Psychometric properties of the 12-item WHODAS applied through phone survey: an experience in PERSIAN Traffic Cohort

Abstract Background Due to limited capability to function in post-injury daily life injury, survivors need to be reliably assessed without need to commute more than necessary. The key action is to determine the level of functioning difficulties. Having the opportunity of conducting a national post-c...

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Main Authors: Nasrin Shahedifar, Homayoun Sadeghi-Bazargani, Mohammad Asghari-Jafarabadi, Mostafa Farahbakhsh, Shahrzad Bazargan-Hejazi
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:https://doi.org/10.1186/s12955-022-02013-w
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author Nasrin Shahedifar
Homayoun Sadeghi-Bazargani
Mohammad Asghari-Jafarabadi
Mostafa Farahbakhsh
Shahrzad Bazargan-Hejazi
author_facet Nasrin Shahedifar
Homayoun Sadeghi-Bazargani
Mohammad Asghari-Jafarabadi
Mostafa Farahbakhsh
Shahrzad Bazargan-Hejazi
author_sort Nasrin Shahedifar
collection DOAJ
description Abstract Background Due to limited capability to function in post-injury daily life injury, survivors need to be reliably assessed without need to commute more than necessary. The key action is to determine the level of functioning difficulties. Having the opportunity of conducting a national post-crash traffic safety and health cohort study, we aimed to translate into Persian and assess the psychometric properties of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) through phone surveys six month post injury. Methods First, having World Health Organization permission, we tested the translation validity by forward translation, expert panel evaluation, back-translation, pre-testing and cognitive interviewing, and finalizing the Persian WHODAS. Then, through a psychometric study within a national cohort platform, the validity, reliability and applicability of the 12-item WHODAS was assessed through phone surveys. We included data of 255 road traffic injury patients enrolled from the cohort at six-month follow-up. The psychometric assessment (internal consistency reliability and stability reliability) was conducted on test–retest data of 50 patients with an average 7-day time span. An exploratory factor analysis tested the construct validity using extraction method of principal component factor and oblique rotation on data from 255 patients. Regarding the multiple criteria including an eigenvalue > 0.9, Cattell’s scree test, cumulative variance, and the theoretical basis, the minimum number of factors were retained. Data were analyzed using STATA statistical software package. Results The respondents were mostly male (81%), employed (71%), educated (87%), and with a mean age of 37.7(14.9). The Persian version had high internal consistency reliability (Cronbach’s α = 0.93) and excellent stability reliability (ICC = 0.97, 95% CI: 0.92–0.98). An exploratory factor analysis retained four factors defining 86% of all the variance. Factors of Self-care, Mobility, and Cognition were completely retained. Conclusions The brief Pesrian WHODAS 2.0 was highly reliable and valid to be applied through phone interviews post injury.
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spelling doaj.art-119703882f854400a03624de2748014d2022-12-22T03:42:22ZengBMCHealth and Quality of Life Outcomes1477-75252022-07-0120111210.1186/s12955-022-02013-wPsychometric properties of the 12-item WHODAS applied through phone survey: an experience in PERSIAN Traffic CohortNasrin Shahedifar0Homayoun Sadeghi-Bazargani1Mohammad Asghari-Jafarabadi2Mostafa Farahbakhsh3Shahrzad Bazargan-Hejazi4Road Traffic Injury Research Center, Tabriz University of Medical SciencesRoad Traffic Injury Research Center, Tabriz University of Medical SciencesCabrini Research, Cabrini HealthResearch Center of Psychiatry and Behavioural Sciences, Tabriz University of Medical SciencesCollege of Medicine, Charles Drew University of Medicine and ScienceAbstract Background Due to limited capability to function in post-injury daily life injury, survivors need to be reliably assessed without need to commute more than necessary. The key action is to determine the level of functioning difficulties. Having the opportunity of conducting a national post-crash traffic safety and health cohort study, we aimed to translate into Persian and assess the psychometric properties of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) through phone surveys six month post injury. Methods First, having World Health Organization permission, we tested the translation validity by forward translation, expert panel evaluation, back-translation, pre-testing and cognitive interviewing, and finalizing the Persian WHODAS. Then, through a psychometric study within a national cohort platform, the validity, reliability and applicability of the 12-item WHODAS was assessed through phone surveys. We included data of 255 road traffic injury patients enrolled from the cohort at six-month follow-up. The psychometric assessment (internal consistency reliability and stability reliability) was conducted on test–retest data of 50 patients with an average 7-day time span. An exploratory factor analysis tested the construct validity using extraction method of principal component factor and oblique rotation on data from 255 patients. Regarding the multiple criteria including an eigenvalue > 0.9, Cattell’s scree test, cumulative variance, and the theoretical basis, the minimum number of factors were retained. Data were analyzed using STATA statistical software package. Results The respondents were mostly male (81%), employed (71%), educated (87%), and with a mean age of 37.7(14.9). The Persian version had high internal consistency reliability (Cronbach’s α = 0.93) and excellent stability reliability (ICC = 0.97, 95% CI: 0.92–0.98). An exploratory factor analysis retained four factors defining 86% of all the variance. Factors of Self-care, Mobility, and Cognition were completely retained. Conclusions The brief Pesrian WHODAS 2.0 was highly reliable and valid to be applied through phone interviews post injury.https://doi.org/10.1186/s12955-022-02013-wWHODASDisabilityPost-crashPsychometricsRoad traffic injuryPost injury
spellingShingle Nasrin Shahedifar
Homayoun Sadeghi-Bazargani
Mohammad Asghari-Jafarabadi
Mostafa Farahbakhsh
Shahrzad Bazargan-Hejazi
Psychometric properties of the 12-item WHODAS applied through phone survey: an experience in PERSIAN Traffic Cohort
Health and Quality of Life Outcomes
WHODAS
Disability
Post-crash
Psychometrics
Road traffic injury
Post injury
title Psychometric properties of the 12-item WHODAS applied through phone survey: an experience in PERSIAN Traffic Cohort
title_full Psychometric properties of the 12-item WHODAS applied through phone survey: an experience in PERSIAN Traffic Cohort
title_fullStr Psychometric properties of the 12-item WHODAS applied through phone survey: an experience in PERSIAN Traffic Cohort
title_full_unstemmed Psychometric properties of the 12-item WHODAS applied through phone survey: an experience in PERSIAN Traffic Cohort
title_short Psychometric properties of the 12-item WHODAS applied through phone survey: an experience in PERSIAN Traffic Cohort
title_sort psychometric properties of the 12 item whodas applied through phone survey an experience in persian traffic cohort
topic WHODAS
Disability
Post-crash
Psychometrics
Road traffic injury
Post injury
url https://doi.org/10.1186/s12955-022-02013-w
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