Validation of World Health Organization Assessment Schedule 2.0 in specialized somatic rehabilitation services in Norway

Moen, Vegard; Drageset, Jorunn; Eide, Geir Egil; Klokkerud, Mari; Gjesdal, Sturla

doi:10.1007/s11136-016-1384-5

Cited by 37 publications

(49 citation statements)

References 28 publications

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“…Additional research within a larger sample is needed to confirm findings. We note, however, that these findings are very similar to what has been reported for both clinical and nonclinical populations [e.g., Brasil & Correr, ; Chiu et al, ; Garin et al, ; Luciano et al, ; Moen et al, ; Üstün et al, ]. Fifth, while we did include an independent clinician rating of social functioning, future studies may also wish to include reports from partners and significant others to determine the relationship between self‐report assessment and significant other assessments.…”

Section: Discussionsupporting

confidence: 89%

“…High feasibility of the 36-item and 12-item WHODAS-II was observed, except item 4.5 "sexual activity." The high missing rate in this item has also been also reported in other studies [Chiu et al, 2014;Moen, Drageset, Eide, Klokkerud, & Gjesdal, 2017;Pösl, Cieza, & Stucki, 2007], possibly due to the same reason mentioned above. While ceiling effects were not observed in both the 36-item and 12-item WHODAS-II, floor effects were observed in mobility, self-care, and life activities domains.…”

Section: Discussionsupporting

confidence: 84%

“…The fit indices met the criteria for a good fit (CFI = 0.96; TLI = 0.95; SRMR = 0.06; RMSEA = 0.06) when this item was removed. Similar to this study, the initial CFA model of the 36‐item WHODAS‐II has not meet the criteria for a good fit in some studies [Chiu et al, ; Garin et al, ; Moen et al, ]. These results highlight the crucial need to identify other items, which are more suitable and specific to their respective constructs in an autistic population, particularly for the 36‐item WHODAS‐II.…”

Section: Discussionsupporting

confidence: 55%

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Validation of the 36‐item and 12‐item self‐report World Health Organization Disability Assessment Schedule II (WHODAS‐II) in individuals with autism spectrum disorder

et al. 2019

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The World Health Organization Disability Assessment Schedule II (WHODAS‐II) is one of the most widely used generic assessments for measuring disability levels in both clinical and nonclinical populations, with sound psychometrics that is also aligned with the International Classification of Functioning framework. However, its psychometric properties have not been explored extensively in individuals with autism spectrum disorder (ASD). This study examined the psychometric properties of the 36‐item and 12‐item Self‐Report WHODAS‐II from 109 individuals diagnosed with ASD and without intellectual disability (IQ ≥ 70). Participants were consecutively recruited from the Brain and Mind Centre in New South Wales, Australia. The WHODAS‐II showed adequate internal consistency for all domain scores (α = 0.78–0.97 for 36‐item) and for the summary scale (α = 0.95 for 36‐item; 0.86 for 12‐item). All items also exhibited satisfactory correlations with their respective domain (r = 0.39–0.94 for 36‐item) and summary scores (r = 0.42–0.71 for 36‐item; 0.42–0.67 for 12‐item), except item 4.5 “sexual activity” from the 36‐item WHODAS‐II (r = 0.19). Concurrent validity was shown by moderate correlations between similar constructs across the WHODAS‐II and the World Health Organization Quality of Life BREF (Ps < 0.05). The second‐order 7‐factor model showed the best fit for the 36‐item WHODAS‐II, while the second‐order 6‐factor model demonstrated an acceptable fit for the 12‐item WHODAS‐II. The model fit could be improved with some modifications. The Schmid‐Leiman transformation further confirmed the appropriateness of the second‐order factor structure. Overall, the results indicated that the WHODAS‐II is a viable generic self‐report measure for disability in autistic individuals without ID. Autism Res 2019, 12: 1101–1111. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. Lay Summary The majority of autistic people have a disability with a profound or severe limitation in their core activities. However, there is currently limited research identifying reliable and valid self‐report measures for disability in the autistic population. This study examined the psychometric properties of the World Health Organization Disability Assessment Schedule II (WHODAS‐II) from 109 autistic individuals without intellectual disability. Our results suggest that the WHODAS‐II is a viable generic self‐report measure for disability in autistic individuals.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 55%

