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Feasibility, reliability, and validity of the 12-item World Health Organization Disability Assessment Schedule 2.0 in patients attending the pain clinic

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Abstract

Purpose

In the cohort of patients attending pain clinic, the primary goal has been shifting from pain reduction to improving activities of daily living and functional status. The 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is one of the useful tools for assessment of functional status across all psychiatric and medical diseases; however, its feasibility, reliability, and validity have not been assessed in these patients. Thus, in this study, we evaluated the feasibility, reliability, and validity of the 12-item WHODAS 2.0 in patients attending the pain clinic at our university hospital.

Methods

This is a prospective observational study including the patients aged 50 years or older who were attending the pain clinic at Nara Medical University between April 2019 and May 2019. Patient-related outcomes including functional status and activities of daily living were assessed with the 12-item WHODAS 2.0, EuroQol-5 dimension 5 levels, and the Tokyo Metropolitan Institute of Gerontology Index.

Results

The response rate was 99.7%. The 12-item WHODAS2.0 had a floor effect but no ceiling effect and its Cronbach’s α coefficient was 0.909. The correlation coefficients between the 12-item WHODAS 2.0 score and the EuroQol-5 dimension 5 levels and the Tokyo Metropolitan Institute of Gerontology Index were -0.66 and -0.67, respectively.

Conclusions

The 12-item WHODAS 2.0 is a useful measurement tool to assess disability of pain patients with high reliability and validity.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan

    Aki Fujiwara, Mitsuru Ida, Katsuhiro Kimoto, Keisuke Watanabe & Masahiko Kawaguchi

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  1. Aki Fujiwara
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  2. Mitsuru Ida
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  3. Katsuhiro Kimoto
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  4. Keisuke Watanabe
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  5. Masahiko Kawaguchi
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Correspondence to Mitsuru Ida.

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Fujiwara, A., Ida, M., Kimoto, K. et al. Feasibility, reliability, and validity of the 12-item World Health Organization Disability Assessment Schedule 2.0 in patients attending the pain clinic. J Anesth 35, 81–85 (2021). https://doi.org/10.1007/s00540-020-02871-y

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