scholarly journals Disability and its clinical correlates in pulmonary hypertension measured through the World Health Organization Disability Assessment Schedule 2.0: a prospective, observational study

2019 ◽  
Vol 45 (4) ◽  
Author(s):  
Abílio Reis ◽  
Mário Santos ◽  
Inês Furtado ◽  
Célia Cruz ◽  
Pedro Sa-Couto ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Observational Study ◽  
Disease Progression ◽  
World Health Organisation ◽  
World Health ◽  
Walking Distance ◽  
Disability Assessment ◽  
Whodas 2.0 ◽  
The World ◽  
Degree Of Disability

ABSTRACT Objective: To characterise the degree of disability in pulmonary hypertension (PH) patients based on the World Health Organisation Disability Assessment Schedule 2.0 (WHODAS 2.0). Method: A prospective and observational study of patients with documented PH (N = 46). Patients completed the WHODAS 2.0 questionnaire during a scheduled routine clinical visit, and their demographic and clinical characteristics were retrieved from electronic medical records (EMR). In subsequent visits, selected clinical variables were registered to assess disease progression. Results: WHODAS 2.0 scores were indicative of mild to moderate disability for the domains of mobility (22.0 ± 23.2), life activities (23.7 ± 25.5), and participation in society (17.2 ± 15.9), as well as total WHODAS 2.0 score (15.3 ± 15.2). For the domains of cognition (9.1 ± 14.1), self-care (8.3 ± 14.4), and interpersonal relationships (11.7 ± 15.7), scores were lower. Disability scores were, generally, proportional to the PH severity. The main baseline correlates of disability were World Health Organisation (WHO) functional class, fatigue, dyspnoea, 6-minute walking distance (6MWD), and N-terminal pro b-type natriuretic peptide (NTproBNP). Baseline WHODAS 2.0 scores showed significant associations with disease progression. However, this effect was not transversal to all domains, with only a few domains significantly associated with disease progression variables. Conclusions: This PH population shows mild disability, with higher degree of disability in the domains of mobility and life activities. This study is the first one to assess disability in PH using WHODAS 2.0. Further studies should apply this scale to larger PH populations with suitable representations of more severe PH forms.

An Analysis of the World Health Organization Disability Assessment Schedule 2.0 Measurement Model Using Partial Least Squares–Structural Equation Modeling

Assessment ◽  
2019 ◽  
Vol 27 (8) ◽  
pp. 1731-1747 ◽  
Author(s):  
Saundra M. Tabet ◽  
Glenn W. Lambie ◽  
Shiva Jahani ◽  
S. Mostafa Rasoolimanesh
Keyword(s):  
Structural Equation Modeling ◽  
World Health Organization ◽  
Structural Equation ◽  
Measurement Model ◽  
World Health ◽  
Equation Modeling ◽  
Disability Assessment ◽  
Whodas 2.0 ◽  
The World ◽  
Health Organization

The researchers examined the factor structure and model specifications of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) with confirmatory tetrad analysis (CTA) using partial least squares–structural equation modeling (PLS-SEM) with a sample of adult clients ( N = 298) receiving individual therapy at a university-based counseling research center. The CTA and PLS-SEM results identified the formative nature of the WHODAS 2.0 subscale scores, supporting an alternative measurement model of the WHODAS 2.0 scores as a second-order formative–formative model.

scholarly journals Using the World Health Organization’s Disability Assessment Schedule (2) to assess disability in community-dwelling stroke patients

2017 ◽  
Vol 73 (1) ◽  
Author(s):  
Ayorinde I. Arowoiya ◽  
Toughieda Elloker ◽  
Farahana Karachi ◽  
Nondwe Mlenzana ◽  
Lee-Ann Jacobs-Nzuzi Khuabi ◽  
...  
Keyword(s):  
Self Care ◽  
Community Dwelling ◽  
World Health ◽  
Disability Assessment ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Whodas 2.0 ◽  
The World ◽  
Household Activities ◽  
The Impact

