4.3 Article

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

Journal

JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
Volume 113, Issue 11, Pages 839-849

Publisher

ELSEVIER TAIWAN
DOI: 10.1016/j.jfma.2014.08.008

Keywords

disability evaluation; International Classification of Functioning, Disability and Health (ICF); reliability and validity; social participation; WHODAS 2.0

Funding

  1. Department of Health, Executive Yuan, Taiwan [99M4073, 100M4145, 101M4100, 102M4018, 102M4022, M03F4037]

Ask authors/readers for more resources

Background/Purpose: The disability eligibility determination system is based on the International Classification of Functioning, Disability and Health (ICF) framework in Taiwan. The Functioning Disability Evaluation Scale (FUNDES) has been developed since 2007 for assessing the status of an individual's activities and participation in the disability eligibility system. The purpose of this study was to examine the reliability and validity of the FUNDES-Adult Version (FUNDES-Adult). Methods: During 2011-2012, a total of 5736 adults with disabilities (aged 58.4 perpendicular to 18.2 years) were randomly recruited for a national population-based study. These adults were assessed in person by certified professionals in the authorized hospitals. Domains 1-6 of the FUNDES-Adult addressing the performance and capability dimensions are modified from the World Health Organization Disability Assessment Schedule 2.0-36-item version, and Domain 7 (Environmental attribute) and capability and capacity dimensions of Domain 8 (Motor action) are designed based on the ICF coding system. Results: The internal consistency was excellent (Cronbach's alpha >= 0.9). An exploratory factor analysis yielded a five-factor FUNDES structure with a variance of 76.1% and 76.9% and factor loadings of 0.56-0.94 and 0.55-0.94 for the performance and capability dimensions, respectively. The factor loadings for the second-order confirmatory factor analysis for the performance and capability dimensions were from 0.81 to 0.89. In Domains 1-6 and 8, the ceiling effects were from 9% to 36%, and the floor effects were from 5% to 45%. Conclusion: FUNDES-Adult has acceptable reliability and validity and can be used to measure activities and participation for people with disabilities. Copyright (C) 2014, Elsevier Taiwan LLC & Formosan Medical Association. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Rehabilitation

Clustering of functioning and disability profile based on the WHO disability assessment schedule 2.0-a nationwide databank study

Chao-Pen Chen, Yi-Wen Chen, Kwang-Hwa Chang, Shih-Wei Huang, Chien-Hua Wu, Reuben Escorpizo, Gerold Stucki, Tsan-Hon Liou

Summary: This study converted the functioning domain scores of the World Health Organization Disability Assessment Schedule 2.0 into radar charts, and further categorized disability restrictions into different clusters based on the similarity of functioning impairments. Understanding the characteristics of disease-related disabilities and providing a basis for designing rehabilitation are important.

DISABILITY AND REHABILITATION (2022)

Article Rehabilitation

Recovery after stroke: perspectives of young stroke survivors in Taiwan

Feng-Hang Chang, Yen-Nung Lin, Tsan-Hon Liou

Summary: This study aimed to explore the experiences of stroke recovery among young stroke survivors in Taiwan, focusing on their beliefs, goals, and factors that facilitate or hinder their recovery. The findings revealed that returning to pre-stroke status was a common belief of recovery, and personal and environmental factors played a role in either facilitating or hindering recovery. These insights can guide rehabilitation clinicians in developing culturally tailored interventions to enhance post-stroke recovery outcomes for young stroke survivors.

