School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, 3500 Blv Decarie, Room 439, Montreal, QC, H4A3J5, Canada.
Research Institute of the McGill University Health Centre, Montreal, QC, H4A 3J1, Canada.
BMC Pediatr. 2023 Feb 20;23(1):86. doi: 10.1186/s12887-023-03884-8.
Participation in the community is a fundamental human right for children with disabilities and is a key component of their health and development. Inclusive communities can enable children with disabilities to participate fully and effectively. The Child Community Health Inclusion Index (CHILD-CHII) is a comprehensive assessment tool developed to examine the extent to which community environments foster healthy, active living for children with disabilities.
To assess the feasibility of applying the CHILD-CHII measurement tool across different community settings.
Participants recruited through maximal representation, and purposeful sampling from four community sectors (Health, Education, Public Spaces, Community Organizations) applied the tool on their affiliated community facility. Feasibility was examined by assessing length, difficulty, clarity, and value for measuring inclusion; each rated on a 5-point Likert scale. Participants provided comments for each indicator through the questionnaire and a follow-up interview.
Of the 12 participants, 92% indicated that the tool was 'long' or 'much too long'; 66% indicated that the tool was clear; 58% indicated that the tool was 'valuable' or 'very valuable'. No clear consensus was obtained for the level of difficulty. Participants provided comments for each indicator.
Although the length of the tool was regarded as long, it was seen to be comprehensive and valuable for stakeholders in addressing the inclusion of children with disabilities in the community. The perceived value and the evaluators' knowledge, familiarity, and access to information can facilitate use of the CHILD-CHII. Further refinement and psychometric testing will be conducted.
参与社区活动是残疾儿童的一项基本人权，也是他们健康和发展的关键组成部分。包容性社区可以使残疾儿童充分、有效地参与。儿童社区健康包容指数（CHILD-CHII）是一种全面的评估工具，旨在考察社区环境促进残疾儿童健康、积极生活的程度。
评估在不同社区环境中应用 CHILD-CHII 测量工具的可行性。
通过最大代表性和有目的的抽样，从四个社区部门（卫生、教育、公共空间、社区组织）招募参与者，在其附属社区设施上应用该工具。通过评估衡量包容性的长度、难度、清晰度和价值来评估可行性；每个指标都在 5 点李克特量表上进行评分。参与者通过问卷和后续访谈对每个指标提供了意见。
在 12 名参与者中，92%的人表示该工具“太长”或“太长了”；66%的人表示该工具清晰易懂；58%的人表示该工具“有价值”或“非常有价值”。对于难度水平，没有达成明确的共识。参与者对每个指标都提供了意见。
尽管工具的长度被认为很长，但它被认为是全面的，对利益相关者解决残疾儿童在社区中的包容问题具有价值。感知到的价值以及评估者的知识、熟悉程度和获取信息的能力可以促进 CHILD-CHII 的使用。还将进行进一步的细化和心理测量测试。
