Development and validation of the World Health Organization disability Assessment Schedule 2.0 (WHODAS 2.0) Indonesian version in stroke survivors

Yuliana, Sri; Muslih, Muhammad; Sim, Jenny; Vidyanti, Amelia Nur; Brahmadhi, Ageng; Tsai, Hsiu Ting

doi:10.1080/09638288.2021.1900413

Cited by 15 publications

(9 citation statements)

References 29 publications

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“…Such factor structure also found in the performance dimension of the FUNDES-Adult of persons with spinal cord injuries ( 18 ). However, the six-domain structure did not be confirmed by some previous studies ( 31 , 58 , 68 , 70 , 83 ). The possible reasons for somewhat different factor structures among the studies include differences in samples, influence of cultural and language differences, item numbers, and testing procedures between the initial WHODAS 2.0 and the Chinese FUNDES-Adult.…”

Section: Discussioncontrasting

confidence: 77%

“…The WHODAS 2.0 has been translated into 47 languages and dialects and is suitable for assessing health status and disability in a variety of settings and populations ( 28 ). Psychometric properties of the WHODAS 2.0 and/or the FUNDES-Adult have been evaluated for a number of clinical conditions, including, but not limited to, the following health conditions: musculoskeletal diseases ( 29 – 32 ), chronic diseases ( 31 , 33 – 36 ), psychiatric conditions ( 29 , 31 , 33 , 37 – 47 ), cancer ( 33 , 48 , 49 ), hearing impairment ( 50 – 52 ), visual impairment ( 50 ), stroke ( 10 , 31 , 33 , 53 – 58 ), Parkinson's disease ( 59 – 62 ), spinal conditions ( 18 , 63 – 65 ), traumatic brain injury ( 63 , 66 , 67 ), multiple sclerosis ( 68 ), persons with disabilities ( 22 , 23 , 35 , 69 , 70 ), older patients discharged from emergency departments ( 71 ) and general population ( 8 , 72 ). Psychometric properties for WHODAS 2.0 36-item and/or FUNDES-Adult have generally been found adequate.…”

Section: Methodsmentioning

confidence: 99%

“…To our knowledge, only few studies examine the factor structures of different language versions of the WHODAS 2.0 36 items ( 8 , 31 , 43 , 58 , 70 ). The lack of consistency with original developers of WHODAS 2.0 may indicate the needs of future investigation of the factor structure.…”

Section: Methodsmentioning

confidence: 99%

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Factor Structure of an ICF-Based Measure of Activity and Participations for Adults in Taiwan's Disability Eligibility Determination System

Liao¹,

Yen²,

Chiu³

et al. 2022

Front. Rehabilit. Sci.

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To assess activity and participation for adults in Taiwan's Disability Eligibility Determination System (DEDS), we developed a measure, the Functioning Disability Evaluation Scale—Adult version (FUNDES-Adult), based on the 36-item interviewer-administered version of the WHO Disability Assessment Schedule 2.0. The purpose of this study was to examine the factor structures of performance and capability dimensions of the FUNDES-Adult. This study followed a methodology research design to investigate the construct validity of the two dimensions of the FUNDES-Adult. Two samples were randomly stratified from the databank of adults with disabilities to examine structural validity by the exploratory factor analysis (EFA) (n = 8,730, mean age of 52.9 ± 16.81) and the confirmatory factor analysis (CFA) (n = 500, mean age of 54.3 ± 16.81). The results demonstrated that the EFA yielded 5-factor structures for both performance dimension (73.5% variance explained) and capability dimension (75.9% variance explained). The CFA indicated that the second-order factor structures of both dimensions were more parsimonious with adequate fit indices (GFI, NFI, CFI, and TLI ≥ 0.95, RMSEA < 0.09). The results of this study provide evidence that the FUNDES-Adult has acceptable structural validity for use in Taiwan's DEDS. Utility of the FUNDES-Adult in rehabilitation, employment, welfare, and long-term care services needs further study.

