Abstract
Based on the International Classification of Functioning, Disability, and Health (ICF) and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), The Functioning Disability Evaluation Scale-Adult version (FUNDES-Adult) began development in 2011. The FUNDES-Adult was designed to assess the difficulty level of an individual’s activities and participation in daily life. There is a lack of research regarding the profile of activity and participation for the general adult population. The purposes of this study were to establish activity and participation norms for the general adult population in Taiwan and to describe, discuss, and compare the activity and participation profile with other population. Method: A population-based survey was administered in 2013 using a computer-assisted telephone interviewing system (CATI system). Using probability proportional to size (PPS) sampling and systematic sampling with random digit dialing (RDD), 1500 adults from Taiwan’s general population were selected to participate in the survey. The FUNDES-Adult with six domains and two dimensions (performance and capability) was used to obtain data on activities and participation levels. A higher domain score indicated higher participation restriction. Results: Approximately 50% of the respondents were male, and the average age of the respondents was 45.23 years. There were no significant differences in the demographic features between the sample and the population. Among the six domains, the self-care domain score was the lowest (least restriction) and the participation domain score was the highest (most restriction). Approximately 90% of the sample scored were less than 15, and only 0.1% scored more than 80. This is the first cross-national population-based survey to assess norms of activity and participation relevant to the general population of Taiwan. As such, the results of this survey can be used as a reference for comparing the activity and participation (AP) functioning of other countries and subgroups.
Highlights
In 2001, the International Classification of Functioning, Disability, and Health (ICF) was announced and released by the World Health Organization (WHO), which rapidly became a guiding model for disability research and a key tool for both a population-based and a clinical-based understanding of disability [1,2,3]
The study employed probability proportional to size (PPS), systematic sampling, and random digit dialing (RDD) of non-institutionalized adults living in private households in Taiwan
Before we collected data in the present study, we interviewed 30 adults using face to face and telephone methods to evaluate their AP functioning, and there was an interval of
Summary
In 2001, the International Classification of Functioning, Disability, and Health (ICF) was announced and released by the World Health Organization (WHO), which rapidly became a guiding model for disability research and a key tool for both a population-based and a clinical-based understanding of disability [1,2,3]. The ICF offers a biopsychosocial model that provides a conceptual framework linking body functions and structures with activities and participation [4]. In 2007, Taiwan promulgated the People with Disabilities Rights Protection Act to enhance the social participation of people with disabilities. This act resulted in a regulation that requires the Disability Evaluation System to include an activities and participation component. The Taiwan ICF research team developed the Functioning Disability Evaluation Scale (FUNDES), which was modified from the 36-item version of the WHO Disability Assessment Schedule 2.0. W.-T.; Yen, C.-F.; Teng, S.-W.; Liao, H.-F.; Chang, K.-H.; Chi, W.-C.; Wang, Y.-H.; Liou, T.-H.
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