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针对感染艾滋病毒/艾滋病个体的世界卫生组织残疾评定量表2.0巴西版本的验证。

Validation of the Brazilian version of the World Health Organization Disability Assessment Schedule 2.0 for individuals with HIV/AIDS.

作者信息

Barbosa Karolyne Stéfanie Sousa, Castro Shamyr Sulyvan de, Leite Camila Ferreira, Nacci Franciele Rodrigues, Accioly Marilita Falangola

机构信息

Programa de Pós-Graduação Residência Integrada Multiprofissional em Saúde, Universidade Federal do Triângulo Mineiro. R. Capitão Domingos 309, Abadia. 38025-010, Uberaba, MG, Brasil.

Programa de Pós-Graduação em Saúde Pública, Universidade Federal do Ceará. Fortaleza, CE, Brasil.

出版信息

Cien Saude Colet. 2020 Mar;25(3):837-844. doi: 10.1590/1413-81232020253.18992018. Epub 2018 Aug 2.

Abstract

The WHODAS 2.0 (World Health Organization Disability Assessment Schedule) is an instrument developed by the WHO (World Health Organization) for functioning and disability assessment based on the biopsychosocial framework, fully supported by the theoretical-conceptual framework of the ICF (International Classification of Functioning, Disability and Health). To validate the Brazilian version of the WHODAS 2.0 for individuals with HIV/AIDS. 100 individuals with diagnosis of HIV/AIDS participated in the study. Two assessment instruments were used: the 36-item version of WHODAS 2.0 and the WHOQOL-HIV-BREF (World Health Organization Quality of Life assessment in persons infected with HIV, shorter version). The psychometric properties tested were internal consistency and criterion validity. Internal consistency was adequate for all domains, with the exception of Life Activities (α = 0.69) and Self-care (α = 0.32). Criterion validity was adequate, with moderate correlations between the WHODAS 2.0 and the WHOQOL-HIV-BREF domains. The results indicated the WHODAS 2.0 instrument as a valid tool for assessing functioning of individuals with HIV/AIDS. The use of data from the Self-care domain should be carefully considered.

摘要

世界卫生组织残疾评定量表2.0版(WHODAS 2.0)是世界卫生组织(WHO)基于生物心理社会框架开发的用于功能和残疾评估的工具,得到了《国际功能、残疾和健康分类》(ICF)理论概念框架的充分支持。为验证WHODAS 2.0巴西版在艾滋病毒/艾滋病患者中的有效性,100名被诊断为艾滋病毒/艾滋病的患者参与了该研究。使用了两种评估工具:36项版的WHODAS 2.0和世界卫生组织艾滋病毒感染者生活质量简表(WHOQOL-HIV-BREF)。所测试的心理测量特性为内部一致性和效标效度。除生活活动领域(α = 0.69)和自我护理领域(α = 0.32)外,所有领域的内部一致性均良好。效标效度良好,WHODAS 2.0与WHOQOL-HIV-BREF各领域之间存在中度相关性。结果表明,WHODAS 2.0是评估艾滋病毒/艾滋病患者功能的有效工具。自我护理领域数据的使用应谨慎考虑。

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