Artikelförfattare: Jennifer Gothilander, Anna Karin Axelsson, Henrik Danielsson, Lena Almqvist, Anna Ullenhag

Abstract:

Background: FUNDES-Child-SE is a proxy rating questionnaire for measuring
participation and independence in children with disabilities in a Swedish context. It
includes the components of frequency of attendance, engagement and independence.
The original, Taiwanese FUNDES-Child 7.0, has previously been found to
have a four-factor structure for frequency of participation and a two-factor structure
for independence. The aim of this study was to test the factor structure in
FUNDES-Child-SE. The factor structure is an important part of construct validity.
Methods: Caregivers of 163 children with disabilities aged 6–18 years participated in
this cross-sectional study. Exploratory factor analysis was used to find the factor
structure for Engagement. Confirmatory factor analysis was used to test the factor
structure for all three components.
Results: The proposed factor structure for frequency of participation (daily living
participation frequency, mobility participation frequency, learning participation
frequency and community participation frequency) and independence (daily living
independence and social participation independence) fit with data from FUNDESChild-
SE after excluding three to five items and adding two to five covariances of
residuals. In the engagement component, two factors, named engagement in informal
activities and engagement in formal activities, were found. After excluding one item
and adding 10 covariances of residuals, the factor structure had an acceptable fit
to data.
Conclusions: Differences in components' factor structure indicate that attendance
and engagement are separate aspects of participation. Before using numeric scores
from FUNDES-Child-SE in clinical settings, responsiveness and interpretability should
be evaluated.

Forskningsfinansiärer: Svenska Vetenskapsrådet, Stiftelsen Sunnerdahls handikappforn, Futurum, Region Jönköpings län

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