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

Rehm, Jürgen; Üstün, T. Bedirhan; Saxena, Shekhar; Nelson, Christopher B.; Chatterji, Somnath; Ivis, Frank J.; Adlaf, Ed

doi:10.1002/mpr.61

Cited by 237 publications

(196 citation statements)

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“…An overall disability score was calculated; higher scores indicated greater disability. The WHODAS 2.0 has demonstrated good reliability and validity (31). A Cronbach's alpha value of 0.82 was observed at T3 in the current study.…”

Section: Methodssupporting

confidence: 59%

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Coffey

Desmond

2014

Archives of Physical Medicine and Rehabilitation

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Objective: (1) To identify significant changes in disability and quality of life (QoL) across three time points (T1 = admission to rehabilitation, T2 = six weeks post-discharge, T3 = six months post-discharge) in individuals with lower limb amputation, and (2) to examine whether goal pursuit and goal adjustment at T1 were predictive of these outcomes at T3.Design: Prospective cohort study. Setting: Inpatient rehabilitation.Participants: Consecutive sample of 64 persons aged 18 years and over with major lower limb amputation.Interventions: Not applicable. Main Outcome Measures: World Health Organisation Disability Assessment ScheduleVersion 2.0 (WHODAS 2.0); World Health Organisation Quality of Life Questionnaire-Brief Version (WHOQOL-BREF).Results: Mean WHODAS 2.0 scores were in the 95 th percentile at each time point. Scores on the WHODAS 2.0 and the physical, psychological and social relationships domains of the WHOQOL-BREF remained stable across the study period. Environmental QoL scores decreased from T1 to T2, but returned to near-baseline levels between T2 and T3. Having a greater tendency towards goal pursuit at T1 was predictive of higher physical and psychological QoL at T3, while having a stronger disposition towards goal adjustment at T1 predicted lower disability and higher environmental QoL at T3. Conclusions:High levels of disability were experienced from admission to rehabilitation up to six months post-discharge. QoL in the physical, psychological and social relationships domains remained stable over the study period. Stronger goal pursuit and goal adjustment 3 tendencies on admission predicted lower disability and higher QoL six months postdischarge. and health classification system that offers a generic framework for describing the consequences of illness and disability and the dynamic interplay of personal and environmental factors (5), and has been applied to a number of conditions, including LLA (5, 6). The ICF classifies functioning and disability into two components: (1) body functions and structures (at the level of the body or body part), which are interpreted through changes in physiological systems or anatomical structures; and (2) activities (at the level of the whole person) and participation (at the level of the whole person in a social context), which are interpreted through capacity and performance.The primary goal of rehabilitation is to achieve optimal functioning (as appropriate to the individual) at each of these levels (7). Recent reviews indicate that most rehabilitation outcomes research among persons with LLA has been at the level of body functions and structures (2) or specific activities such as mobility (6) Theories of self-regulation may help to increase understanding of adjustment to LLA (17, 18). According to this perspective, human behaviour is organised around the pursuit of goals, which energise activities and give structure and meaning to people's lives and are thus closely linked with their subjective well-being (19-21). Indeed, negative associations hav...

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Section: Methodssupporting

confidence: 59%

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Coffey

Desmond

2014

Archives of Physical Medicine and Rehabilitation

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“…Disability was measured by using the World Health Organization's Disablement Assessment Scale Version II (WHODAS ; Rehm et al 1999) that assesses activity limitation and participation restriction. This scale was developed by the World Health Organization as a cross-cultural and culture-fair assessment tool to use in epidemiological studies.…”

Section: Other Measuresmentioning

confidence: 99%

Co-occurrence of anxiety and depression amongst older adults in low- and middle-income countries: findings from the 10/66 study

et al. 2011

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BackgroundThere is relative little information about the prevalence and risk factors of co-morbid anxiety and depression in later life. These disorders are often associated with worse response to treatment than either condition alone, and researching their epidemiology in diverse settings is vital to policy makers. We therefore investigated the co-occurrence of anxiety and depressive syndromes amongst older adults living in developing countries and measured the separate and joint effect of these two disorders on levels of associated disability.MethodThe 10/66 study carried out cross-cultural surveys of all residents aged 65 years or over (n=15021) in 11 sites in seven countries (People's Republic of China, India, Cuba, Dominican Republic, Venezuela, Mexico and Peru). Anxiety was measured by using the Geriatric Mental State Examination and the Automated Geriatric Examination for Computer Assisted Taxonomy diagnostic system. Depression was assessed according to International Classification of Diseases 10th revision (ICD-10) and EURO-D criteria. Disability was measured by using the World Health Organization's Disablement Assessment Scale Version II. Zero-inflated negative binomial regression models were used to investigate the association of common mental disorders and disability.ResultsThe prevalence of co-occurring anxiety and depression (with the exclusion of subthreshold disorders) ranged between 0.9% and 4.2% across sites. Gender, socio-economic status, urbanicity and physical co-morbidities were associated with the different co-morbid states. Having both disorders was linked to higher disability scores than having anxiety or depression alone.ConclusionsGiven the close association of co-morbid anxiety and depression with disability, new policies to improve prevention, recognition and treatment will be needed to adapt to ageing populations and their mental health needs.

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“…The 36-item WHODAS 2.0 contains six domains: understanding and communication, getting around, self-care, getting along with people, life activities, and participation in society. It has been tested for its psychometric properties in a number of studies with population samples [6] and persons with different health conditions [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Two different versions of the 12-item WHODAS 2.0 exist, the original version [6] and a revised version with five items replaced. The original version was reported to correlate highly (r = 0.95) with the 36-item form and to explain more than 90% of the variation of the 36-item WHODAS 2.0 [6], while the currently used revised version was reported to explain 81% of that variance (http://www.who.int/classifications/icf/ whodasii/en/index3.html). It takes about five minutes to complete the 12-item form.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and psychometric properties of the German 12-item WHO Disability Assessment Schedule (WHODAS 2.0) in a population-based sample of patients with myocardial infarction from the MONICA/KORA myocardial infarction registry

Kirchberger

Braitmayer

Coenen

et al. 2014

Popul Health Metrics

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Background: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) provides a standardized assessment of functioning and disability in individuals with any kind of disease. So far, data on feasibility and psychometric properties of the 12-item WHODAS 2.0 in patients with acute myocardial infarction (AMI) are not available. Thus, the objective of this study was to investigate feasibility and psychometric properties of this questionnaire in a population-based sample of persons with AMI. Methods: The sample consisted of 2077 persons (age 35-85 years) with AMI from the population-based MONICA/KORA Myocardial Infarction Registry, Augsburg, Germany, who responded to a postal follow-up survey in 2011. Feasibility was assessed by the number of missing WHODAS 2.0 items and analyzed using multivariate logistic regression modeling. Psychometric properties were determined using Rasch analysis. It included testing of unidimensionality, monotonicity and local independency, Partial Credit Model (PCM) fitting, and testing for Differential Item Functioning (DIF). Concurrent validity was tested by a linear additive model predicting the WHODAS disability score based on a number of independent variables.

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

Cited by 237 publications

References 13 publications

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Co-occurrence of anxiety and depression amongst older adults in low- and middle-income countries: findings from the 10/66 study

Feasibility and psychometric properties of the German 12-item WHO Disability Assessment Schedule (WHODAS 2.0) in a population-based sample of patients with myocardial infarction from the MONICA/KORA myocardial infarction registry

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