ABID實證分享-「在台灣為發展遲緩兒童推動我的優勢第一：以優勢為導向並結合ICF架構之實務報告」簡介

中文摘要

本實務性實施報告描述了台灣針對發展遲緩兒童採納「我的優勢第一（My Abilities First, MAF）」推動的過程。MAF 以世界衛生組織《國際健康功能與身心障礙分類系統》（ICF）架構為基礎，強調在早期療育中採取以優勢為導向、參與式及人權本位的方法。本報告旨在描述 MAF架構的發展，以及其在台灣結合文化敏感性的創新實施細節，並運用執行科學（Implementation Science）原則來支持「我的優勢卡（My Abilities ID Card, ABID）」的國家層級推廣。

MAF 倡議的核心工具為 ABID，旨在賦權兒童使用自己的聲音或偏好的溝通模式，來表達其能力、偏好與支持需求。在執行科學的指引下，台灣 MAF 團隊邀請了都市與偏鄉地區的利害關係人參與，發展培訓計畫，並將 ABID 整合至早期療育與特殊教育系統中。

初步成果顯示，從 2021 年至 2025 年間，共舉辦了 140 場培訓課程，累計參與者達 6,961 人次。值得注意的是，培訓滿意度極高（>95%），且從業人員在使用正向語言方面的自覺專業勝任感有所提升。完成ABID 的 12 歲以下兒童人數增長至約700 名。初步證據顯示，ABID可能有助於在評估與介入過程中，更系統化地採納兒童的意見。來自家長與專業人士的質性回饋強調了ABID在確保兒童自我表達、動機及有意義的參與方面的貢獻。

台灣的先驅經驗證明了 MAF 與 ABID 在促進兒童權利與參與方面的可行性與影響力，為全球不同背景下的在地化適應提供了實務見解。

英文摘要
This practice-based implementation report describes the adoption of the My Abilities First (MAF) initiative for children with developmental delays in Taiwan. Grounded in the International Classification of Functioning, Disability and Health (ICF) framework, MAF emphasizes a strengths-based, participatory, and human rights-oriented approach to early childhood intervention. The purpose of this report is to describe the development of the MAF framework and the details of its innovative culturally sensitive implementation in Taiwan, using implementation science principles to support the national adoption of My Abilities ID Card (ABID). Central to the MAF initiative is the ABID, a tool that empowers children to express their abilities, preferences, and support needs using their own voice or preferred mode of communication. Guided by implementation science, the MAF team in Taiwan engaged stakeholders in urban and rural centers, developed training programs, and integrated ABID into early intervention and special education systems. Preliminary outcomes indicate that from 2021 to 2025, 140 training sessions reached 6,961 attendances. Notably, satisfaction with training was high (>95%), and practitioner subjective competence adopting positive language improved. The number of children under age 12 creating ABIDs grew to approximately 700. Preliminary evidence suggests that ABIDs might increase systematic adoption of children's opinions in assessments and intervention. Qualitative feedback from parents and professionals highlights the contribution of ABIDs ensuring self-expression, motivation, and meaningful participation. The pioneering Taiwanese experience demonstrates the feasibility and impact of MAF and ABID in promoting children’s rights and participation, offering practical insights for global adaptation in diverse contexts.

文獻來源
Hua-Fang Liao, Yi-Ling Pan, Pei-Jung Wang, Yen-Tzu Wu, Ya-Tzu Liao, Verónica Schiariti : Implementing My Abilities First for Children with Developmental Delays in Taiwan: A Strengths-Based, ICF-Informed Practice Report. Children 2026; 13(3), 381. https://doi.org/10.3390/children13030381。
Website: https://www.mdpi.com/2227-9067/13/3/381. PDF Version: https://www.mdpi.com/2227-9067/13/3/381/pdf.