Background: Measurement of the extent of disability post-stroke is important to determine the impact of disability on these individuals and the effectiveness of interventions aimed at reducing the impact of their disability. Instruments used to measure disability should, however, be culturally sensitive.Objective: The aim of this study was to conduct a disability assessment using the World Health Organization’s Disability Assessment Schedule 2.0 (WHODAS).Methods: A cross-sectional design was used. The study population included a conveniently selected 226 stroke patients living within community settings. These patients were followed up 6–12 months following the onset of the stroke and are currently residing in the community. Disability was measured using the WHODAS 2.0 and the data were analysed using descriptive and inferential statistics in Statistical Package for Social Sciences (SPSS). The WHODAS 2.0 enabled the assessment of disability within the domains of cognition, mobility, self-care, getting along with others, household activities, work activities and participation. Ethical clearance for the study was obtained from the University of the Western Cape.Results: In this sample, the domain mostly affected were household activities, with 38% having extreme difficulty with conducting these activities. This was followed by mobility (27%) and self-care (25%) being the domains that participants also had extreme difficulty with. Getting along with others was the domain that most (51%) of the participants had no difficulty with. ANOVA one-way test showed no significant association of participation restrictions with demographics factors.Conclusion: Rehabilitation of patients with stroke should focus on the patient’s ability to engage in household activities, mobility and self-care.

scholarly journals Using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for Predicting Institutionalization of Patients With Dementia in Taiwan

Medicine ◽  
2015 ◽  
Vol 94 (47) ◽  
pp. e2155 ◽  
Author(s):  
Shih-Wei Huang ◽  
Kwang-Hwa Chang ◽  
Reuben Escorpizo ◽  
Chaur-Jong Hu ◽  
Wen-Chou Chi ◽  
...  
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Disability Assessment ◽  
Whodas 2.0 ◽  
The World ◽  
Health Organization

scholarly journals Cross-cultural adaptation of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) into Portuguese

2013 ◽  
Vol 59 (3) ◽  
pp. 234-240 ◽  
Author(s):  
Carla Silveira ◽  
Mary Angela Parpinelli ◽  
Rodolfo Carvalho Pacagnella ◽  
Rodrigo Soares de Camargo ◽  
Maria Laura Costa ◽  
...  
Keyword(s):  
World Health Organization ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
World Health ◽  
Disability Assessment ◽  
Cross Cultural Adaptation ◽  
Whodas 2.0 ◽  
The World ◽  
Health Organization

scholarly journals Disability, pain, and wound-specific concerns self-reported by adults at risk of limb loss: A cross-sectional study using the World Health Organization Disability Assessment Schedule 2.0

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253288
Author(s):  
Derek J. Roberts ◽  
Sudhir K. Nagpal ◽  
Alan J. Forster ◽  
Timothy Brandys ◽  
Christine Murphy ◽  
...  
Keyword(s):  
At Risk ◽  
World Health Organization ◽  
Limb Loss ◽  
World Health ◽  
Disability Assessment ◽  
Whodas 2.0 ◽  
The World ◽  
Significant Disability ◽  
Clinically Significant ◽  
Health Organization

Introduction There has been limited study of patient-reported outcomes (PROs) in patients at risk of limb loss. Our primary objective was to estimate the prevalence of disability in this patient population using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Materials and methods We recruited patients referred to a limb-preservation clinic. Patients self-reported their disability status using the 12-domain WHODAS 2.0. Severity of disability in each domain was scored from 1 = none to 5 = extreme and the total normalized to a 100-point scale (total score ≥25 = clinically significant disability). We also asked patients about wound-specific concerns and wound-related discomfort or distress. Results We included 162 patients. Reasons for clinic referral included arterial-insufficient (37.4%), postoperative (25.9%), and mixed etiology (10.8%) wounds. The mean WHODAS 2.0 disability score was 35.0 (standard deviation = 16.0). One-hundred-and-nineteen (73.5%) patients had clinically significant disability. Patients reported they had the greatest difficulty walking a long distance (mean score = 4.2), standing for long periods of time (mean score = 3.6), taking care of household responsibilities (mean score = 2.7), and dealing with the emotional impact of their health problems (mean score = 2.5). In the two-weeks prior to presentation, 87 (52.7%) patients expressed concern over their wound(s) and 90 (55.6%) suffered a moderate amount or great deal of wound-related discomfort or distress. In adjusted ordinary least squares regression models, although WHODAS 2.0 disability scores varied with changes in wound volume (p = 0.03) and total revised photographic wound assessment tool scores (p<0.001), the largest decrease in disability severity was seen in patients with less wound-specific concerns and wound-related discomfort and distress. Discussion The majority of people at risk of limb loss report suffering a substantial burden of disability, pain, and wound-specific concerns. Research is needed to further evaluate the WHODAS 2.0 in a multicenter fashion among these patients and determine whether care and interventions may improve their PROs.

