Ćwirlej-Sozańska Agnieszka, Sozański Bernard, Kotarski Hubert, Wilmowska-Pietruszyńska Anna, Wiśniowska-Szurlej Agnieszka
Institute of Health Sciences, Medical College of Rzeszow University, Aleja Rejtana 16c, 35-959, Rzeszow, Poland.
Institute of Sociology, Social Sciences College of Rzeszow University, Aleja Rejtana 16c, 35-959, Rzeszow, Poland.
BMC Public Health. 2020 Aug 5;20(1):1203. doi: 10.1186/s12889-020-09305-0.
The assessment of disability in a population is an important part of public health management. In this article, we examine the psychometric properties and validation of the Polish version of the 12-item World Health Organization Disability Assessment Schedule 2.0. (12-item WHODAS 2.0).
A systematic random sample comprised 584 adult urban residents. The Polish version of the 12-item WHODAS 2.0 and the World Health Organization Quality of Life-BREF, Short Form (WHOQOL-BREF) questionnaire were used to assess disability and quality of life, respectively. Basic sociodemographic data and selected health-related data (e.g., pain and depressive moods) were also collected.
Good scale score reliability for the entire tool was confirmed in the study population (Cronbach's α = 0.90; Composite reliability = 0.95). In confirmatory factor analysis (CFA), satisfactory values of the fit indices were obtained (comparative fit index, CFI = 0.999; Tucker-Lewis Index, TLI = 0.999; root mean square error of approximation, RMSEA = 0.004; standardized root mean square residual, SRMR = 0.043, p = 0.454). Good consistency was noted over time (correlation coefficient = 0.88). The tool was found to have an appropriate level of validity.
We found that the 12-item WHODAS is short and easy to use, and it is suitable for use in the form of an interview during screening tests. This tool is appropriate for measuring the health status, functioning, and disability of an average population. It may be more relevant for studying populations with health problems. The 12-item WHODAS can be used to successfully obtain information about the general level of disability in a population.
人群残疾评估是公共卫生管理的重要组成部分。在本文中,我们检验了波兰语版12项世界卫生组织残疾评定量表2.0(12项WHODAS 2.0)的心理测量特性并进行效度验证。
采用系统随机抽样法选取了584名成年城市居民。分别使用波兰语版12项WHODAS 2.0和世界卫生组织生活质量简表(WHOQOL-BREF)问卷评估残疾情况和生活质量。还收集了基本的社会人口学数据以及选定的健康相关数据(如疼痛和抑郁情绪)。
在研究人群中证实了整个工具具有良好的量表得分信度(克朗巴哈α系数=0.90;组合信度=0.95)。在验证性因子分析(CFA)中,获得了令人满意的拟合指数值(比较拟合指数,CFI=0.999;塔克-刘易斯指数,TLI=0.999;近似均方根误差,RMSEA=0.004;标准化均方根残差,SRMR=0.043,p=0.454)。随着时间推移观察到良好的一致性(相关系数=0.88)。该工具被发现具有适当水平的效度。
我们发现12项WHODAS简短且易于使用,适用于筛查测试期间以访谈形式使用。该工具适合用于测量普通人群的健康状况、功能和残疾情况。对于研究有健康问题的人群可能更具相关性。12项WHODAS可成功用于获取有关人群残疾总体水平的信息。