Author:
Yejong Yoo Paul,Majnemer Annette,Wilton Robert,Ahmed Sara,Shikako Keiko
Abstract
Abstract
Background
Participation in the community is a fundamental human right for children with disabilities and is a key component of their health and development. Inclusive communities can enable children with disabilities to participate fully and effectively. The Child Community Health Inclusion Index (CHILD-CHII) is a comprehensive assessment tool developed to examine the extent to which community environments foster healthy, active living for children with disabilities.
Objectives
To assess the feasibility of applying the CHILD-CHII measurement tool across different community settings.
Methods
Participants recruited through maximal representation, and purposeful sampling from four community sectors (Health, Education, Public Spaces, Community Organizations) applied the tool on their affiliated community facility. Feasibility was examined by assessing length, difficulty, clarity, and value for measuring inclusion; each rated on a 5-point Likert scale. Participants provided comments for each indicator through the questionnaire and a follow-up interview.
Results
Of the 12 participants, 92% indicated that the tool was ‘long’ or ‘much too long’; 66% indicated that the tool was clear; 58% indicated that the tool was ‘valuable’ or ‘very valuable’. No clear consensus was obtained for the level of difficulty. Participants provided comments for each indicator.
Conclusion
Although the length of the tool was regarded as long, it was seen to be comprehensive and valuable for stakeholders in addressing the inclusion of children with disabilities in the community. The perceived value and the evaluators’ knowledge, familiarity, and access to information can facilitate use of the CHILD-CHII. Further refinement and psychometric testing will be conducted.
Funder
Canadian Institutes of Health Research
Fondation de l'Hôpital de Montréal pour enfants
Publisher
Springer Science and Business Media LLC
Subject
Pediatrics, Perinatology and Child Health
Reference21 articles.
1. Convention on the rights of the child. 1989; Available from: https://www.ohchr.org/en/professionalinterest/pages/crc.aspx.
2. Convention on the rights of persons with disabilities. 2006; Available from: https://www.un.org/development/desa/disabilities/convention-on-the-rights-of-persons-with-disabilities.html.
3. Kunstler R, Thompson A, Croke E. Inclusive recreation for transition-age youth: promoting self-sufficiency, community inclusion, and experiential learning. Ther Recreation J. 2013;47(2):122–36.
4. Eisenberg Y, et al. Development of a community health inclusion index: an evaluation tool for improving inclusion of people with disabilities in community health initiatives. BMC Public Health. 2015;15(1):1–11.
5. Yoo PY, et al. Content development of the child community health inclusion index: an evaluation tool for measuring inclusion of children with disabilities in the community. Child Care Health Dev. 2022;49(1):44–53.