Measurement invariance of the 12-item self-administered World Health Organization Disability Assessment Schedule (WHODAS) 2.0 across early and late adolescents in Canada

Ferro, Mark A.; Elgie, Melissa; Dol, Megan; Basque, Dominique

doi:10.1080/09638288.2022.2118867

Cited by 5 publications

(2 citation statements)

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“…32 The WHODAS 2.0 has been shown to be valid and reliable in populations of adolescents with or without chronic illness. 33 - 38 In this sample of adolescents, internal consistency of the WHODAS 2.0 was good (α = .83).…”

Section: Methodsmentioning

confidence: 78%

Self-concept in Adolescents with Physical-Mental Comorbidity

Ferro,

Dol,

Patte

et al. 2023

Journal of Multimorbidity and Comorbidity

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Objective Little is known about self-concept in adolescents with physical-mental comorbidity. This study investigated whether physical-mental comorbidity was associated with self-concept in adolescents and examined if adolescent age or sex moderated the association between physical-mental comorbidity and self-concept. Methods Study data were obtained from the Multimorbidity in Youth across the Life-course (MY LIFE), an ongoing Canadian study of adolescents with chronic physical illness who were recruited from outpatient clinics at a pediatric hospital. A total of 116 adolescents aged ≥ 10 years provided self-reports on key measures. Results Adolescents with comorbidity (n = 48) had lower self-concept scores on the Self-Determination Questionnaire (SDQ; d = 0.62) and Self-Perception Profile for Children (SPPC; d = 0.53) vs. adolescents without comorbidity (n = 68). An age × comorbidity status interaction was found and age-stratified models were computed to investigate this moderating effect of age. Amongst older adolescents, comorbidity was associated with lower SDQ (B = -2.55, p < .001), but this association was not found among younger adolescents (B = -0.29, p = .680). A similar effect was found for SPPC among older (B = -0.48, p = .001) and younger adolescents (B = 0.03, p = .842). Adolescent sex was not found to be a moderator. Conclusions Physical-mental comorbidity in adolescence was associated with lower self-concept and this association was moderated by age—differences between adolescents with vs. without comorbidity were greater for older adolescents and were clinically relevant. Opportunities to support positive self-perceptions for adolescents with comorbidity are warranted, especially when planning the transition from pediatric to adult health services.

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Section: Methodsmentioning

confidence: 78%

Self-concept in Adolescents with Physical-Mental Comorbidity

Ferro,

Dol,

Patte

et al. 2023

Journal of Multimorbidity and Comorbidity

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“…Response options 4 ( severe ) and 5 (ex treme/cannot do ) were collapsed for each item due to sparse data. The WHODAS 2.0 has demonstrated robust psychometric properties in clinical and epidemiological samples of children with and without chronic illnesses (Ferro, Basque, Elgie, & Dol, 2023; Ferro, Dol, Basque, & Elgie, 2023; Ferro, Elgie, Dol, & Basque, 2023; Tompke et al, 2020).…”

Section: Methodsmentioning

confidence: 99%

Validating the Ontario Child Health Study Emotional Behavioural Scales‐Brief Version (OCHS‐EBS‐B) in children with chronic physical illness

Ferro,

Arimoro,

Ayilara

et al. 2024

Child

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BackgroundA substantial proportion of children have a physical illness; these children commonly experience physical–mental comorbidity. To assess child mental health, brief scales that can be used in clinical and research settings are needed. This study assessed the validity and reliability of parent‐reported Ontario Child Health Study Emotional Behavioural Scale‐Brief Version (OCHS‐EBS‐B) scores.MethodsData come from a longitudinal study of children aged 2–16 years with a physical illness recruited from outpatient clinics at a pediatric hospital. Confirmatory factor analysis and McDonald's coefficient assessed the factor structure and internal consistency reliability of the OCHS‐EBS‐B, respectively. Point biserial correlations assessed agreement between the OCHS‐EBS‐B and Mini International Neuropsychiatric Interview for Children and Adolescents (MINI‐KID), a structured diagnostic interview. The Wilcoxon rank sum test compared OCHS‐EBS‐B scores between children with versus without physical–mental comorbidity (known‐group validity).ResultsThe three‐factor structure of the OCHS‐EBS‐B was replicated in this sample of children with physical illness (χ2 = 196.23(272), p < 0.001; CFI = 0.98; TLI = 0.98; SRMR = 0.06; RMSEA [90% CI] = 0.034 [0.027, 0.044]). It had excellent internal consistency reliability (ω = 0.86–0.92) and was moderately correlated with the MINI‐KID (baseline: rpb = 0.43–0.51; 6 months: rpb = 0.55–0.65). OCHS‐EBS‐B scores were significantly higher among children with versus without physical–mental comorbidity.ConclusionsFindings confirm psychometric evidence that the OCHS‐EBS‐B is a valid and reliable measure of mental health in children with chronic physical illness. Its brevity and robust psychometric properties make the OCHS‐EBS‐B a strong candidate for routine use in integrated pediatric physical and mental health services.

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