• Arthritis and rheumatism · Mar 2008

    The clinimetric properties of the World Health Organization Disability Assessment Schedule II in early inflammatory arthritis.

    • Murray Baron, Orit Schieir, Marie Hudson, Russell Steele, Sousan Kolahi, Laeora Berkson, Francois Couture, M A Fitzcharles, Michel Gagné, Bruce Garfield, Andrzej Gutkowski, Harb Kang, Morton Kapusta, Sophie Ligier, Jean-Pierre Mathieu, Henri Ménard, Michael Starr, Michael Stein, and Michel Zummer.
    • McGill University, Montreal, Quebec, Canada. mbaron@rhu.jgh.mcgill.ca
    • Arthritis Rheum. 2008 Mar 15; 59 (3): 382-90.

    ObjectiveTo assess the clinimetric properties of a new health-related quality of life (HRQOL) instrument, the World Health Organization Disability Assessment Schedule II (WHODAS II), in patients with early inflammatory arthritis.MethodsInternal consistency as well as criterion, construct, and discriminative validity of the WHODAS II were assessed in 172 patients with early inflammatory arthritis who completed the WHODAS II, the Medical Outcomes Study Short Form 36 (SF-36), and other measures of disease severity, functioning, pain, depression, and resource use. Test-retest reliability of the WHODAS II was assessed by having a subset of 20 patients complete the WHODAS II a second time, 1 week after the first assessment.ResultsThe WHODAS II had high internal consistency (Cronbach's alpha = 0.96 for patients working or in school and 0.93 for patients not working or in school). Test-retest intraclass correlation coefficients of the WHODAS II total score and subscales ranged from 0.82-0.96. The WHODAS II total score was strongly correlated with the SF-36 physical component score (Kendall's tau-b 0.51, P < 0.001) and moderately correlated with the SF-36 mental component score (tau-b 0.43, P < 0.001). WHODAS II correlations with disease outcomes ranged from Kendall's tau-b 0.15-0.55. The WHODAS II significantly differentiated between every aspect of disease severity assessed with the exception of measures of health resource use.ConclusionThe WHODAS II is a valid and reliable measure of HRQOL in cross-sectional studies of patients with early inflammatory arthritis. Research is still required to investigate potential item redundancy and determine its usefulness in longitudinal studies.

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