scholarly journals Construct Validity and Clinical Utility of World Health Organization Disability Assessment Schedule 2.0 in Older Patients Discharged From Emergency Departments

2021 ◽  
Vol 2 ◽  
Author(s):  
Louise Moeldrup Nielsen ◽  
Lisa Gregersen Oestergaard ◽  
Hans Kirkegaard ◽  
Thomas Maribo
Keyword(s):  
Construct Validity ◽  
Older Patients ◽  
Clinical Utility ◽  
World Health ◽  
Disability Assessment ◽  
Floor Effect ◽  
Whodas 2.0 ◽  
Item Responses ◽  
Health Organization ◽  
Missing Item

Introduction: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is designed to measure functioning and disability in six domains. It is included in the International Classification of Diseases 11th revision (ICD-11). The objective of the study was to examine the construct validity of WHODAS 2.0 and describe its clinical utility for the assessment of functioning and disability among older patients discharged from emergency departments (EDs).Material and Methods: This cross-sectional study is based on data from 129 older patients. Patients completed the 36-item version of WHODAS 2.0 together with the Barthel-20, the Assessment of Motor and Process Skills (AMPS), Timed Up and Go (TUG), and the 30-Second Chair Stand Test (30 s-CST). Construct validity was examined through hypothesis testing by correlating the WHODAS with the other instruments and specifically the mobility domain in WHODAS 2.0 with the TUG and 30 s-CST tests. The clinical utility of WHODAS 2.0 was explored through floor/ceiling effect and missing item responses.Results: WHODAS 2.0 correlated fair with Barthel-20 (r = −0.49), AMPS process skills (r = −0.26) and TUG (r=0.30) and correlated moderate with AMPS motor skills (r = −0.58) and 30s-CST (r = −0.52). The WHODAS 2.0 mobility domain correlated fair with TUG (r = 0.33) and moderate with 30s-CST (r = −0.60). Four domains demonstrated floor effect: D1 “Cognition,” D3 “Self-care,” D4 “Getting along,” and D5 “Household.” Ceiling effect was not identified. The highest proportion of missing item responses were present for Item 3.4 (Staying by yourself for a few days), Item 4.4 (Making new friends), and Item 4.5 (Sexual activities).Conclusion: WHODAS 2.0 had fair-to-moderate correlations with Barthel-20, AMPS, TUG, and 30s-CST and provides additional aspects of disability compared with commonly used instruments. However, the clinical utility of WHODAS 2.0 applied to older patients discharged from EDs poses some challenges due to floor effect and missing item responses. Accordingly, patient and health professional perspectives need further investigation.

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 A study of the psychometric properties of 12-item World Health Organization Disability Assessment Schedule 2.0 in a large population of people with chronic musculoskeletal pain

2016 ◽  
Vol 31 (2) ◽  
pp. 262-272 ◽  
Author(s):  
Mikhail Saltychev ◽  
Esa Bärlund ◽  
Ryan Mattie ◽  
Zachary McCormick ◽  
Jaana Paltamaa ◽  
...  
Keyword(s):  
Factor Analysis ◽  
World Health Organization ◽  
Musculoskeletal Pain ◽  
Chronic Musculoskeletal Pain ◽  
World Health ◽  
Disability Assessment ◽  
Discrimination Ability ◽  
Whodas 2.0 ◽  
Health Organization ◽  
Disability Level

Objective: To assess the validity of the Finnish translation of the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0). Design: Cross-sectional cohort survey study. Setting: Physical and Rehabilitation Medicine outpatient university clinic. Subjects: The 501 consecutive patients with chronic musculoskeletal pain. Main measures: Exploratory factor analysis and a graded response model using item response theory analysis were used to assess the constructs and discrimination ability of WHODAS 2.0. Results: The exploratory factor analysis revealed two retained factors with eigenvalues 5.15 and 1.04. Discrimination ability of all items was high or perfect, varying from 1.2 to 2.5. The difficulty levels of seven out of 12 items were shifted towards the elevated disability level. As a result, the entire test characteristic curve showed a shift towards higher levels of disability, placing it at the point of disability level of +1 (where 0 indicates the average level of disability within the sample). Conclusions: The present data indicate that the Finnish translation of the 12-item WHODAS 2.0 is a valid instrument for measuring restrictions of activity and participation among patients with chronic musculoskeletal pain.

