目的:本研究旨在使用来自社区精神卫生外展服务用户的纵向数据,比较世界卫生组织残疾评估表(WHODAS)2.0的12项和36项版本。
方法:使用日本东京泽市心理健康外展服务用户的数据,对WHODAS-12和WHODAS-36总分和领域评分进行比较.首先,我们检查了每个版本在外展服务开始时(T1)和1年后(T2)分领域的评分变化差异.接下来,我们使用皮尔逊相关性比较了两个版本之间的差异,Wilcoxon符号秩检验,和Bland-Altman分析.
结果:在20名参与者中,总得分和某些领域的得分(即,认知,相处,生命活动,在两个版本中,T2和参与)均显着低于T1(p<0.010)。自我护理领域的WHODAS-36评分在T2时显着低于T1时(p=0.018)。除了自我照顾,在两个版本的评分之间发现了很强的相关性(p<0.001)。在Wilcoxon符号秩检验和Bland-Altman分析中,我们发现两个版本在流动性方面的得分之间存在显着差异,自我照顾,和参与领域。在其他领域的得分或总分中,两个版本之间的分布或系统误差没有显着差异。
结论:我们发现WHODAS-12和WHODAS-36总分之间有很强的正相关性,两者之间没有统计学差异。对于某些域,发现了分布和系统误差的差异。
OBJECTIVE: This study aimed to compare the 12-item and 36-item versions of the World Health Organization Disability Assessment Schedule (WHODAS) 2.0 using longitudinal data from community mental health outreach service users.
METHODS: Using data from Tokorozawa City mental health outreach service users in Japan, total and domain WHODAS-12 and WHODAS-36 scores were compared. First, we examined score-change differences by domain at the start of outreach services (T1) and 1 year later (T2) for each version. Next, we compared differences between the two versions using Pearson\'s correlation, Wilcoxon signed-rank test, and Bland-Altman analysis.
RESULTS: Among 20 participants, total scores and scores of some domains (i.e., cognition, getting along, life activities, and participation) were significantly lower at T2 than at T1 on both versions (p < 0.010). WHODAS-36 scores were significantly lower at T2 than at T1 for the self-care domain (p = 0.018). Except for self-care, strong correlations were found between scores from the two versions (p < 0.001). In the Wilcoxon signed-rank test and Bland-Altman analysis, we found significant differences between the scores of the two versions in the mobility, self-care, and participation domains. There were no significant differences in the distribution or systematic errors between the two versions in scores for the other domains or total score.
CONCLUSIONS: We found strong positive correlations between WHODAS-12 and WHODAS-36 total scores with no statistical differences between them. For some domains, differences in distribution and systematic errors were found.