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Start Over Author "Angelini, CR" Topic disability evaluation
4 results on '"Angelini, CR"'

1. Validation of the 36-item version of the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) for assessing women's disability and functioning associated with maternal morbidity.

Author

Silveira C, Parpinelli MA, Pacagnella RC, Andreucci CB, Angelini CR, Ferreira EC, and Cecatti JG

Subjects
Adult, Cohort Studies, Female, Humans, Pregnancy, Retrospective Studies, Self Report, World Health Organization, Young Adult, Disability Evaluation, Pregnancy Complications physiopathology
Abstract

Objective  To validate the translation and adaptation to Brazilian Portuguese of 36 items from the World Health Organizaton Disability Assessment Schedule 2.0 (WHODAS 2.0), regarding their content and structure (construct), in a female population after pregnancy. Methods  This is a validation of an instrument for the evaluation of disability and functioning and an assessment of its psychometric properties, performed in a tertiary maternity and a referral center specialized in high-risk pregnancies in Brazil. A sample of 638 women in different postpartum periods who had either a normal or a complicated pregnancy was included. The structure was evaluated by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), while the content and relationships among the domains were assessed through Pearson's correlation coefficient. The sociodemographic characteristics were identified, and the mean scores with their standard deviations for the 36 questions of the WHODAS 2.0 were calculated. The internal consistency was evaluated byCronbach's α. Results  Cronbach's α was higher than 0.79 for both sets of questons of the questionnaire. The EFA and CFA for the main 32 questions exhibited a total variance of 54.7% (Kaiser-Meyer-Olkin [KMO] measure of sampling adequacy =  0.934; p  < 0.001) and 53.47% (KMO = 0.934; p  < 0.001) respectively. There was a significant correlation among the 6 domains (r = 0.571-0.876), and a moderate correlation among all domains (r = 0.476-0.694). Conclusion  The version of the WHODAS 2.0 instrument adapted to Brazilian Portuguese showed good psychometric properties in this sample, and therefore could be applied to populations of women regarding their reproductive history., (Thieme-Revinter Publicações Ltda Rio de Janeiro, Brazil.)

Published
2017
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2. A cohort study of functioning and disability among women after severe maternal morbidity.

Author

Silveira C, Parpinelli MA, Pacagnella RC, Andreucci CB, Ferreira EC, Angelini CR, Bussadori JC, Santos JP, Zanardi DM, Cecchino GN, Souza RT, Costa ML, Camargo RS, and Cecatti JG

Subjects
Adult, Brazil, Female, Humans, Morbidity, Parity, Pregnancy, Regression Analysis, Retrospective Studies, Severity of Illness Index, Socioeconomic Factors, Surveys and Questionnaires, Tertiary Care Centers, World Health Organization, Young Adult, Activities of Daily Living, Disability Evaluation, Postpartum Period, Pregnancy Complications epidemiology
Abstract

Objective: To assess functioning and disability related to severe maternal morbidity (SMM) via the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0)., Methods: In a retrospective cohort study, women with or without a history of SMM who delivered at a tertiary public hospital in Brazil between July 2008 and June 2012, completed the WHODAS 2.0 questionnaire by individual interview between August 2012 and November 2013. General WHODAS scores were evaluated by maternal and neonatal characteristics, and specific domain scores according to SMM event., Results: Overall, 638 women were enrolled (315 with SMM and 323 without SMM). The mean general WHODAS score was higher among women with SMM (19.04±16.18) than among women without SMM (15.77±14.46; P=0.015). Domain scores were also higher in the SMM group for mobility (16.00±20.22 vs 11.63±17.51; P=0.003), household activities (26.79±30.16 vs 20.09±26.08; P=0.005), participation (23.55±21.72 vs 17.27±19.17; P<0.001), and work/school activities for women currently studying or working (20.52±26.64 vs 11.66±19.67; P=0.001). Excluding SMM, a parity of two or more was the only factor significantly associated with higher scores overall (P=0.013) and for domain 4 (getting along with people; P=0.017)., Conclusion: By comparison with women without childbirth complications, SMM impaired self-reported functioning among women 1-5years after delivery., (Copyright © 2016. Published by Elsevier Ireland Ltd.)

