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      Intra-Rater Test-Retest Reliability of a Modified Child Functioning Module, Self-Report Version

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          Abstract

          Determining disability prevalence is a growing area for population statistics, especially among young adolescents. The Washington Group on Disability Statistics is one source of reporting disabilities through functional difficulties. Yet, young adolescents self-reporting through this measure is in its infancy. The purpose of this study was to carry out an intra-rater test-retest reliability study on a modified set of items for self-reporting functional difficulties. Young adolescents ( N = 74; boys = 64%; age M = 13.7, SD = 1.8) with special educational needs in Finland completed a self-reported version of the Child Functioning Module in a supervised classroom. The second administration took place two weeks later. Intraclass correlation coefficient (ICC) and Kappa ( k) statistics were used to test the reliability of the items, and interpretation took place through Landis and Koch, and Cohen, respectively. The majority of items had substantial or moderate agreement, although there was only fair agreement for self-care (ICC = 0.59), concentration (ICC = 0.50), and routine changes (ICC = 0.54). Kappa statistics of behavior control were interpreted to be large ( k = 0.65), and seeing ( k = 0.49), walking ( k = 0.49), and speaking ( k = 0.49) difficulties were moderate. The majority of the items in the self-reported version of the Child Functioning Module can be used in a scale format, although some caution may be required on items of self-care and concentration when used as a dichotomous variable.

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          The Measurement of Observer Agreement for Categorical Data

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            Adolescence and the social determinants of health

            The health of adolescents is strongly affected by social factors at personal, family, community, and national levels. Nations present young people with structures of opportunity as they grow up. Since health and health behaviours correspond strongly from adolescence into adult life, the way that these social determinants affect adolescent health are crucial to the health of the whole population and the economic development of nations. During adolescence, developmental effects related to puberty and brain development lead to new sets of behaviours and capacities that enable transitions in family, peer, and educational domains, and in health behaviours. These transitions modify childhood trajectories towards health and wellbeing and are modified by economic and social factors within countries, leading to inequalities. We review existing data on the effects of social determinants on health in adolescence, and present findings from country-level ecological analyses on the health of young people aged 10-24 years. The strongest determinants of adolescent health worldwide are structural factors such as national wealth, income inequality, and access to education. Furthermore, safe and supportive families, safe and supportive schools, together with positive and supportive peers are crucial to helping young people develop to their full potential and attain the best health in the transition to adulthood. Improving adolescent health worldwide requires improving young people's daily life with families and peers and in schools, addressing risk and protective factors in the social environment at a population level, and focusing on factors that are protective across various health outcomes. The most effective interventions are probably structural changes to improve access to education and employment for young people and to reduce the risk of transport-related injury. Copyright © 2012 Elsevier Ltd. All rights reserved.
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              Assessment of physical activity by self-report: status, limitations, and future directions.

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                23 September 2020
                October 2020
                : 17
                : 19
                : 6958
                Affiliations
                [1 ]School of Educational Sciences and Psychology, University of Eastern Finland, 80101 Joensuu, Finland
                [2 ]Physical Activity for Health Research Cluster, Department of Physical Education and Sport Sciences, University of Limerick, Limerick V94 T9PX, Ireland
                [3 ]LIKES Physical Activity for Health Research Centre, 40700 Jyväskylä, Finland; piritta.asunta@ 123456likes.fi
                [4 ]Spesia Vocational College, Keskussairaalantie 21, 40620 Jyväskylä, Finland; niko.leppa@ 123456spesia.fi
                [5 ]Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland; pauli.rintala@ 123456jyu.fi
                Author notes
                [* ]Correspondence: kwok.ng@ 123456hbsc.org
                Author information
                https://orcid.org/0000-0002-5461-7706
                https://orcid.org/0000-0001-6522-7634
                Article
                ijerph-17-06958
                10.3390/ijerph17196958
                7579571
                32977572
                c08a3ae6-0a7a-4c64-9e76-d4c38dd359cb
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 08 August 2020
                : 21 September 2020
                Categories
                Article

                Public health
                disability statistics,kappa,intraclass correlation coefficient,young adolescents,functional difficulties,special education,survey,health behavior

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