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Section: Discussioncontrasting

confidence: 77%

Section: Methodsmentioning

confidence: 99%

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Factor Structure of an ICF-Based Measure of Activity and Participations for Adults in Taiwan's Disability Eligibility Determination System

Liao¹,

Yen²,

Chiu³

et al. 2022

Front. Rehabilit. Sci.

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“…Although examining the clinical utility of WHODAS 2.0 in a population of older patients at the ED is new, its utility in other populations has been examined extensively in the recent years ( 42 – 44 ). The WHODAS 2.0 was found a useful measure of disability in a population with chronic pain ( 42 ) and for stroke survivors ( 43 ) were WHODAS 2.0 showed good reliability and validity. In addition, the WHODAS 2.0 has also been found useful for valid interpretations of disability in people with psychiatric health conditions ( 44 ).…”

Section: Discussionmentioning

confidence: 99%

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

Nielsen

Oestergaard

Kirkegaard

et al. 2021

Front. Rehabilit. Sci.

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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.

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“…16 The WHODAS 2.0 was adapted for use in Indonesia and showed good results for all six domains. 17 The Washington Group Short Set of Questions on Disability -assesses the difficulties that may occur while performing certain activities as a result of a health problem. 18 The self-report EQ-5D-5L consists of two parts: the five dimensions assessment of mobility, selfcare, usual activities, pain/discomfort, anxiety/ depression; and the EQ VAS that records the patient's self-rated health on a vertical visual analogue scale.…”

Section: Stride Toolkitmentioning

confidence: 99%

Adaptation of the STRiDE dementia survey into the Indonesian context in North Sumatra

Fitri¹,

Gultom²,

Mahendrayana³

et al. 2022

NeuroAsia

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Background: North Sumatra is one of two provinces in Indonesia in which the prevalence and costs of care of dementia has been completed as part of the STrengthening Responses to dementia In Developing countries (STRiDE) program. The toolkit used in the study was developed in English and thus needed to be cross-culturally adapted into Bahasa Indonesia. Part of this process involved pre-testing as a way to maximize the cultural appropriateness of the toolkit, especially in a multi- ethnic province like North Sumatra. Here we report the adaptation process. Methods: The translated toolkit consisted of measures needed within the prevalence survey in North Sumatra. This included cognitive, functional and quality of life measures aimed at older adults and their informants (i.e., family member). The interviewer asked each component of the toolkit in full, making notes on certain questions or items that need to be clarified or rephrased for the participants. Any specific difficulty in understanding the translated sentence or any items that were culture inappropriate were also noted. Data included observation, interviews, verbatim quotes which were constructed in the form of field- notes. Results: Several questions and items needed to be paraphrased to achieve greater clarity and make sure that they were in line with the original meanings. This was mainly due to the translatability of the word from the source language to the target language with errors that could be linguistic or cultural. Translating a text from English to Bahasa Indonesia and vice versa may be affected because of the different ways of ellipsis, which is a phenomenon of missing phrasal components, operated in both languages. Although the respondents belonged to different ethnic groups, cultural background did not affect the way they responded to the questions. Conclusion: Cross-cultural adaptation and pre-testing process played an important role to ensure the toolkit measured and was interpreted as it was originally intended. The STRIDE toolkit was generally accepted and understood, although several items need further explanation or examples.

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Development and validation of the World Health Organization disability Assessment Schedule 2.0 (WHODAS 2.0) Indonesian version in stroke survivors

Cited by 15 publications

References 29 publications

Factor Structure of an ICF-Based Measure of Activity and Participations for Adults in Taiwan's Disability Eligibility Determination System

Factor Structure of an ICF-Based Measure of Activity and Participations for Adults in Taiwan's Disability Eligibility Determination System

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

Adaptation of the STRiDE dementia survey into the Indonesian context in North Sumatra

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