Format

Send to

Choose Destination
J Formos Med Assoc. 2014 May;113(5):303-12. doi: 10.1016/j.jfma.2011.10.004. Epub 2012 May 16.

Applying the ICF-CY framework to examine biological and environmental factors in early childhood development.

Author information

1
Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taiwan.
2
The School and Graduate Institute of Physical Therapy, College of Medicine, Taiwan. Electronic address: hfliao@ntu.edu.tw.
3
Institute of Occupational Medicine and Industrial Hygiene, College of Public Health, Taiwan.
4
Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
5
School Psychology and Early Childhood Education, University of North Carolina at Chapel Hill, NC, USA.
6
Department of Psychology, National Taiwan University, Taiwan.
7
Department of Genetics, National Taiwan University Hospital, Taipei, Taiwan.

Abstract

BACKGROUND/PURPOSE:

Previous cohort studies for the general pediatric population had a limited focus on either environmental or biological influences, or a specific theoretical framework. The child's development, however, is a composite of physical, mental, social, environmental, and personal factors. The framework of the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) provides a comprehensive model for investigating the influential factors of child development within a biopsychosocial perspective.

METHODS:

A birth cohort study followed up 122 child-parent dyads at birth and when the children were 4 months, 6 months, and 2.5 years old. Structural equation modeling was conducted based on the concept and the definitions of ICF-CY.

RESULTS:

The path coefficients linking exposures and outcome variables were significant except for the paths from birth weight to general development of infants and toddlers. Home environment explained 59% of variance of infant developmental outcomes.

CONCLUSION:

The proposed model based on ICF-CY showed acceptable fit to the data and provides support for the importance of the home environment on general development of infants and toddlers.

KEYWORDS:

ICF; child development; health promotion; social environment; structural equation modeling

PMID:
24746116
DOI:
10.1016/j.jfma.2011.10.004
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center