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
{"title":"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","authors":"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","doi":"10.1016/j.hrtlng.2024.05.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Obstructive sleep apnoea (OSA) is a disabling health condition, and there is no disease-specific patient-reported outcome instrument to assess individuals with OSA.</p></div><div><h3>Objectives</h3><p>To evaluate the psychometric properties of the Brazilian version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) in individuals with OSA.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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 (<em>r</em> = -0.80) between the domains of functioning and quality of life. Discriminative validity showed no association between OSA severity and functioning (<em>p</em> = 0.90). The responsiveness to CPAP treatment showed a large effect size (<em>r</em> = 0.82; <em>p</em> < 0.05)</p></div><div><h3>Conclusions</h3><p>The WHODAS 2.0 instrument is valid, reliable, and responsive for assessing individuals with OSA.</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.4000,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"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\",\"authors\":\"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\",\"doi\":\"10.1016/j.hrtlng.2024.05.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Obstructive sleep apnoea (OSA) is a disabling health condition, and there is no disease-specific patient-reported outcome instrument to assess individuals with OSA.</p></div><div><h3>Objectives</h3><p>To evaluate the psychometric properties of the Brazilian version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) in individuals with OSA.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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 (<em>r</em> = -0.80) between the domains of functioning and quality of life. Discriminative validity showed no association between OSA severity and functioning (<em>p</em> = 0.90). The responsiveness to CPAP treatment showed a large effect size (<em>r</em> = 0.82; <em>p</em> < 0.05)</p></div><div><h3>Conclusions</h3><p>The WHODAS 2.0 instrument is valid, reliable, and responsive for assessing individuals with OSA.</p></div>\",\"PeriodicalId\":55064,\"journal\":{\"name\":\"Heart & Lung\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2024-06-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Heart & Lung\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0147956324000967\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Heart & Lung","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0147956324000967","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
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
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.
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.
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