Psychometric Validation of the World Health Organization Disability Assessment Schedule in a Sample of Community Dwelling Adults with Chronic Health Conditions and Disabilities

2021 ◽  
pp. JARC-D-20-00010
Author(s):  
Xiangli Chen ◽  
Kanako Iwanaga ◽  
Jia-Rung Wu ◽  
Beatrice Lee ◽  
Fong Chan ◽  
...  
Keyword(s):  
World Health Organization ◽  
Community Dwelling ◽  
Chronic Health Conditions ◽  
World Health ◽  
Health Conditions ◽  
Disability Assessment ◽  
Chronic Health ◽  
Whodas 2.0 ◽  
The World ◽  
Health Organization

Chronic health conditions and disabilities interfere with major life activities, and these interferences are the result of complex interactions between health condition factors, psychological factors, personal factors, and socioenvironmental factors. The World Health Organization (WHO) International Classification of Functioning, Disability, and Health (ICF) framework is a biopsychosocial model that conceptualizes the experience of disability with attention to these interactions. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is an assessment tool developed to measure self-reported activity limitations and restrictions to participation experienced by individuals with disabilities independent of his or her medical diagnosis. In order to allow practitioners to effectively use this tool with individuals with various chronic illnesses and disabilities, the current study aimed to evaluate the measurement structure and psychometric properties of the WHODAS 2.0. A total of 945 adults with disabilities participated in the current study. Results support two-factor structure of this measurement tool with adequate reliability and construct validity. The WHODAS 2.0 is a valid, useful tool for rehabilitation counseling professionals to more effectively support adults with chronic health conditions and disabilities in achieving their psychosocial and employment success.

Psychometric Validation of the World Health Organization Disability Assessment Schedule 2.0—Twelve-Item Version in Persons With Spinal Cord Injuries

2017 ◽  
Vol 31 (1) ◽  
pp. 7-20 ◽  
Author(s):  
Susan Miller Smedema ◽  
Derek Ruiz ◽  
Michael J. Mohr
Keyword(s):  
Spinal Cord ◽  
Factor Analysis ◽  
Concurrent Validity ◽  
Spinal Cord Injuries ◽  
World Health ◽  
Disability Assessment ◽  
Factor Solution ◽  
Whodas 2.0 ◽  
The World ◽  
Health Organization

Purpose: To evaluate the factorial and concurrent validity and internal consistency reliability of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 12-item version in persons with spinal cord injuries.Method: Two hundred forty-seven adults with spinal cord injuries completed an online survey consisting of the WHODAS 2.0 12-item version and measures of various psychosocial variables.Results: The initial confirmatory factor analysis (CFA) revealed that both the theoretical hierarchical model and the 1-factor model of the WHODAS 2.0 12-item version exhibited a poor fit with the data. Subsequent exploratory factor analysis (EFA) revealed a 3-factor solution consisting of the factors Activities/Participation, Self-Care, and Mobility. Each factor demonstrated adequate internal consistency. These results were confirmed by a secondary CFA. In the concurrent validity analysis, the Activities/Participation factor had the strongest relationships with the psychosocial variables under study (life satisfaction, core self-evaluations, community participation, and health-related quality of life).Conclusion: The WHODAS 2.0 12-item version is not unidimensional in persons with spinal cord injuries as predicted but instead yields a three-factor solution. However, the Activities/Participation factor appears to be the most valid measure of disability impact in persons with spinal cord injuries. Other implications of the use of the WHODAS 2.0 12-item version are discussed.

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