Silveira, Carla; Souza, Renato T; Costa, Maria L; Parpinelli, Mary A; Pacagnella, Rodolfo C; Ferreira, Elton C; Mayrink, Jussara; Guida, José P; Sousa, Maria H; Say, Lale; +8 more... Chou, Doris; Filippi, Veronique; Barreix, Maria; Barbour, Kelli; Firoz, Tabassum; von Dadelszen, Peter; Cecatti, José G; Brazilian Cohort on Severe Maternal Morbidity (COMMAG) study gro; (2018) 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. International journal of gynaecology and obstetrics, 141 Su (Suppl ). pp. 39-47. ISSN 0020-7292 DOI: https://doi.org/10.1002/ijgo.12465
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Abstract
OBJECTIVE: To validate the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) 12-item tool against the 36-item version for measuring functioning and disability associated with pregnancy and the occurrence of maternal morbidity. METHODS: This is a secondary analysis of the Brazilian retrospective cohort study on long-term repercussions of severe maternal morbidity (SMM) among women who delivered at a tertiary facility (COMMAG study). We compared WHODAS-12 and WHODAS-36 scores of women with and without SMM using measures of central tendency and variability, tests for instruments' agreement (Bland-Altman plot), confirmatory factor analysis (CFA), and Cronbach alpha coefficient for internal consistency. RESULTS: The COMMAG study enrolled 638 women up to 5 years postpartum. Although the median WHODAS-36 and -12 scores for all women were statistically different (13.04 and 11.76, respectively; P<0.001), there was a strong linear correlation between them. Furthermore, the mean difference and the differences in variance analyses demonstrated agreement of total scores between the two versions. CFA demonstrated how the WHODAS-12 questions are divided into six previously defined factors and Cronbach alpha showed good internal consistency. CONCLUSION: WHODAS-12 demonstrated agreement with WHODAS-36 for total score and was a good instrument for screening functioning and disability among postpartum women, with and without SMM.
Item Type | Article |
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Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology & International Health (2023-) |
Research Centre |
Centre for Maternal, Reproductive and Child Health (MARCH) Maternal and Newborn Health Group |
PubMed ID | 29851113 |
ISI | 433577100005 |
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Filename: Validation-of-the-WHO-Disability-Assessment-Schedule-WHODAS-20-12‐item-tool.pdf
Licence: Creative Commons Attribution 3.0 IGO
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