Validation of the WHO Disability Assessment Schedule (WHODAS 2.0) 12-item tool against the 36-item version for measuring functioning and disability associated with pregnancy and history of severe maternal morbidity

Silveira, Carla; Souza, Renato T.; Costa, Maria Laura; Parpinelli, Mary Ângela; Pacagnella, Rodolfo C.; Ferreira, Elton Carlos; Mayrink, Jussara; Guida, José Paulo; Sousa, Maria Helena de; Say, Lale; Chou, Doris; Filippi, Véronique; Barreix, María; Barbour, Kelli; Firoz, Tabassum; Dadelszen, Peter von; Cecatti, José Guilherme

doi:10.1002/ijgo.12465

Cited by 29 publications

(15 citation statements)

References 21 publications

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“…Moreover, the reliability of the WHODAS 2.0 test was correspondingly obtained by Moen et al, where the Cronbach’s alpha was 0.93 for the whole score and for individual domains it ranged from 0.75 to 0.94 [ 60 ]. It is worth mentioning that other authors also obtained high WHODAS 2.0 reliability scores [ 61 , 62 , 63 ].…”

Section: Discussionmentioning

confidence: 91%

Psychometric Properties of the Polish Version of the 36-Item WHODAS 2.0 in Patients with Low Back Pain

Ćwirlej-Sozańska

Bejer

Wiśniowska-Szurlej

et al. 2020

IJERPH

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The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is considered by the World Health Organization (WHO) to be a useful tool for assessing the functioning and disability of the general population as well as the effectiveness of the applied interventions. Until this study, no data regarding the validity of the 36-item WHODAS 2.0 in chronic low back pain (LBP) in Poland have been explored. This study was conducted on 92 patients suffering from chronic LBP admitted to the rehabilitation ward. The Polish version of the 36-item WHODAS 2.0, the Sf-36 Health Survey (SF-36), the Oswestry Disability Index (ODI), the Hospital Anxiety and Depression Scale (HADS) and the Visual Analogue Scale (VAS) questionnaires were applied to assess patients. The scale score reliability of the entire tool for the study population was very high. The Cronbach’s alpha test result for the entire scale was 0.92. For the overall result of the WHODAS 2.0, the Intraclass Correlation Coefficient (ICC1,2) was 0.928, which confirmed that the scale was consistent over time. The total result and the vast majority of domains of the 36-item WHODAS 2.0 correlated negatively with domains of the SF-36 questionnaire; thus, a higher WHODAS 2.0 score was associated with a lower score on the SF-36 questionnaire. We found that the minimal clinically important difference (MCID) for the total WHODAS 2.0 score in patients after rehabilitation for LBP was 4.87. Overall, the results indicated that the Polish version of the 36-item WHODAS is suitable for assessing health and disability status in patients with LBP.

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Section: Discussionmentioning

confidence: 91%

Psychometric Properties of the Polish Version of the 36-Item WHODAS 2.0 in Patients with Low Back Pain

Ćwirlej-Sozańska

Bejer

Wiśniowska-Szurlej

et al. 2020

IJERPH

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“…WHODAS-2: which is a generic tool is; non-disease specific, but its validity, reliability, and responsiveness; had been tested among different clinical conditions including, patients with chronic illnesses [ 24 ], multiple Sclerosis [ 25 ], ankylosing spondylitis [ 26 ], musculoskeletal pain [ 27 ], mothers with severe maternal morbidity [ 28 ], altered functioning during the postnatal period [ 29 ], disabilities caused by different neoplastic disorders [ 30 , 31 ], motor disabilities [ 32 ], patients with depression and back pain and patients with severe mental illnesses [ 33 , 34 ]. In all the mentioned studies, WHODAS-2; had shown internal consistency and validity with the underlining clinical conditions of participants’ or other tools measuring disability.…”

