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Protocol - Impairment - Adult

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Description:

The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a 12-question, self-administered questionnaire and generic assessment instrument for health and disability that covers six domains: Cognition (items 3 and 6), Mobility (items 1 and 7), Self-care (items 8 and 9), Getting Along (items 10 and 11), Life Activities (items 2 and 12), and Participation (items 4 and 5). Items are rated from "None," "Mild," "Moderate," "Severe," to "Extreme or cannot do," indicating difficulty over the past month.

Specific Instructions:

None

Protocol:

WHODAS 2.0

This questionnaire asks about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs.

Think back over the past 30 days and answer these questions, thinking about how much difficulty you had doing the following activities. For each question, please circle only one response.

In the past 30 days, how much difficulty did you have in:

S1

Standing for long periods such as 30 minutes?

None

Mild

Moderate

Severe

Extreme or cannot do

S2

Taking care of your household responsibilities?

None

Mild

Moderate

Severe

Extreme or cannot do

S3

Learning a new task, for example, learning how to get to a new place?

None

Mild

Moderate

Severe

Extreme or cannot do

S4

How much of a problem did you have joining in community activities (for example, festivities, religious, or other activities) in the same way as anyone else can?

None

Mild

Moderate

Severe

Extreme or cannot do

S5

How much have you been emotionally affected by your health problems?

None

Mild

Moderate

Severe

Extreme or cannot do

S6

Concentrating on doing something for ten minutes?

None

Mild

Moderate

Severe

Extreme or cannot do

S7

Walking a long distance such as a kilometre [or equivalent]?

None

Mild

Moderate

Severe

Extreme or cannot do

S8

Washing your whole body?

None

Mild

Moderate

Severe

Extreme or cannot do

S9

Getting dressed?

None

Mild

Moderate

Severe

Extreme or cannot do

S10

Dealing with people you do not know?

None

Mild

Moderate

Severe

Extreme or cannot do

S11

Maintaining a friendship?

None

Mild

Moderate

Severe

Extreme or cannot do

S12

Your day-to-day work?

None

Mild

Moderate

Severe

Extreme or cannot do

 

H1

Overall, in the past 30 days, how many days were these difficulties present?

Record number of days ____

H2

In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?

Record number of days ____

H3

In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?

Record number of days ____

This completes the questionnaire. Thank you.

Scoring:

There are two basic options for computing the summary scores for the WHODAS 2.0 short version.

Simple:

The scores assigned to each of the items-"none" (1), "mild" (2) "moderate" (3), "severe" (4) and "extreme" (5) -are summed. This method is referred to as simple scoring because the scores from each of the items are simply added up without recoding or collapsing of response categories; thus, there is no weighting of individual items. This approach is practical to use as a hand-scoring approach and may be the method of choice in busy clinical settings or in paper-pencil interview situations. As a result, the simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations.

Complex:

The more complex method of scoring is called "item-response-theory" (IRT)-based scoring. It takes into account multiple levels of difficulty for each WHODAS 2.0 item. It takes the coding for each item response as "none," "mild," "moderate," "severe," and "extreme" separately and then uses an algorithm to determine the summary score by differentially weighting the items and the levels of severity. The SPSS algorithm is available from WHO. The scoring has three steps:

• Step 1 - Summing of recoded item scores within each domain.

• Step 2 - Summing of all six domain scores.

• Step 3 - Converting the summary score into a metric ranging from 0 to 100 (where 0 = no disability; 100 = full disability).

Protocol Name from Source:

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adult

Participants:

Adults, ages 18 and older

Selection Rationale

The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a brief, self-administered questionnaire with good psychometric properties that can be used across all diseases (including mental, neurological, and addictive disorders), is applicable in both clinical and general population settings, and is applicable across different cultures. The WHODAS 2.0 produces standardized disability levels and profiles and has a direct conceptual link to the International Classification of Functioning, Disability and Health (ICF).

