Abstract

Determining disability prevalence is a growing area for population statistics, especially among young adolescents. The Washington Group on Disability Statistics is one source of reporting disabilities through functional difficulties. Yet, young adolescents self-reporting through this measure is in its infancy. The purpose of this study was to carry out an intra-rater test-retest reliability study on a modified set of items for self-reporting functional difficulties. Young adolescents (N = 74; boys = 64%; age M = 13.7, SD = 1.8) with special educational needs in Finland completed a self-reported version of the Child Functioning Module in a supervised classroom. The second administration took place two weeks later. Intraclass correlation coefficient (ICC) and Kappa (k) statistics were used to test the reliability of the items, and interpretation took place through Landis and Koch, and Cohen, respectively. The majority of items had substantial or moderate agreement, although there was only fair agreement for self-care (ICC = 0.59), concentration (ICC = 0.50), and routine changes (ICC = 0.54). Kappa statistics of behavior control were interpreted to be large (k = 0.65), and seeing (k = 0.49), walking (k = 0.49), and speaking (k = 0.49) difficulties were moderate. The majority of the items in the self-reported version of the Child Functioning Module can be used in a scale format, although some caution may be required on items of self-care and concentration when used as a dichotomous variable.

Highlights

  • Based on the Salamanca Agreement on Inclusive Education, all children have the right to education, irrespective of individual difficulties [1]

  • The Finnish education system has been progressing towards more inclusion in schools by passing the Education Act in 2010, where families have the choice for children to attend a general school, special educational class, or special school [2]

  • Given the importance of accurately measuring disabilities among children with special support needs, and the lack of psychometric properties available from the self-report version of disabilities from surveys, the aim of this study was to carry out a test and retest reliability study on the self-report version of the Child Functioning Module (CFM) among children with special educational needs in schools

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Summary

Introduction

Based on the Salamanca Agreement on Inclusive Education, all children have the right to education, irrespective of individual difficulties [1]. The Finnish education system has been progressing towards more inclusion in schools by passing the Education Act in 2010, where families have the choice for children to attend a general school, special educational class, or special school [2]. The Basic Education Act [2] and the three-tier framework was officially implemented in August 2011 in every Finnish school [4]. The support system allows these pupils to become part of the general school, be in environments whereby they have access, and can participate in the same activities as their peers. This type of support is described as Tier 1—general support. Public Health 2020, 17, 6958; doi:10.3390/ijerph17196958 www.mdpi.com/journal/ijerph

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