Section: Introductionmentioning

confidence: 99%

The 12 items Amharic version WHODAS-2 showed cultural adaptation and used to measure disability among road traffic trauma victims in Ethiopia

et al. 2021

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Background Adapting and translating already developed tools to different cultures is a complex process, but once done, it increases the validity of the construct to be measured. This study aimed to assess the 12 items WHODAS-2 and test its psychometric properties among road traffic injury victims in Ethiopia. This study aimed to translate the 12 items WHODAS- 2 interview-based tools into Amharic and examine the psychometric properties of the new version among road traffic injury victims. Methods The 12 items WHODAS 2 was first translated into Amharic by two experts. Back translation was done by two English experts. A group of experts reviewed the forward and backward translation. A total of 240 patients with road traffic injury completed the questionnaires at three selected Hospitals in Amhara Regional State. Internal consistency was; assessed using Chronbach’s alpha, convergent, and divergent validity, which were; tested via factor analysis. Confirmatory factor analysis (CFA); was computed, and the model fit; was examined. Results The translated Amharic version 12 –items WHODAS-2 showed that good cross-cultural adaptation and internal consistency (Chronbach’s α =0.88). The six factor structure best fits data (model fitness indices; CFI = 0.962, RMSEA = 0.042, RMR = 0.072, GFI = 0.961, chi-square value/degree of freedom = 1.42, TLI = 0.935 and PCLOSE = 0.68). Our analysis showed that from the six domains, mobility is the dominant factor explaining 95% of variability in disability. Conclusion The 12 items interview-based Amharic version WHODAS-2; showed good cultural adaptation at three different settings of Amhara Regional State and can be used to measure dis-ability following a road traffic injury.

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“…Neurological examination will be performed by 2 skilled physicians, blindly administering the following Clinical scales: Barthel Index (BI), [3] WHO Disability Assessment schedule (WHODAS-12), [4] Modified Ashworth Scale, [5] Fugl-Meyer, [6] and Tinetti [7] scales. Cognitive status will be evaluated by means of Montreal Cognitive assessment (MoCA), [8] and Frontal Assessment Battery.…”

Section: Methodsmentioning

confidence: 99%

Telerehabilitation in individuals with severe acquired brain injury

et al. 2018

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Background:Severe acquired brain injury (SABI) rehabilitation should be as intensive and long as to allow the patients get the best independence and quality of life (QoL), but facing with the rehabilitation socioeconomic burden. Telerehabilitation (TR) could supply frail subjects requiring long-term rehabilitation.Methods:A multicenter, prospective, parallel design, single-blind trial will be conducted at the IRCCS Neurolesi Bonino Pulejo (Messina, Italy) and IRCCS Hospital San Camillo (Venice, Italy) involving patients suffering from SABI and requiring home motor and cognitive rehabilitation. We will investigate the use of TR, based on advanced Information and Communication Technology (ICT) solutions, taking into account that the supervision of rehabilitation at home will be enriched with the counseling and vital parameters monitoring. The enrolled patients will be balanced for pathology, and randomized in 2 groups, performing TR (G1) or standard rehabilitation training (G2), respectively, according to a pc-generated random assignment. TR will be delivered by means of an advanced video-conferencing system, whereas the patient will be provided with low-cost monitoring devices, able to collect data about his/her health status and QoL. In both the groups each treatment (either cognitive or motor, or both as per patient functional status) will last about 1 hour a day, 5 days/week, for 12 weeks. Two structured telephone interviews will be administered to the patients (when possible) and/or their caregivers, and to all the healthcare professionals involved in the patient management, 1 week after the beginning and at the end of the TR. All the patients will undergo a complete neurological and cognitive examination performed by skilled physicians and psychologists, blindly. Clinical evaluations will be administered blindly, before and after the treatments.Results:the data of this study should demonstrate that TR is at least non-inferior in comparison with the same amount of usual territorial rehabilitative physical treatments, taking into account patients’ functional recovery, psychological well-being, caregiver burden, and healthcare costs.Conclusion:data coming from this study could demonstrate the usefulness of TR in facing the rehabilitation socioeconomic burden of managing patients with SABI, so to allow the patients get the best independence and quality of life (QoL).

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Validation of the WHO Disability Assessment Schedule (WHODAS 2.0) 12-item tool against the 36-item version for measuring functioning and disability associated with pregnancy and history of severe maternal morbidity

Cited by 29 publications

References 21 publications

Psychometric Properties of the Polish Version of the 36-Item WHODAS 2.0 in Patients with Low Back Pain

Psychometric Properties of the Polish Version of the 36-Item WHODAS 2.0 in Patients with Low Back Pain

The 12 items Amharic version WHODAS-2 showed cultural adaptation and used to measure disability among road traffic trauma victims in Ethiopia

Telerehabilitation in individuals with severe acquired brain injury

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