Factorial Validity of the 32-Item World Health Organization Disability Assessment Schedule 2.0 in Persons With Stroke

Our results revealed poor model fit for the 1-factor model, whereas the 6-factor structure and the overall 2-level hierarchical structure were both acceptable. However, the relationships between domains and the overall score within the 2-level structure were poor. The 6-factor model is preferable due to its better fit and alignment with WHODAS 2.0's design to assess multiple life perspectives. The 6-domain structure appears the most robust for persons with stroke. Thus, the 6 domain scores of the 32-item WHODAS 2.0 are recommended.

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Publication Details

Journal
Journal of Neurologic Physical Therapy
Published
2025-08-27
DOI
https://doi.org/10.1097/npt.0000000000000536
Primary Topic
Stroke Rehabilitation and Recovery
Type
article
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article

Factorial Validity of the 32-Item World Health Organization Disability Assessment Schedule 2.0 in Persons With Stroke

Chih‐Wen Twu, Sheau‐Ling Huang, Hsin-Yu Chiang, Shih‐Chieh Lee et al.
Journal of Neurologic Physical Therapy
Stroke Rehabilitation and Recovery
article

Factorial Validity of the 32-Item World Health Organization Disability Assessment Schedule 2.0 in Persons With Stroke

Chih‐Wen Twu, Sheau‐Ling Huang, Hsin-Yu Chiang, Shih‐Chieh Lee, Wen‐Chou Chi, Yi‐Ching Wang, Ching‐Lin Hsieh, Gong Hong Lin
article en

Abstract

Our results revealed poor model fit for the 1-factor model, whereas the 6-factor structure and the overall 2-level hierarchical structure were both acceptable. However, the relationships between domains and the overall score within the 2-level structure were poor. The 6-factor model is preferable due to its better fit and alignment with WHODAS 2.0's design to assess multiple life perspectives. The 6-domain structure appears the most robust for persons with stroke. Thus, the 6 domain scores of the 32-item WHODAS 2.0 are recommended.

Journal of Neurologic Physical TherapyVol. 50(1)
Council of Independent Colleges (US), Procter & Gamble (Germany) (DE), National Taiwan University Hospital (TW), Young Invincibles (US), Norwegian Womens Public Health Association (NO)
Openalex Percentile: Top 72%
Stroke Rehabilitation and Recovery
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