Factor Structure of an ICF-Based Measure of Activity and Participations for Adults in Taiwan's Disability Eligibility Determination System.
Hua-Fang Liao, Chia-Feng Yen, Tzu-Ying Chiu and 5 others
PMID 36188921WHAT IT FOUND
The FUNDES-Adult assessment for disability eligibility in Taiwan separates into two distinct scores: one for what a person does in their current environment, and one for what they could do without aids or help.
These two dimensions measure different things.
Key findings
01The assessment's 'performance' and 'capability' dimensions form two separate five-factor structures, confirming they measure distinct aspects of activity and participation.
02Cultural factors required the deletion of specific items, such as those regarding staying alone or sexual activity, because they were frequently marked 'not applicable' or refused in the Taiwanese population.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study is limited to the Taiwanese population and the specific cultural context, which necessitated the removal of items related to independent living and sexuality. The data is from a disability eligibility determination system, which may not reflect the full range of functional abilities in a general clinical rehabilitation population. The study does not evaluate the tool's ability to predict clinical outcomes or the effectiveness of interventions, only its internal statistical structure.
Declared interests
The study was funded by the Ministry of Health and Welfare in Taiwan. The authors declared no commercial or financial conflicts of interest.
The easy way to misread this
Do not assume this tool or its factor structure is validated for use in other countries or clinical populations. The specific items and their groupings were tailored to the Taiwanese disability eligibility system and cultural norms.