The assessment of disability using WHODAS 2.0 tool at geriatric patients.
A pilot study WHODAS-GERI

Czech version

Authors: Eva Topinková ¹; Božena Jurašková ²; Jakub Hrkal ³; Miroslav Zvolský ³; Petra Sládková ⁴; Katarína Bielaková ⁵; Markéta Bláhová ⁶; Zuzana Boháčová ⁷; Rid Brázdilová ⁷; Milena Bretšnajdrová ⁸; Iva Divacká ⁷; Helena Kajtmanová ⁹; Pavla Mádlová ^1,10; Astrid Matějková ¹¹; Helena Michálková ¹; Renáta Petrová ¹²; Zuzana Šnajdrová ⁶; Pavel Weber ⁵
Authors‘ workplace: Geriatrická klinika 1. LF UK a VFN, Praha, Česká gerontologická a geriatrická společnost ČLS JEP ¹; III. interní gerontologická a metabolická klinika FN HK, Subkatedra geriatrie, LF UK, Hradec Králové, Česká gerontologická a geriatrická společnost ČLS JEP ²; Ústav zdravotnických informací a statistiky ČR ³; Klinika rehabilitačního lékařství 1. LF UK a VFN, Praha ⁴; Klinika interní, geriatrie a praktického lékařství LF MU, Brno ⁵; Geriatrická ambulance a interní oddělení, Nemocnice Milosrdných sester sv. Karla Boromejského, Praha ⁶; Centrum klinické gerontologie, Krajská nemocnice T. Bati a. s., Zlín ⁷; II. interní klinika gastroenterologická a geriatrická, LF UP a FN Olomouc ⁸; Oddělení následné péče, Nemocnice Písek ⁹; Domov pro seniory Háje, ordinace praktického lékaře, Praha ¹⁰; Geriatrické centrum, nemocnice Pardubice a ordinace praktického lékaře pro dospělé, Pardubice ¹¹; Geriatrická ambulance, Praha 4 ¹²
Published in: Geriatrie a Gerontologie 2021, 10, č. 1: 3-11
Category:

Overview

Topinková E, Jurašková B, Hrkal J, Zvolský M, Sládková P. The assessment of disability using WHODAS 2.0 tool at geriatric patients. A pilot study WHODAS-GERI

Background. Disability in elderly people increases with advancing age, polymorbidity and presence of geriatric syndromes. It negatively influences health status, quality of life and has negative social and economic consequences. Therefore, seniors with disability should be identified and their disability quantified. In the Czech Republic a pilot study with international WHODAS 2.0 tool was conducted for the first time evaluating feasibility and usability of this tool in ambulatory geriatric out-patients in a WHODAS-GERI joint project of the Institute of Health Information and Statistics of the Czech Republic and Czech Society of Gerontology and Geriatrics, Czech Medical Association.

Patients and methods. Prospective assessment of 104 patients of geriatric clinics in 9 centres, evaluation of disability level using WHODAS 2.0 questionnaire (36 items), self-sufficiency and independence using ADL and IADL tests and cognitive impairment using MMSE test; complementing questionnaire survey in geriatricians performing the assessment.

Results. Extent and severity of the overall disability and of the 6 WHODAS 2.0 based domains correlate well with a total scores of functional tests ADL, IADL and MMSE, routinely used as part of comprehensive geriatric assessment. In some domains (interactions with other people, participation in social activities) WHODAS 2.0 provides information which are unknown/not routinely collected. This finding was supported by responses of participating physicians. However, their view on usability is rather cautious as for some patients completion of questionnaire was difficult, for low specificity of some domains and limits for direct use of the results for social allowances eligibility.

Conclusions. WHODAS 2.0 seems to be a valid instrument for disability level in geriatric out-patients. Its use is supported when the comprehensive geriatric assessment and evaluation of the functional status and limitations cannot be performed, in selected groups of seniors with chronic conditions and if broader evaluation of quality of life is beneficial. In the future, larger epidemiologic population studies in seniors are needed to gain normative WHODAS 2.0 data, disability prevalence and for use of these information to design preventive programs to reduce dependency level of dependence in older people

Keywords:

WHODAS 2.0 – geriatrics – functional assessment – disability measurement

Sources

1. World Health Organization (WHO). Decade of Healthy Ageing 2020–2030. Dostupné z: https://cdn.who.int.

2. Kalvach Z. Komplexní geriatrické hodnocení. In: Kalvach Z, Zadák Z, Jirák R, et al. Geriatrické syndromy a geriatrický pacient. Praha: Grada 2008: 49–110.

