WHODAS 2.0 Proxy Questionnaire
WHODAS 2.0 Proxy Questionnaire
The WHODAS 2.0 differentiates between the severities of health-related difficulties using a scale from None to Extreme or cannot do for each assessed item. This stratification provides nuanced insights into functional impairments across life domains, enabling practitioners to tailor interventions according to the severity of difficulties. It ensures a deeper understanding of patient needs, facilitating personalized and efficient care planning .
WHODAS 2.0 captures the complexity of personal care and independent living skills through a detailed assessment of daily self-care tasks (D3.1 - D3.4), including washing, dressing, eating, and self-supervision over extended periods. It leverages a graded scale to articulate the extent of difficulties, acknowledging varying levels of functional impairment, and systematically evaluates these areas to reflect the overall impact on independence and personal care .
The WHODAS 2.0 questionnaire serves as a tool to assess disabilities and difficulties related to health conditions, capturing the impact across several life domains. It is structured with 36 items that evaluate activities and participation according to different degrees of difficulty (None, Mild, Moderate, Severe, Extreme or cannot do) over the past 30 days. The areas assessed include understanding and communicating, mobility, self-care, interpersonal interactions, life activities, and participation in society, providing a comprehensive overview of the subject’s functional state .
WHODAS 2.0 assesses life activity domains such as self-care, dealing with others, and household responsibilities (D3.1 - D5.4). These activities correlate with a person's ability to lead an independent life. By evaluating tasks like washing, dressing, eating, and managing household tasks, WHODAS 2.0 determines how health conditions may impair general well-being, reflecting one's capacity for self-sufficiency and effective functioning in society .
WHODAS 2.0 evaluates emotional ramifications of an individual's health condition through questions such as D6.5, which asks about the emotional effect of the health condition. Financial ramifications are assessed by questions like D6.6, which evaluates the extent to which a person's health condition has been a financial burden on themselves or their relatives. The instrument gives insight into personal and familial impact, emphasizing both emotional well-being and economic strain .
WHODAS 2.0 addresses barriers to societal participation by including items like D6.2 and D6.3, which focus on problems due to environmental hindrances and societal attitudes affecting participation. It critiques accessibility and societal inclusivity, contrasting individual capabilities with external constraints, thus highlighting how societal conditions can exacerbate difficulties brought on by health conditions .
The proxy administration of the WHODAS 2.0 allows relatives, friends, or carers to report on behalf of individuals unable to self-report, ensuring those with cognitive or communicative impairments are represented in assessments. This method may introduce subjective biases, affecting data interpretation, as proxies can only provide responses based on observable behaviors and their perceptions, which might not fully encompass the individual's experiences .
The WHODAS 2.0 assesses the influence of health-related problems on maintaining employment or education through specific items (D5.5 to D5.8) that inquire about the difficulty in performing day-to-day work or school tasks. It measures the degree of difficulty the subject faces in completing essential tasks well, finishing all required work, and executing tasks promptly, with response options ranging from None to Extreme or cannot do .
WHODAS 2.0 examines difficulties in interpersonal relationships and social participation through sections dedicated to 'Getting along with people' (D4.1 - D4.5) and 'Participation in society' (D6.1 - D6.7). It inquires about challenges in dealing with strangers, maintaining friendships, and joining community activities, thus recognizing how health conditions affect one's social integration and interpersonal relations .
The WHODAS 2.0 offers insights into the impact of health conditions on day-to-day functionality by examining difficulties experienced across various domains, such as understanding, mobility, self-care, work, and social interactions. It quantifies the severity of impact by recording days with difficulties (H1), complete inability to perform activities (H2), and reduced activity days (H3), providing a month-long perspective on daily functionality impairment .