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Validation of the 36‐item and 12‐item self‐report World Health Organization Disability Assessment Schedule II (WHODAS‐II) in individuals with autism spectrum disorder

et al. 2019

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“…The ICF specifically proposes the comprehension of functioning according to its components: health conditions, body functions and structures, activity, participation and personal and environmental factors. Functioning in activities and participation is also considered [41]. In this context, the use of the WHODAS to assess functioning among people with CKD undergoing hemodialysis may be an opportunity to study and address functioning in the same way as that proposed by the ICF.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Brazilian version of WHODAS 2.0 in patients on hemodialysis therapy

et al. 2018

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Introduction: Chronic kidney disease and hemodialysis normally have an impact on the functioning. Objective: To validate the Brazilian version of the World Health Organization Disability Assessment Schedule 2.0 in individuals with chronic kidney disease on hemodialysis treatment. Methods: The 36-item version was applied to interview 51 individuals with chronic kidney disease undergoing dialysis treatment. To ascertain the instrument’s applicability, its internal consistency and test-retest stability were studied. To check the validity, a convergent/divergent analysis was performed. Results: The participants answered the questions on the main instrument at two timepoints and on the World Health Organization Quality of Life Abbreviated instrument and the Kidney Disease Quality of Life - Short FormTM 1.3 once each. Cronbach’s α coefficient was appropriate in all domains except the “Getting along” domain. The test-retest coefficients were above the recommended value (> 0.70). Convergent and divergent validity analysis also showed consistent results by correlation coefficient assessment. Conclusion: The instrument is valid and reliable. This study supports the use of the questionnaire by presenting its appropriate psychometric properties. We suggest that some care should be taken specifically in the sexual questions of the “Getting along” domain.

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“…The instrument has satisfactory reliability and moderate validity for use in rehabilitation services. 31 The Medical Outcomes Study Short-Form Health Survey (SF-36) version 1 assesses HRQOL. 32 The scale contains 36 items in 8 domains: mental health, vitality, bodily pain, general health, social functioning, physical functioning, role limitation related to physical problems, and role limitation related to emotional problems.…”

Section: Main Variablesmentioning

confidence: 99%

Sense of Coherence, Disability, and Health-Related Quality of Life: A Cross-Sectional Study of Rehabilitation Patients in Norway

Moen

Eide

Drageset

et al. 2019

Archives of Physical Medicine and Rehabilitation

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To study relations between sense of coherence (SOC), disability, and mental and physical components of health-related quality of life (HRQOL) among rehabilitation patients. Design: Survey. Setting: Rehabilitation centers in secondary care. Participants: Patients (NZ975) from the Western Norway Health Region consented to participate and had valid data of the main outcome measures. Interventions: Not applicable. Main Outcome Measures: SOC was measured with the sense of coherence questionnaire (13-item SOC scale [SOC-13]), disability with the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), and HRQOL with the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Results: Mean scores AE SD were 62.9AE12.3 for SOC-13, 30.8AE16.2 for WHODAS 2.0, 32.8AE9.6 for SF-36 physical component score, and 43.6AE11.8 for SF-36 mental component score. Linear regression analysis showed that increased SOC score was associated with reduced disability scores in the following domains with estimated regression coefficients (95% confidence interval) cognition e0.20 (e0.32 to e0.08), getting along e0.36 (e0.52 to e0.25), and participation e0.23 (e0.36 to e0.11). The fit of 2 structural models with the association from SOC to HRQOL and disability or with disability as a mediator was better for the mental versus the physical component of HRQOL. High SOC increased the mental component of HRQOL, consistent for all diagnostic groups. For both models, good fit was reported for circulatory and less good fit for musculoskeletal diseases. Conclusions: The results indicate that higher SOC decreases disability in mental domains. The effect of SOC on disability and HRQOL might vary between diagnostic groups. SOC could be a target in rehabilitation, especially among patients with circulatory diseases, but prospective studies are needed.

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Validation of World Health Organization Assessment Schedule 2.0 in specialized somatic rehabilitation services in Norway

Cited by 37 publications

References 28 publications

Validation of the 36‐item and 12‐item self‐report World Health Organization Disability Assessment Schedule II (WHODAS‐II) in individuals with autism spectrum disorder

Validation of the 36‐item and 12‐item self‐report World Health Organization Disability Assessment Schedule II (WHODAS‐II) in individuals with autism spectrum disorder

Validation of the Brazilian version of WHODAS 2.0 in patients on hemodialysis therapy

Sense of Coherence, Disability, and Health-Related Quality of Life: A Cross-Sectional Study of Rehabilitation Patients in Norway

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