DISABILITY AND REHABILITATION (2022)

Article Environmental Sciences

Development International Classification of Functioning, Disability and Health Core Set for Post Total Knee Replacement Rehabilitation Program: Delphi-Based Consensus Study in Taiwan

Shih-Wei Huang, Yi-Wen Chen, Reuben Escorpizo, Chun-De Liao, Tsan-Hon Liou

Summary: This study aimed to develop a comprehensive rehabilitation program for patients with osteoarthritis post total knee arthroplasty (TKA) by creating a core set from the International Classification of Functioning, Disability and Health (ICF). Through a Delphi-based consensus process involving 20 physical therapists, a 32-category ICF core set for post TKA rehabilitation was determined, covering aspects such as body function, structures, activities and participation, environmental factors, and personal factors. This core set can provide effective rehabilitation strategies and goal setting for patients post TKA, but further validation and feasibility assessments are needed.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Environmental Sciences

Developing a Delphi-Based Comprehensive Core Set from the International Classification of Functioning, Disability, and Health Framework for the Rehabilitation of Patients with Burn Injuries

Yu-Ru Lin, Jr-Yi Wang, Shun-Cheng Chang, Kwang-Hwa Chang, Hung-Chou Chen, Reuben Escorpizo, Shih-Wei Huang, Tsan-Hon Liou

Summary: In this study, a core ICF set consisting of 68 categories including body functions, body structures, activities and participation, and environmental factors was developed for Taiwanese patients with burns. This core set offers a comprehensive system for disability assessment and sets the stage for effective rehabilitation strategy setting for patients with burns. Further feasibility and validation studies are needed in the future to assess the utility of this core set.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Rehabilitation

Exercise therapy for sarcopenia in rheumatoid arthritis: A meta-analysis and meta-regression of randomized controlled trials

Chun-De Liao, Hung-Chou Chen, Shih-Wei Huang, Tsan-Hon Liou

Summary: Exercise therapy effectively increased muscle mass in patients with rheumatoid arthritis, but the treatment effects may be attenuated in those who have had the disease for a relatively long time. Meta-regression analyses indicated significant variance in treatment effects across studies, with disease duration as a significant explanatory factor.

CLINICAL REHABILITATION (2022)

Article Psychiatry

Functional status and return to work in people with major depression: a 3-year national follow-up study

Jia-Pei Hong, Chih-Hong Lee, Yu-Hao Lee, Reuben Escorpizo, Yu-Chen Chiang, Tsan-Hon Liou

Summary: The study reveals a positive association between return to work and functional improvements in patients with MDD, particularly in areas such as cognition, mobility, and self-care. It is suggested that a referral system targeting re-employment be established during MDD treatment, especially for individuals at risk of prolonged unemployment.

SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY (2022)

Review Biochemistry & Molecular Biology

Relative Effect of Extracorporeal Shockwave Therapy Alone or in Combination with Noninjective Treatments on Pain and Physical Function in Knee Osteoarthritis: A Network Meta-Analysis of Randomized Controlled Trials

Chun-De Liao, Yu-Yun Huang, Hung-Chou Chen, Tsan-Hon Liou, Che-Li Lin, Shih-Wei Huang

Summary: This network meta-analysis suggests that medium-energy ESWT combined with physical therapy or Chinese medicine is effective in treating pain and improving function in patients with knee osteoarthritis.

BIOMEDICINES (2022)

Article Rehabilitation

Effectiveness, Compliance, and Safety of Dextrose Prolotherapy for Knee Osteoarthritis: A Meta-Analysis and Metaregression of Randomized Controlled Trials

Yi-Wen Chen, Yen-Nung Lin, Hung-Chou Chen, Tsan-Hon Liou, Chun-De Liao, Shih-Wei Huang

Summary: This study assessed the effectiveness, compliance, and safety of dextrose prolotherapy for knee osteoarthritis. The meta-analysis showed that dextrose prolotherapy had favorable effects on pain, global function, and quality of life. It also demonstrated dose-dependent and time-dependent effects on pain reduction and function recovery, respectively. However, caution should be exercised due to heterogeneity and biases across the included trials.

