existing data by disability. The tool can facilitate low- and middle-income countries in their efforts to develop evidenced-based policies to address any barriers faced by persons with disabilities, to monitor the implementation of the Convention on the Rights of Persons with Disabilities and the Sustainable Development Goals, and to take stock of the challenges that still remain.
全球高质量残疾数据匮乏，这导致缺乏应对残疾人所面临挑战的政治意愿。本文提出了一条前进的道路，通过展示世界卫生组织功能与残疾分类工具（FDD11）的心理测量特性来克服这一差距，FDD11是一种各国可使用的简要残疾分类工具。
研究表明FDD11是一种有效且可靠的工具。每次校准所产生量表的单维性得到了所进行的因素分析的支持。分析表明项目拟合良好，且项目针对性被认为是充分的。人员分离指数为0.82，表明最终量表具有良好的可靠性。
FDD11为研究人员和政府提供了一个良好机会，以获取高质量残疾数据并按残疾情况对现有数据进行分类。该工具可协助低收入和中等收入国家努力制定循证政策，以应对残疾人所面临的任何障碍，监测《残疾人权利公约》和可持续发展目标的实施情况，并评估仍然存在的挑战。
