Psychometric properties and validation of the polish version of the 12-item WHODAS 2.0

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Abstract

Background

The assessment of disability in a population is an important part of public health management. In this article, we examine the psychometric properties and validation of the Polish version of the 12-item World Health Organization Disability Assessment Schedule 2.0. (12-item WHODAS 2.0).

Methods

A systematic random sample comprised 584 adult urban residents. The Polish version of the 12-item WHODAS 2.0 and the World Health Organization Quality of Life-BREF, Short Form (WHOQOL-BREF) questionnaire were used to assess disability and quality of life, respectively. Basic sociodemographic data and selected health-related data (e.g., pain and depressive moods) were also collected.

Results

Good scale score reliability for the entire tool was confirmed in the study population (Cronbach’s α = 0.90; Composite reliability = 0.95). In confirmatory factor analysis (CFA), satisfactory values of the fit indices were obtained (comparative fit index, CFI = 0.999; Tucker-Lewis Index, TLI = 0.999; root mean square error of approximation, RMSEA = 0.004; standardized root mean square residual, SRMR = 0.043, p = 0.454). Good consistency was noted over time (correlation coefficient = 0.88). The tool was found to have an appropriate level of validity.

Conclusions

We found that the 12-item WHODAS is short and easy to use, and it is suitable for use in the form of an interview during screening tests. This tool is appropriate for measuring the health status, functioning, and disability of an average population. It may be more relevant for studying populations with health problems. The 12-item WHODAS can be used to successfully obtain information about the general level of disability in a population.

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Validation of the "World Health Organization Disability Assessment Schedule, WHODAS-2" in patients with chronic diseases

Olatz Garin, Jose Ayuso-Mateos, Josué Almansa … (2010)

Background The WHODAS-2 is a disability assessment instrument based on the conceptual framework of the International Classification of Functioning, Disability, and Health (ICF). It provides a global measure of disability and 7 domain-specific scores. The aim of this study was to assess WHODAS-2 conceptual model and metric properties in a set of chronic and prevalent clinical conditions accounting for a wide scope of disability in Europe. Methods 1,119 patients with one of 13 chronic conditions were recruited in 7 European centres. Participants were clinically evaluated and administered the WHODAS-2 and the SF-36 at baseline, 6 weeks and 3 months of follow-up. The latent structure was explored and confirmed by factor analysis (FA). Reliability was assessed in terms of internal consistency (Cronbach's alpha) and reproducibility (intra-class correlation coefficients, ICC). Construct validity was evaluated by correlating the WHODAS-2 and SF-36 domains, and comparing known groups based on the clinical-severity and work status. Effect size (ES) coefficient was used to assess responsiveness. To assess reproducibility and responsiveness, subsamples of stable (at 6 weeks) and improved (after 3 moths) patients were defined, respectively, according to changes in their clinical-severity. Results The satisfactory FA goodness of fit indexes confirmed a second order factor structure with 7 dimensions, and a global score for the WHODAS-2. Cronbach's alpha ranged from 0.77 (self care) to 0.98 (life activities: work or school), and the ICC was lower, but achieved the recommended standard of 0.7 for four domains. Correlations between global WHODAS-2 score and the different domains of the SF-36 ranged from -0.29 to -0.65. Most of the WHODAS-2 scores showed statistically significant differences among clinical-severity groups for all pathologies, and between working patients and those not working due to ill health (p < 0.001). Among the subsample of patients who had improved, responsiveness coefficients were small to moderate (ES = 0.3-0.7), but higher than those of the SF-36. Conclusions The latent structure originally designed by WHODAS-2 developers has been confirmed for the first time, and it has shown good metric properties in clinic and rehabilitation samples. Therefore, considerable support is provided to the WHODAS-2 utilization as an international instrument to measure disability based on the ICF model.

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On the development and psychometric testing of the WHO screening instrument to assess disablement in the general population

Jürgen Rehm, T Üstün, Shekhar Saxena … (1999)

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Psychometric properties of the WHODASII in rehabilitation patients.