CLINICAL REHABILITATION (2022)

Article Environmental Sciences

Predictors of Employment Status for Persons with Bipolar Disorder

Shu-Jen Lu, Tsan-Hon Liou, Ming-Been Lee, Chia-Feng Yen, Yen-Ling Chen, Reuben Escorpizo, Ay-Woan Pan

Summary: Bipolar disorder is associated with various disabilities, including low employment rate and high dependence on public aid. This study aimed to identify factors related to employment for individuals with bipolar disorder. The results showed that demographic variables were significantly correlated with employment status, and using a certain cutoff score on the World Health Organization Disability Assessment Schedule 2.0 could predict employment probability.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

Review Rehabilitation

Effectiveness of neuromuscular electrical stimulation in improving mobility in children with cerebral palsy: A systematic review and meta-analysis of randomized controlled trials

Yu-Hsuan Chen, Hsun-Yi Wang, Chun-De Liao, Tsan-Hon Liou, Reuben Escorpizo, Hung-Chou Chen

Summary: Neuromuscular electrical stimulation has been found to improve mobility in children with spastic cerebral palsy, particularly in the areas of standing, running, and jumping. This treatment is safe for children with spastic cerebral palsy.

CLINICAL REHABILITATION (2023)

Review Nutrition & Dietetics

Effects of conjugated linoleic acid and exercise on body composition and obesity: a systematic review and meta-analysis

Chun-Wei Liang, Hsiao-Yi Cheng, Yu-Hao Lee, Tsan-Hon Liou, Chun-De Liao, Shih-Wei Huang

Summary: Combining CLA with exercise can effectively reduce body fat and insulin resistance, but it does not have significant effects on body weight control, exercise performance enhancement, or improvement of lipid profiles.

NUTRITION REVIEWS (2023)

Article Education, Special

Factors Affecting Information and Communication Technology Use for University Students With and Without Learning Disabilities

Ting-Fang Wu, Cheng-Ming Chen

Summary: The purpose of this study was to develop a model to represent the relationships among significant factors of information and communication technology use for university students with and without learning disabilities. The study was conducted in Taiwan with an international sample of research participants. A questionnaire was used to collect data from students with and without learning disabilities. The results showed that the proposed model can explain 92% of information and communication technology use for students without learning disabilities, and 73% for students with learning disabilities. The study illustrated that the developed model can demonstrate the structural relations of essential factors and information and communication technology usage for university students, both with and without learning disabilities.

JOURNAL OF SPECIAL EDUCATION TECHNOLOGY (2023)

Review Rehabilitation

Upper limb manual training for children with cerebral palsy: A systematic review and network meta-analysis of randomized controlled trials

Fu-An Yang, Ting-Hsuan Lee, Shih-Wei Huang, Tsan-Hon Liou, Reuben Escorpizo, Hung-Chou Chen

Summary: This study compared the effectiveness and priority of different upper limb manual training protocols for improving functional outcomes in children with cerebral palsy. The results suggest that mirror therapy may be the preferred option for improving functional outcomes in patients with cerebral palsy.

CLINICAL REHABILITATION (2023)

Article Rehabilitation

Predicting trends of community participation after hospital discharge for younger adults after stroke

Feng-Hang Chang, Yen-Nung Lin, Tsan-Hon Liou, Peng-Sheng Ni

Summary: This study aims to explore the trends and predictors of community participation in younger adults after stroke in Taiwan. The findings show a positive trend in participation scores from hospital discharge to 1-year follow-up, particularly in social and community domains. However, the improvement is mild and mainly occurs in the first 3 months. Sociodemographic factors, stroke severity, comorbidity, and physical function significantly predict changes in participation scores over time, with physical function being the strongest predictor.

ANNALS OF PHYSICAL AND REHABILITATION MEDICINE (2023)

Article Environmental Sciences

Delphi-Based Consensus to Determine Core Aspects of Post-Hip-Fracture Surgery Rehabilitation Based on the International Classification of Functioning, Disability, and Health

Che-Li Lin, Chun-De Liao, Yu-Hao Lee, Reuben Escorpizo, Tsan-Hon Liou, Shih-Wei Huang

Summary: Hip fracture is a major adverse event for older individuals, leading to high rates of mortality and morbidity. Effective post-hip fracture rehabilitation is crucial for patients to regain function and improve their quality of life. This study aimed to develop a core set of considerations based on the International Classification of Functioning, Disability, and Health (ICF) for designing comprehensive rehabilitation programs. Through a three-round Delphi-based questionnaire, a core set of 34 categories was selected.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

No Data Available