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Validity and reliability of the Functioning Disability Evaluation Scale-Adult Version based on the WHODAS 2.0--36

Chia-Feng Yen1, Ai-Wen Hwang2, Tsan-Hon Liou3

  • 1Department of Public Health, Tzu Chi University, Hualien, Taiwan.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|October 9, 2014
PubMed
Summary

The Functioning Disability Evaluation Scale-Adult Version (FUNDES-Adult) demonstrates reliable and valid measurement of activities and participation for adults with disabilities. This scale is suitable for use in Taiwan's disability eligibility system.

Keywords:
International Classification of Functioning, Disability and Health (ICF)WHODAS 2.0disability evaluationreliability and validitysocial participation

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Area of Science:

  • Rehabilitation Medicine
  • Disability Studies
  • Psychometrics

Background:

  • Taiwan's disability eligibility system utilizes the International Classification of Functioning, Disability and Health (ICF) framework.
  • The Functioning Disability Evaluation Scale (FUNDES) was developed in 2007 to assess activities and participation for disability determination.
  • The FUNDES-Adult Version (FUNDES-Adult) is a key instrument within this system.

Purpose of the Study:

  • To rigorously examine the reliability and validity of the FUNDES-Adult.
  • To ensure the FUNDES-Adult accurately reflects an individual's functional status.
  • To confirm the suitability of FUNDES-Adult for disability assessments.

Main Methods:

  • A national population-based study involving 5736 adults with disabilities (mean age 58.4 years) conducted between 2011-2012.
  • In-person assessments by certified professionals in authorized hospitals.
  • Utilized modified WHO Disability Assessment Schedule 2.0 items and ICF-based design for specific domains.

Main Results:

  • Excellent internal consistency with Cronbach's α ≥ 0.9.
  • Exploratory and confirmatory factor analyses supported a five-factor structure for performance and capability dimensions with high factor loadings (0.56-0.94).
  • Acceptable ceiling (9-36%) and floor (5-45%) effects were observed in relevant domains.

Conclusions:

  • The FUNDES-Adult possesses acceptable reliability and validity.
  • The scale is appropriate for measuring activities and participation in adults with disabilities.
  • FUNDES-Adult can be effectively utilized within Taiwan's disability eligibility system.