3. World Health Organization (WHO). International Classification of Functioning, Disability and Health: ICF. World Health Organization. 2001.

4. Üstün TB, Kostanjsek N, Chatterji S, Rehm J. Measuring health and disability: manual for WHO Disability Assessment Schedule (WHODAS 2.0). World Health Organization. 2010.

5. Federici S, Bracalenti M, Meloni F, Luciano JV. World Health Organization disability assessment schedule 2.0: an international systematic review. Disabil Rehabil 2017; 39(23): 2347–80.

6. Garin O, Ayuso-Mateos JL, Almansa J, et al. Validation of the “World Health Organization Disability Assessment Schedule, WHODAS-2” in patients with chronic diseases. Health Qual Life Outcomes 2010; 8: 51.

7. Švestková O, Angerová Y, Sládková P. Mezinárodní klasifikace funkčních schopností, disability a zdraví (ICF) – kvantitativní měření kapacity a výkonu. Česk Slov Neurol N 2009; 72/105(6): 580–586.

8. Sládková P, Švestková O. WHODAS II jako důležitý nástroj v neurorehabilitaci pacientů po poranění mozku. In: Sborník abstrakt. Sjezd Společnosti rehabilitační a fyzikální medicíny 2015: 38.

9. Kagstrom A, Alexova A, Tuskova E, et al. The treatment gap for mental disorders and associated factors in the Czech Republic. Eur Psychiatry 2019; 59: 37–43.

10. Ćwirlej-Sozańska A, Wilmowska-Pietruszyńska A, Sozański B. Validation of the Polish version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) in an elderly population (60–70 years old). Int J Occup Saf Ergon 2018; (3): 386–394.

11. Ćwirlej-Sozańska A, Sozański B, Wiśniowska-Szurlej A, et al. Assessment of Disability and Factors Determining Disability among Inhabitants of South-Eastern Poland Aged 71–80 Years. Biomed Res Int 2018: 3872753.

12. Almazán-Isla J, Comín-Comín M, Damián J, et al. DISCAP-ARAGON Research Group. Analysis of disability using WHODAS 2.0 among the middle-aged and elderly in Cinco Villas, Spain. Disabil Health J 2014; 7(1): 78–87.

13. Ferrer MLP, Perracini MR, Rebustini F, Buchalla CM. WHODAS 2.0-BO: normative data for the assessment of disability in older adults. Rev Saude Publica 2019; 31(53): 19.

14. Tazaki M, Yamaguchi T, Yatsunami M, Nakane Y. Measuring functional health among the elderly: development of the Japanese version of the World Health Organization Disability Assessment Schedule II. Int J Rehabil Res 2014; 37(1): 48–53.

15. Subramaniam M, Abdin E, Vaingankar JA, et al. Validation of the World Health Organization Disability Assessment Schedule 2.0 among older adults in an Asian country. Singapore Med J 2020; 61(5): 246–253.

16. Huang SW, Chang KH, Escorpizo R, et al. Functioning and disability analysis by using WHO Disability Assessment Schedule 2.0 in older adults Taiwanese patients with dementia. Disabil Rehabil 2016; 38(17): 1652–63.

17. Chang KH, Liao HF, Yen CF, et al. Association between muscle power impairment and WHODAS 2.0 in older adults with physical disability in Taiwan. Disabil Rehabil 2015; 37(8): 712–20.

18. Hu HY, Chi WC, Chang KH, et al. The World Health Organization Disability Assessment Schedule 2.0 can predict the institutionalization of patients with stroke. Eur J Phys Rehabil Med 2017; 53(6): 856–862.

19. Huang SW, Chang KH, Escorpizo R, et al. Using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for Predicting Institutionalization of Patients With Dementia in Taiwan. Medicine (Baltimore) 2015; 94(47): e2155.

20. Sora A, Pyati S, Kuo M, et al. Preoperative Disability in US Veterans. Anesth Analg 2020; 131(5): e209–e212.

Labels

Geriatrics General practitioner for adults Orthopaedic prosthetics

Editorial

Knihy

Disability Assessment Schedule 2.0

Mobility as a key factor for healthy ageing

Kniha

Sarcopenic obesity: from the onset to interventions

How to determine cardiovascular risk in geriatric patients?

Giant cell arteritis – a severe disease of the elderly

Nutritional guidelines in geriatrics The nutrition care process and screening

Article was published in

Geriatrics and Gerontology

2021 Issue 1