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Environmental effects on WHODAS 2.0 among patients with stroke with a focus on ICF category e120

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Abstract

Purpose

To explore the environmental effects on the disabilities of people post stroke and to search for the best probabilistic cut-off value of the WHO Disability Assessment Schedule second edition (WHODAS 2.0) scores to predict people post stroke experiencing an access barrier to the International Classification of Functioning, Disability and Health category e120 products and technology for personal indoor and outdoor mobility and transportation (PMT).

Method

We analyzed data of 162 younger (aged 18–64 years) and 202 older (aged ≥65 years) people post stroke from the databank of persons with disability between June 1, 2011 and February 29, 2012. All participants rated each WHODAS 2.0 item with environmental intervention (performance score) and without any intervention (capacity score). We used the paired capacity–performance score difference to assess the whole environmental effects on the participants’ disability, evaluated each participant’s access barrier to PMT (negative PMT), and used a receiver-operating characteristic curve to predict patients having a negative PMT.

Results

The whole environment acted as a barrier on mobility and self-care in >10 % of older people post stroke. Older patients having a summary index performance score of ≥78.8 points and younger patients having an index of ≥56.0 points were likely to experience a negative PMT. Older patients who have an access to PMT were possible to improve their daily activities performance, and younger patients could report less disability.

Conclusions

An environmental support to improve the PMT accessibility is important for people post stroke to reduce their disability.

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Acknowledgments

We thank Chien-Hua Wu, PhD, for reviewing the statistical methods used in the data analysis.

Conflict of interest

The authors report no declarations of interest.

Author information

Authors and Affiliations

  1. Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan

    Kwang-Hwa Chang, Yen-Nung Lin & Tsan-Hon Liou

  2. Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan

    Kwang-Hwa Chang & Yen-Nung Lin

  3. Chinese Association of Early Intervention of Professional for Children with Developmental Delays, Taipei, Taiwan

    Hua-Fang Liao

  4. Department of Public Health, Tzu Chi University, Hualien, Taiwan

    Chia-Feng Yen

  5. Department of Physical Therapy, Louisiana State University Health Sciences Center, New Orleans, LA, USA

    Reuben Escorpizo

  6. ICF Research Branch of the WHO Collaboration Centre for the Family of International Classifications in Germany (DIMDI), Nottwil, Switzerland

    Reuben Escorpizo

  7. Swiss Paraplegic Research, Nottwil, Switzerland

    Reuben Escorpizo

  8. Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, No. 291, Jhongjheng Rd., Jhonghe, New Taipei City, 235, Taiwan

    Tze-Hsun Yen & Tsan-Hon Liou

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  1. Kwang-Hwa Chang
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Correspondence to Tsan-Hon Liou.

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Chang, KH., Lin, YN., Liao, HF. et al. Environmental effects on WHODAS 2.0 among patients with stroke with a focus on ICF category e120. Qual Life Res 23, 1823–1831 (2014). https://doi.org/10.1007/s11136-014-0624-9

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  • DOI: https://doi.org/10.1007/s11136-014-0624-9

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