The Definition and Measurement of Disability The Work of the 定义和残疾的工作测量.pptVIP

The Definition and Measurement of Disability: The Work of the Washington Group (continued) Daniel Mont Disability and Development Group The World Bank November 9, 2006 Cognitive Testing Cognitive testing was undertaken in 15 countries to ensure validity and better understand how the questions operate. Purposive Samples Asked WG question and series of detailed questions in the same domains Collected information on response process Analyzed problematic response patterns Questions performed well with a few issues: Glasses and hearing aid clauses Communication question More detailed questions on functioning. For example, Cognitive Questions Do you have difficulty remembering the names of people or places? Do you have difficulty remembering appointments? Do you have difficulty remembering how to get to familiar places? Do you have difficulty remembering important tasks, like taking medications or paying bills? Do you have difficulty concentrating on doing something for ten minutes? ?Do you have difficulty learning a new task, for example, learning how to get to a new place? Do you have difficulty finding solutions to problems in day to day life? Information on response process Questions to interviewers Need to repeat any part of the question? Any difficulty in using response options? Did respondents ask for clarification or qualify their answers? Follow-up probes to understand response process Correlates of cognition difficulty Correlates of cognition difficulty Socio- demographic correlates of cognition difficulty Overall, questions worked well Well understood Responses consistent Two problem areas Glasses clause – WG is revisiting but solution has a lot to do with translation protocol Communication Question – WG will revisit to see if question can be simplified Field Testing Undertaken in South Africa and Vietnam Checking for Internal consistency Results comparable to changes seen in other countries with move towards functional approach to measuring disabil