Field testing a draft version of the UNICEF/Washington Group Module on child functioning and disability. Background, methodology and preliminary findings from Cameroon and India
Field testing a draft version of the UNICEF/Washington Group Module on child functioning and disability. Background, methodology and preliminary findings from Cameroon and India
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DOI：
10.1016/j.alter.2016.09.003
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发表时间：
2016-10-01
影响因子：
1
通讯作者：
Polack, Sarah
中科院分区：
文献类型：
--
作者：
Mactaggart, Islay;Cappa, Claudia;Polack, Sarah
背景- 全球儿童残疾数据一般不具有可比性，包括不同的工具、方法和残疾定义。儿童基金会和华盛顿残疾统计小组开发了一个关于儿童功能和残疾的新工具，以满足这一需求。- 本文的目的是描述新模块的开发，并提出一个独立的现场测试的草案模块在两个对比设置。- 联合国儿童基金会和工作组开发了一个家长报告的调查模块，通过审查现有文件、咨询专家和认知测试，在基于人口的调查中识别2-17岁有功能困难的儿童。在喀麦隆和印度进行的一次基于人口的调查中，对该模块草稿进行了实地测试。在14个领域中的每一个领域的功能限制进行评分，包括“没有困难”，“一些困难”，“很多困难”和“不能做”的规模。- 总共对喀麦隆的1713名儿童和印度的1101名儿童进行了评估。据报道，喀麦隆64%的儿童和印度35%的儿童至少在一个或多个领域有一些困难。报告说“有很多困难”或“不能做”的比例在喀麦隆为9%，在印度为4%。在两个国家中，按性别划分的功能障碍没有显著差异，但据报道，2-4岁的儿童与年龄较大的儿童相比，任何类型的功能障碍都较少。- 在这两个国家之间产生了可比估计数，初步概述了该工具的产出。必须继续制定这一标准化调查表，以收集关于儿童残疾的可靠数据。(C)2016年协会变更。由Elsevier Masson SAS出版。All rights reserved.
Background. - Global child disability data are generally non comparable, comprising different tools, methodologies and disability definitions. UNICEF and The Washington Group on Disability Statistics (WG) have developed a new tool on child functioning and disability to address this need.Aims. - The aim of this paper is to describe the development of the new module, and to present an independent field test of the draft module in two contrasting settings.Methods. - UNICEF and the WG developed a parent -reported survey module to identify children aged 2-17 years with functional difficulties in population-based surveys through: review of existing documentation, consultation with experts and cognitive testing. A field test of the draft module was undertaken in Cameroon and India within a population-based survey. Functional limitation in each of 14 domains was scored on a scale comprising "no difficulty", "some difficulty", "a lot of difficulty" and "cannot do".Results. - In all, 1713 children in Cameroon and 1101 children in India were assessed. Sixty-four percent of children in Cameroon and 35% of children in India were reported to have at least some difficulty in one or more domain. The proportion reported to have either "a lot of difficulty" or "cannot do" was 9% in Cameroon and 4% in India. There were no significant differences in reported functional difficulties by sex but children aged 2-4 were reported to have fewer functional difficulties of any kind compared with older children in both countries.Conclusion. - Comparable estimates were generated between the two countries, providing an initial overview of the tool's outputs. The continued development of this standardised questionnaire for the collection of robust and reliable data on child disability is essential. (C) 2016 Association ALTER. Published by Elsevier Masson SAS. All rights reserved.