Development of traditional Chinese version of World Health Organization Disability Assessment Schedule 2.0 36-item (WHODAS 2.0) in Taiwan: Validity and reliability analyses

Development of traditional Chinese version of World Health Organization Disability Assessment Schedule 2.0 36-item (WHODAS 2.0) in Taiwan: Validity and reliability analyses
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DOI:
10.1016/j.ridd.2014.07.009
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发表时间:
2014-11-01
影响因子:
3.1
通讯作者:
Chi, Wen-Chou
Chi, Wen-Chou
中科院分区:
医学2区
文献类型:
--
作者:
Chiu, Tzu-Ying;Yen, Chia-Feng;Chi, Wen-Chou

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背景资料:世界卫生组织残疾评估表2.0目的:描述WHODAS 2.0中文版36项量表的研制过程,评价该量表的同时效度和重测信度。研究分两个阶段进行。第一阶段是WHODAS 2.0 36项版本的翻译过程。第二阶段是一项横断面研究。结果:WHODAS 2.0中文版的Cronbach’s alpha信度为0.73-0.99,ICC信度为0.8 ~ 0.89。内容效度良好(r = 0.7-0.76),与WHOQOL-BREF比较,同时效度极佳(p < 0.5)。探索性因素分析和验证性因素分析表明,该模型的结构效度为67.26%,说明该模型具有较好的评定残疾的能力。结论:WHODAS 2.0繁体中文版为台湾政府残疾资格制度评估残疾程度提供了有价值的依据。(C)2014爱思唯尔有限公司版权所有。
Background: World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) provided a standardized method for measuring the health and disability and the traditional Chinese version has not been developed.Aims: To describe the process of developing the traditional Chinese version of the WHODAS 2.0 36-item version and to evaluate the concurrent validity and test-retest reliability of this instrument.Methods: The study was conducted in two phases. Phase I was the process of translation of WHODAS 2.0 36-item version. Phase II was a cross-sectional study. The participants were 307 adults who were tested the validity and reliability of draft traditional Chinese version.Results: The reliability of Cronbach's alpha and ICC in the WHODAS 2.0 traditional Chinese version were 0.73-0.99 and 0.8-089, respectively. The content validity was good (r = 0.7-0.76), and the concurrent validity was excellent in comparison with the WHOQOL-BREF (p < 0.5). The construct validity, the model was explained total variance was 67.26% by the exploratory factor analysis (EFA) and the confirmatory factor analysis (CFA) illustrated the traditional Chinese version was good to assess disability. There was a valid and reliable measurement scales for evaluating functioning and disability status.Conclusion: For disability eligibility system of Taiwan government to measure the disability, the traditional Chinese version of the WHODAS 2.0 provided valuable evidence to design the assessment instrument. (C) 2014 Elsevier Ltd. All rights reserved.