Language

Chinese, English, French, German, Spanish

Standards
StandardNameIDSource
Common Data Elements (CDE) Adult Mental Health Impairment Questionnaire Assessment Score 4603774 CDE Browser
Derived Variables

None

Process and Review

Not applicable

Source

Ustün, T. B., Chatterji, S., Kostanjsek, N., Rehm, J., Kennedy, C., Epping-Jordan, J., Saxena, S., von Korff, M., & Pull, C.; WHO/NIH Joint Project. (2010). Developing the World Health Organization Disability Assessment Schedule 2.0. Bulletin of the World Health Organization, 88(11), 815-823.

The WHODAS 2.0 is available for download from the World Health Organization website at www.who.int/classifications/icf/whodasii/en/.

General References

Andrews, G., Kemp, A., Sunderland, M., Von Korff, M., & Ustun, T.B. (2009). Normative data for the 12-item WHO Disability Assessment Schedule 2.0. PLoS One, 4(12), e8343.

Downing, N. R., Kim, J. I., Williams, J. K., Long, J. D., Mills, J. A., & Paulsen, J. S.; PREDICT‑HD Investigators and Coordinators of the Huntington Study Group. (2014) WHODAS 2.0 in prodromal Huntington disease: Measures of functioning in neuropsychiatric disease. European Journal of Human Genetics, 22(8), 958-963.

Konecky, B., Meyer, E. C., Marx, B. P., Kimbrel, N. A., & Morissette, S. B. (2014). Using the WHODAS 2.0 to assess functional disability associated with DSM-5 mental disorders. American Journal of Psychiatry, 171(8), 818-820.

Protocol ID:

610102

Variables:
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX610102_Impairment_Concentrating_Ten_Minutes
PX610102060000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Concentrating on doing something for ten minutes? show less
N/A
PX610102_Impairment_Dealing_New_People
PX610102100000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Dealing with people you do not know? show less
N/A
PX610102_Impairment_Difficult_Days_Past_Month
PX610102130000 Overall, in the past 30 days, how many days more
were these difficulties present? show less
N/A
PX610102_Impairment_Emotionally_Affected
PX610102050000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. How much have you been emotionally affected by your health problems? show less
Variable Mapping
PX610102_Impairment_Getting_Dressed
PX610102090000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Getting dressed? show less
Variable Mapping
PX610102_Impairment_Household_Responsibilities
PX610102020000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Taking care of your household responsibilities? show less
N/A
PX610102_Impairment_Joining_Community_Activities
PX610102040000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. How much of a problem did you have joining in community activities (for example, festivities, religious, or other activities) in the same way as anyone else can? show less
Variable Mapping
PX610102_Impairment_Learning_New_Task
PX610102030000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Learning a new task, for example, learning how to get to a new place? show less
N/A
PX610102_Impairment_Maintaining_Friendship
PX610102110000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Maintaining a friendship? show less
N/A
PX610102_Impairment_Reduced_Days_Past_Month
PX610102150000 In the past 30 days, not counting the days more
that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? show less
N/A
PX610102_Impairment_Standing_Long_Periods
PX610102010000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Standing for long periods such as 30 minutes? show less
N/A
PX610102_Impairment_Unable_Days_Past_Month
PX610102140000 In the past 30 days, for how many days were more
you totally unable to carry out your usual activities or work because of any health condition? show less
Variable Mapping
PX610102_Impairment_Walking_Long_Distances
PX610102070000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Walking a long distance such as a kilometre [or equivalent]? show less
N/A
PX610102_Impairment_Washing_Self
PX610102080000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Washing your whole body? show less
N/A
PX610102_Impairment_Work
PX610102120000 Think back over the past 30 days and answer more
these questions, thinking about how much difficulty you had doing the following activities. Your day-to-day work? show less
N/A
Mental Health Research
Measure Name:

Impairment

Release Date:

December 5, 2014

Definition

A self-administered questionnaire for assessing impairment and disability.

Purpose

This measure is used to assess impairment and difficulties in performing usual activities due to a variety of health conditions and diseases, including mental or emotional problems.

Keywords

Behavior, General Disability, Disability, Cognition, Mobility, Self-care, Getting along, Life activities, Participation, Function, Quality of life, Columbia Impairment Scale, CIS, Adolescent, Parents, Siblings, School, Home