Published
2016
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3. Validation of the WHO Disability Assessment Schedule (WHODAS 2.0) 12-item tool against the 36-item version for measuring functioning and disability associated with pregnancy and history of severe maternal morbidity

Author

Silveira, C, Souza, RT, Costa, ML, Parpinelli, MA, Pacagnella, RC, Ferreira, EC, Mayrink, J, Guida, JP, Sousa, MH, Say, L, Chou, D, Filippi, V, Barreix, M, Barbour, K, Firoz, T, von Dadelszen, P, Cecatti, JG, Andreucci, CB, Angelini, CR, Ferraz, JP, Zanardi, DM, Camargo, RS, Cottler, S, Fawole, O, Gadama, L, Ghérissi, A, Gyte, G, Hindin, M, Jayathilaka, A, Kalamar, A, Kone, Y, Kostanjsek, N, Lange, I, Magee, LA, Mathur, A, McCaw-Binns, A, Morgan, M, Munjanja, S, Gichuhi, GN, Petzold, M, Sullivan, E, Taulo, F, Tunçalp, Ö, and Vanderkruik, R

Subjects
Pregnancy Complications, Disability Evaluation, Pregnancy, Postpartum Period, Humans, Reproducibility of Results, Female, Obstetrics & Reproductive Medicine, World Health Organization, Brazil, Retrospective Studies
Abstract

© 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. Objective: To validate the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) 12-item tool against the 36-item version for measuring functioning and disability associated with pregnancy and the occurrence of maternal morbidity. Methods: This is a secondary analysis of the Brazilian retrospective cohort study on long-term repercussions of severe maternal morbidity (SMM) among women who delivered at a tertiary facility (COMMAG study). We compared WHODAS-12 and WHODAS-36 scores of women with and without SMM using measures of central tendency and variability, tests for instruments’ agreement (Bland-Altman plot), confirmatory factor analysis (CFA), and Cronbach alpha coefficient for internal consistency. Results: The COMMAG study enrolled 638 women up to 5 years postpartum. Although the median WHODAS-36 and -12 scores for all women were statistically different (13.04 and 11.76, respectively; P

Published
2018

4. Reference ranges of the WHO Disability Assessment Schedule (WHODAS 2.0) score and diagnostic validity of its 12-item version in identifying altered functioning in healthy postpartum women

Author

Mayrink, J, Souza, RT, Silveira, C, Guida, JP, Costa, ML, Parpinelli, MA, Pacagnella, RC, Ferreira, EC, Sousa, MH, Say, L, Chou, D, Filippi, V, Barreix, M, Barbour, K, von Dadelszen, P, Cecatti, JG, Andreucci, CB, Angelini, CR, Ferraz, JP, Zanardi, DM, Camargo, RS, Cottler, S, Fawole, O, Firoz, T, Gadama, L, Ghérissi, A, Gyte, G, Hindin, M, Jayathilaka, A, Kalamar, A, Kone, Y, Lange, I, Magee, LA, Mathur, A, McCaw-Binns, A, Morgan, M, Munjanja, S, Gichuhi, GN, Petzold, M, Sullivan, E, Taulo, F, Tunçalp, Ö, and Vanderkruik, R

Subjects
Adult, Male, Postpartum Period, Reproducibility of Results, World Health Organization, Disability Evaluation, Young Adult, Reference Values, Humans, Female, Morbidity, Obstetrics & Reproductive Medicine, Brazil, Retrospective Studies
Abstract

© 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. Objectives: To compare scores on the 36-item WHO Disability Assessment Schedule 2.0 tool (WHODAS-36) for postpartum women across a continuum of morbidity and to validate the 12-item version (WHODAS-12). Methods: This is a secondary analysis of the Brazilian retrospective cohort study on long-term repercussions of severe maternal morbidity. We determined mean, median, and percentile values for WHODAS-36 total score and for each domain, and percentile values for WHODAS-12 total score in postpartum women divided into three groups: “no,” “nonsevere,” and “severe” morbidities. Results: The WHODAS-36 mean total scores were 11.58, 18.31, and 19.19, respectively for no, nonsevere, and severe morbidity. There was a dose-dependent effect on scores for each domain of WHODAS-36 according to the presence and severity of morbidity. The diagnostic validity of WHODAS-12 was determined by comparing it with WHODAS-36 as a “gold standard.” The best cut-off point for diagnosing dysfunctionality was the 95th percentile. Conclusion: The upward trend of WHODAS-36 total mean value scores of women with no morbidity compared with those with morbidity along a severity continuum may reflect the impact of morbidity on postpartum functioning.

Published
2018

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