Validity, reliability, and responsiveness of the Brazilian version of the instrument World Health Organization Disability Assessment Schedule (WHODAS 2.0) for individuals with obstructive sleep apnoea

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Heart & Lung Pub Date : 2024-06-06 DOI:10.1016/j.hrtlng.2024.05.010

Ana Cecília Silva de Oliveira , Laíla Cândida Zacarias , Clarice Cristina Cunha de Souza , João Paulo da Silva Bezerra , Antônio Brazil Viana-Junior , Manoel Alves Sobreira-Neto , Camila Ferreira Leite

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Abstract

Background

Obstructive sleep apnoea (OSA) is a disabling health condition, and there is no disease-specific patient-reported outcome instrument to assess individuals with OSA.

Objectives

To evaluate the psychometric properties of the Brazilian version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) in individuals with OSA.

Methods

One hundred individuals with OSA responded to the WHODAS 2.0 version of 36 items, the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index (PSQI), and the 12-item health survey (SF-12). Internal consistency, convergent and discriminative validity, and responsiveness to continuous positive airway pressure (CPAP) were the psychometric properties tested.

Results

Cronbach's α values indicate good internal consistency (0.91 – 0.73), except for the self-care domain (α = 0.52). Convergent validity indicated an excellent correlation (r = -0.80) between the domains of functioning and quality of life. Discriminative validity showed no association between OSA severity and functioning (p = 0.90). The responsiveness to CPAP treatment showed a large effect size (r = 0.82; p < 0.05)

Conclusions

The WHODAS 2.0 instrument is valid, reliable, and responsive for assessing individuals with OSA.

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针对阻塞性睡眠呼吸暂停患者的世界卫生组织残疾评估表（WHODAS 2.0）巴西版工具的有效性、可靠性和响应性

背景阻塞性睡眠呼吸暂停（OSA）是一种致残性疾病，目前还没有针对特定疾病的患者报告结果工具来评估 OSA 患者。方法 100 名 OSA 患者回答了 36 个项目的 WHODAS 2.0 版、埃普沃斯嗜睡量表 (ESS)、匹兹堡睡眠质量指数 (PSQI) 和 12 项健康调查 (SF-12)。结果克朗巴赫α值表明，除自我护理领域（α = 0.52）外，内部一致性良好（0.91 - 0.73）。收敛效度表明，功能域与生活质量之间存在极好的相关性（r = -0.80）。判别效度显示，OSA 严重程度与功能之间没有关联（p = 0.90）。结论WHODAS 2.0工具在评估OSA患者方面有效、可靠、反应灵敏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.