scholarly journals Validación del cuestionario para la evaluación de la discapacidad de la Organización Mundial de la Salud en población clínica del área metropolitana de San Salvador y Santa Ana

2017 ◽  
Vol 11 (1-2) ◽  
pp. 53-59
Author(s):  
Gustavo Paniagua
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Disability Assessment ◽  
Santa Ana ◽  
Whodas 2.0 ◽  
San Salvador ◽  
Salud Mental ◽  
Health Organization ◽  
P 53

El objetivo de esta investigación fue validar el Cuestionario para la Evaluación de la Discapacidad de la Organización Mundial de la Salud 2.0 (World Health Organization Disability Assessment Schedule: whodas 2.0) para su utilización en población clínica que asiste a servicios de salud mental en el área metropolitana de San Salvador y Santa Ana. Para ello, se realizó un estudio instrumental en el que participaron 92 personas que recibían atención psicológica o psiquiátrica en uno de los dos centros de salud mental con los que se trabajó, los cuales se ubican en los departamentos de San Salvador y Santa Ana, respectivamente. Para validar el instrumento se analizó su pertinencia y confiabilidad mediante los métodos de jueces expertos y consistencia interna. Los resultados indican que el instrumento cumple niveles aceptables en ambas dimensiones para que sea usado en la práctica clínica en el área de salud mental.CREA CIENCIA Vol. 11 No 1-2 ISSN 1818-202X enero-diciembre 2017, p. 53-59

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.

scholarly journals Validação da versão brasileira do World Health Organization Disability Assessment Schedule 2.0 em idosos institucionalizados

2021 ◽  
Vol 28 (1) ◽  
pp. 77-87
Author(s):  
Thais Cristina Grou ◽  
Shamyr Sulyvan de Castro ◽  
Camila Ferreira Leite ◽  
Mariana Thays Carvalho ◽  
Lislei Jorge Patrizzi
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Disability Assessment ◽  
Whodas 2.0 ◽  
Health Organization

RESUMO Fatores associados à institucionalização de idosos podem comprometer a funcionalidade desta população. São escassos os instrumentos que avaliam esse componente conforme o modelo biopsicossocial. Com vistas a medir a funcionalidade e a incapacidade, a Organização Mundial da Saúde (OMS) desenvolveu o World Health Organization Disability Assessment Schedule (WHODAS 2.0) amparada no modelo teórico-conceitual da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). O objetivo deste estudo foi verificar as propriedades de medida (confiabilidade, consistência interna e validade de critério) da versão brasileira do WHODAS 2.0 em idosos institucionalizados com diferentes condições de saúde. Cem idosos participaram do estudo. A consistência interna foi avaliada pelo alfa de Cronbach. O coeficiente de Spearman foi utilizado para analisar a confiabilidade teste-reteste, com a reaplicação do questionário WHODAS após sete dias da primeira entrevista. A validade de critério (convergente e divergente) foi analisada pelo coeficiente de Spearman através da correlação dos domínios do WHODAS com os domínios do WHOQoL-bref e WHOQoL-old, que avaliam qualidade de vida. Como resultado, obtivemos consistência interna adequada para todos os domínios (alfa de Cronbach ≥0,75) e forte confiabilidade de teste-reteste (r>0,85). Na validade de critério, obtivemos apenas correlações moderadas com o WHOQoL-bref e WHOQoL-old (r=-0,62; r=-0,61 respectivamente). Esses resultados mostraram que o WHODAS 2.0 é um instrumento válido e confiável como ferramenta de avaliação da funcionalidadepara idosos institucionalizados ao seguir os mesmos conceitos e princípios propostos pela OMS.

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