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Measurement Properties and Minimal Important Change of the World Health Organization Disability Assessment Schedule 2.0 in Persons With Low Back Pain: A Systematic Review.
Wong, Jessica J; DeSouza, Astrid; Hogg-Johnson, Sheilah; De Groote, Wouter; Southerst, Danielle; Belchos, Melissa; Lemeunier, Nadège; Alexopulos, Stephanie; Varmazyar, Hamid; Mior, Silvano A; Stern, Paula J; Nordin, Margareta C; Taylor-Vaisey, Anne; Cieza, Alarcos; Côté, Pierre.
Afiliación
  • Wong JJ; Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Division of Graduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
  • DeSouza A; Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada; Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada.
  • Hogg-Johnson S; Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Department of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
  • De Groote W; Rehabilitation Programme, Department of Noncommunicable Diseases, Sensory Functions, Disability, and Rehabilitation Unit, World Health Organization, Geneva, Switzerland.
  • Southerst D; Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada.
  • Belchos M; Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada; Division of Graduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada; Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada.
  • Lemeunier N; Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada; Equipe constitutive du CERPOP, Université Toulouse III Paul Sabatier, Toulouse, France.
  • Alexopulos S; Division of Graduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada; Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  • Varmazyar H; Undergraduate Education, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
  • Mior SA; Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada; Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada; Department of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada; Institute of
  • Stern PJ; Division of Graduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
  • Nordin MC; Department of Orthopedic Surgery, New York University, New York, NY; Department of Environmental Medicine, New York University, New York, NY.
  • Taylor-Vaisey A; Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada.
  • Cieza A; Rehabilitation Programme, Department of Noncommunicable Diseases, Sensory Functions, Disability, and Rehabilitation Unit, World Health Organization, Geneva, Switzerland.
  • Côté P; Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada; Institute of Health Policy, Manag
Arch Phys Med Rehabil ; 104(2): 287-301, 2023 02.
Article en En | MEDLINE | ID: mdl-35798195
ABSTRACT

OBJECTIVE:

To determine the measurement properties and minimal important change (MIC) of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) short (12 questions) and full (36 questions) versions in persons with nonspecific low back pain (LBP). DATA SOURCES MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, APA PsycInfo, and Cochrane Central Register of Controlled Trials (inception to May 2021). STUDY SELECTION Eligible studies assessed measurement properties or MIC of WHODAS 2.0 in persons with LBP. DATA EXTRACTION Paired reviewers screened articles, extracted data, and assessed risk of bias using Consensus-Based Standards for Selection of Health Measurement Instruments (COSMIN) and COSMIN-Outcome Measures in Rheumatology checklists. DATA

SYNTHESIS:

We descriptively synthesized results stratified by measurement property and LBP duration (subacute 6 weeks to 3 months; chronic ≥3 months).

RESULTS:

We screened 297 citations and included 14 studies (reported in 15 articles). Methodological quality of studies was very good for internal consistency and varied between very good and doubtful for construct validity, doubtful for responsiveness, and adequate for all other properties assessed. Evidence suggests that WHODAS 2.0 full version has adequate content validity (2 studies); WHODAS 2.0 short and full versions have adequate structural validity (3 studies), but construct validity is indeterminate (9 studies). WHODAS 2.0 short and full versions have adequate internal consistency (10 studies), and the full version has adequate test-retest and interrater reliability (3 studies) in persons with LBP. Minimal detectable change (MDC) was 10.45-13.99 of 100 for the full version and 8.6 of 48 for the short version in persons with LBP (4 studies). WHODAS 2.0 full version has no floor or ceiling effects, but the short version has potential floor effects in persons with chronic LBP (3 studies). One study estimated MIC for the full version as 4.87 of 100 or 9.74 of 100 (corresponding to 1- and 2-point change on 0- to 10-cm visual analog scale for pain, respectively), and 1 study estimated 3.09-4.68 of 48 for the short version.

CONCLUSIONS:

In persons with LBP, WHODAS 2.0 full version has adequate content validity, structural validity, internal consistency, and reliability. WHODAS 2.0 short version has adequate structural validity and internal consistency. Construct validity of the short and full versions is indeterminate. Since MDC is estimated to be larger than MIC, users may consider both MIC and MDC thresholds to measure change in functioning for LBP.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: Arch Phys Med Rehabil Año: 2023 Tipo del documento: Article País de afiliación: Canadá
Texto completo
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: Arch Phys Med Rehabil Año: 2023 Tipo del documento: Article País de afiliación: Canadá