Psychometric properties of the WHODAS 2.0 in patients with orthopedic injuries from road traffic crashes in Bangladesh.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2025-06-01 Epub Date: 2024-11-18 DOI:10.1080/09638288.2024.2425755

Mohammad K Khalaf, Heather E Rosen, Nino Paichadze, Samid Siddiqi, Kazuyuki Neki, Jennifer Seager, Sudeshna Mitra, Yan Wang, A K M Fazlur Rahman, Adnan A Hyder

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引用次数: 0

Abstract

Purpose: Road traffic injuries (RTIs) are a leading cause of disability in low- and middle-income countries. This study assesses the psychometric properties of 12-item World Health Organization Disability Assessment Schedule (WHODAS) 2.0 among patients with orthopedic injuries from road traffic crashes in Bangladesh across two timepoints after hospital discharge.

Materials and methods: Confirmatory factor analysis (CFA) assessed WHODAS 2.0 construct validity and investigated measurement invariance among a sample of RTI patients at an orthopedic hospital one month and three months post-discharge. Cronbach's alpha measured reliability.

Results: A single-factor structure was identified in CFA for the one-month sample (χ2(53)=894.337, p < 0.001; CFI = 0.989, TLI = 0.986; SRMR = 0.052, RMSEA = 0.151) and the three-month sample (χ2(53)=630.119, p < 0.001; CFI = 1.000, TLI = 1.000; SRMR = 0.022, RMSEA = 0.130). Measurement invariance was supported, and internal consistency was excellent (α > 0.9) at each timepoint. Mean disability score decreased from 37.89 (out of 48, SD = 10.44) one-month post-discharge to 27.19 (SD = 18.10, p < 0.001) three months post-discharge indicating improvement in functional status over time.

Conclusions: WHODAS 2.0 is valid and reliable for measuring disability among patients with RTIs in Bangladesh and has validity for making meaningful comparisons in disability level over time. Future research should include samples with different types of RTIs to strengthen the evidence supporting the use of the instrument.

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WHODAS 2.0 在孟加拉国道路交通事故骨科受伤患者中的心理测量特性。

目的道路交通伤（RTI）是中低收入国家致残的主要原因之一。本研究评估了 12 个项目的世界卫生组织残疾评估表（WHODAS）2.0 在孟加拉国道路交通事故骨科伤患者出院后两个时间点的心理测量特性：确认性因子分析（CFA）评估了 WHODAS 2.0 的结构效度，并对一家骨科医院出院后一个月和三个月的道路交通事故骨伤患者样本进行了测量不变性调查。Cronbach'sα测量了信度：一个月样本在每个时间点的 CFA 中均确定了单因素结构（χ2(53)=894.337, p p 0.9）。出院后一个月的平均残疾评分从 37.89（满分 48 分，SD = 10.44）降至 27.19（SD = 18.10，P 结论：WHODAS 2.0 是有效的：WHODAS 2.0 用于测量孟加拉国 RTI 患者的残疾程度是有效和可靠的，并且可以对不同时期的残疾程度进行有意义的比较。未来的研究应包括不同类型的 RTIs 样本，以加强支持使用该工具的证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.