A1 Refereed original research article in a scientific journal
USABILITY OF WORLD HEALTH ORGANIZATION DISABILITY ASSESSMENT SCHEDULE IN CHRONIC TRAUMATIC BRAIN INJURY
Authors: Tarvonen-Schroder S, Tenovuo O, Kaljonen A, Laimi K
Publisher: FOUNDATION REHABILITATION INFORMATION
Publication year: 2018
Journal: Journal of Rehabilitation Medicine
Journal name in source: JOURNAL OF REHABILITATION MEDICINE
Journal acronym: J REHABIL MED
Volume: 50
Issue: 6
First page : 514
Last page: 518
Number of pages: 5
ISSN: 1650-1977
DOI: https://doi.org/10.2340/16501977-2345
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/32501630
Objectives: To investigate functioning measured with the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0) in patients with mild, moderate and severe traumatic brain injury, and to compare patients' experiences with assessments made by their significant others and by consultant neurologists.Methods: A total of 112 consecutive patients with traumatic brain injury (29 mild, 43 moderate, 40 severe) and their significant others completed a 12-item WHODAS 2.0 survey. A neurologist assessed functioning with the International Classification of Functioning, Disability and Health minimal generic set.Results: The total patient and proxy WHODAS 2.0 sum score was rated as severe, and impairments in household tasks, learning, community life, emotional functions, concentrating, dealing with strangers, maintaining friendships, and working ability as around moderate in all 3 severity groups. In standing, walking, washing, and dressing oneself the reported impairments increased from mild in mild traumatic brain injury to moderate in severe traumatic brain injury. A neurologist rated the overall functioning, working ability, and motor activities most impaired in severe traumatic brain injury, while there were no between-group differences in energy and drive functions and emotional functions.Conclusion: Patients with chronic traumatic brain injury perceive a diversity of significant difficulties in activities and participation irrespective of the severity of the injury. We recommend assessing disability in traumatic brain injury with the short and understandable WHODAS 2.0 scale, when planning client-oriented services.
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