Gerold Stucki, M Pösl, Alarcos Cieza (2007)

To evaluate function and disability, the WHO has developed the WHO Disability Assessment Schedule II (WHODASII), an instrument arising from the same conceptual basis as the International Classification of Functioning, Disability, and Health (ICF). The general objective of this study was to investigate whether the WHODASII--German version-is a valid instrument to measure functioning and disability across various conditions. Specific aims were (1) to assess its psychometric properties (reliability, validity, and sensitivity to change) based on the traditional test theory and (2) to compare its sensitivity to change after a rehabilitative intervention to the Short Form 36 (SF-36). This was a multi-center study with convenience samples of patients with different chronic conditions undergoing rehabilitation. Patients completed the WHODASII and the SF-36 before and after a rehabilitation treatment. Health professionals rated in cooperation with the patients the pain of the patients based on the ICF category "sensation of pain." 904 patients were included in the study. The Cronbach's range from 0.70 to 0.97 for the different subscales of WHODASII. With exception of the subscale Activities, the exploratory-factor structure of the WHODASII corresponds highly with the original structure. The effect size (ES) of the WHODASII total score ranged from 0.16 to 0.69 depending on the subgroup. The ES of the SF-36 summary scores ranged from 0.03 to 1.40. The WHODAS II (German version) is a useful instrument for measuring functioning and disability in patients with musculoskeletal diseases, internal diseases, stroke, breast cancer, and depressive disorder. The results of this study support the reliability, validity, dimensionality, and responsiveness of the German version of the WHODASII. However, the reproducibility in test-retest samples of stable patients, as well as the question to what extent a summary score can be constructed, requires further investigation.

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Author and article information

Contributors

Agnieszka Ćwirlej-Sozańska:

ORCID: http://orcid.org/0000-0001-9958-6678

sozanska@ur.edu.pl

Bernard Sozański: benieks@poczta.onet.pl

Hubert Kotarski: kotarski@ur.edu.pl

Anna Wilmowska-Pietruszyńska: anna.wilmowska@autograf.pl

Agnieszka Wiśniowska-Szurlej: wisniowska@vp.pl

Journal

Journal ID (nlm-ta): BMC Public Health

Journal ID (iso-abbrev): BMC Public Health

Title: BMC Public Health

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2458

Publication date (Electronic): 5 August 2020

Publication date PMC-release: 5 August 2020

Publication date Collection: 2020

Volume: 20

Electronic Location Identifier: 1203

Affiliations

[1 ]GRID grid.13856.39, ISNI 0000 0001 2154 3176, Institute of Health Sciences, , Medical College of Rzeszow University, ; Aleja Rejtana 16c, 35-959 Rzeszow, Poland

[2 ]GRID grid.13856.39, ISNI 0000 0001 2154 3176, Institute of Sociology, , Social Sciences College of Rzeszow University, ; Aleja Rejtana 16c, 35-959 Rzeszow, Poland

[3 ]GRID grid.445556.3, ISNI 0000 0004 0369 1337, Faculty of Medicine, , Lazarski University, ; Świeradowska Street 43, 02-662 Warsaw, Poland

Author information

Agnieszka Ćwirlej-Sozańska http://orcid.org/0000-0001-9958-6678

Article

Publisher ID: 9305

DOI: 10.1186/s12889-020-09305-0

PMC ID: 7409488

PubMed ID: 32758211

SO-VID: 3c603c64-30c1-4193-b47c-d36042605299

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Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 13 November 2019

Date accepted : 27 July 2020

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Psychometric properties and validation of the polish version of the 12-item WHODAS 2.0

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Most cited references 22

Validation of the "World Health Organization Disability Assessment Schedule, WHODAS-2" in patients with chronic diseases

On the development and psychometric testing of the WHO screening instrument to assess disablement in the general population

Psychometric properties of the WHODASII in rehabilitation patients.

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