Reliability, internal consistency, and validity of the World Health Organization disability assessment schedule (WHODAS) 2.0 among adults with heart failure.

Autor: Gondim GMC; Master Program in Physiotherapy and Functioning, Federal University of Ceara, Fortaleza, Ceara, Brazil., Bedê JMS; Department of Physiotherapy, Federal University of Ceara, Fortaleza, Ceara, Brazil., Martins CA; Master Program in Physiotherapy and Functioning, Federal University of Ceara, Fortaleza, Ceara, Brazil., da Silva FV; Department of Physiotherapy, Federal University of Ceara, Fortaleza, Ceara, Brazil., da Silveira BLR; Department of Physiotherapy, Federal University of Ceara, Fortaleza, Ceara, Brazil., Ribeiro VF; Department of Physiotherapy, Federal University of Ceara, Fortaleza, Ceara, Brazil., da Saúde SM; Department of Physiotherapy, Federal University of Ceara, Fortaleza, Ceara, Brazil., Neto ACR; Walter Cantidio University Hospital, Federal University of Ceara, Fortaleza, Ceara, Brazil., Mesquita R; Master Program in Physiotherapy and Functioning, Federal University of Ceara, Fortaleza, Ceara, Brazil; Department of Physiotherapy, Federal University of Ceara, Fortaleza, Ceara, Brazil; Graduate Program in Cardiovascular Sciences, Federal University of Ceara, Fortaleza, Ceara, Brazil., Mont'Alverne DGB; Master Program in Physiotherapy and Functioning, Federal University of Ceara, Fortaleza, Ceara, Brazil; Department of Physiotherapy, Federal University of Ceara, Fortaleza, Ceara, Brazil. Electronic address: daniela.gardano@ufc.br.
Jazyk: angličtina
Zdroj: Heart & lung : the journal of critical care [Heart Lung] 2024 Nov 16; Vol. 70, pp. 30-35. Date of Electronic Publication: 2024 Nov 16.
DOI: 10.1016/j.hrtlng.2024.11.003
Abstrakt: Background: Heart failure (HF) imposes significant disability. The World Health Organization Disability Assessment Schedule (WHODAS) 2.0 is a generic instrument that measures disability. Although it has been used in HF, no previous study has investigated its measurement properties in this group.
Objective: To assess the test-retest reliability, internal consistency, convergent, and discriminant validity of WHODAS 2.0 in individuals with HF.
Methods: We conducted a cross-sectional study that included individuals with HF treated at the outpatient cardiology center. Data included sociodemographic and clinical (e.g., New York Heart Association - NYHA) characteristics, estimated functional capacity (Duke Activity Status Index - DASI), quality of life (Minnesota Living with Heart Failure Questionnaire - MLHFQ), and disability (the WHODAS 2.0 36-item version). We assessed associations, using Pearson's correlation coefficient or the Kruskal-Wallis test, between the WHODAS 2.0 scores and the MLHFQ, DASI, and NYHA. The WHODAS 2.0 results were collected again seven days after the initial assessment for reliability (intraclass correlation coefficient - ICC).
Results: Participants were 100 people with HF (M age = 57.8 ± 14 years, 57 % men), of whom 84 % were literate. The WHODAS 2.0 was reliable (ICC = 0.789) and had good internal consistency (Cronbach's alpha >0.7 in all domains). Convergent validity was observed through moderate correlations with DASI and MLHFQ and discriminant validity with statistically different results according to NYHA classes.
Conclusion: WHODAS 2.0 is a reliable, consistent, and valid instrument for measuring disability in individuals with HF. Further research is needed to evaluate other properties, such as its responsiveness to interventions.
Competing Interests: Declaration of competing interest None of the other authors have any conflict of interest to disclose.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: