Validation of the brazilian version of whodas 2.0 for individuals with temporomandibular disorders

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DOI:

https://doi.org/10.1590/1809-2950/20025428042021

Abstract

This study aimed to validate the Brazilian version of WHODAS 2.0 for individuals with Temporomandibular Disorders (TMD), assessing its psychometric properties, including internal consistency, construct validity and discriminant validity. This is a methodological study of validation and evaluation of the psychometric properties of the Brazilian version of WHODAS 2.0 for individuals with TMD. A total of 100 female and male patients with TMD were included. Participants were assessed based on the Research Diagnostic Criteria for TMD (RDC/TMD). For statistical analyses, McDonald's omega coefficient was used for internal consistency, Spearman correlation for construct validity, Kruskal-Wallis test, and multiple comparisons (Dunn method) for discriminant validity. We evaluated 100 subjects diagnosed with TMD according to the RDC/TMD. The results of internal consistency for the WHODAS 2.0 domains ranged from 0.70 to 0.94. WHODAS 2.0 showed a moderate and significant correlation with the disability points of the RDC/TMD and with the WHOQOL-bref domains. In the discriminant validity, significant differences were found in all domains of WHODAS 2.0 between grade 0 and grade III, between grade I and grade III, and between grade II and grade III from the RDC/TMD chronic pain grading. The obtained results demonstrate that the instrument is reliable and valid for measuring functioning in individuals with TMD, presenting acceptable psychometric properties for internal consistency, as well as for construct validity and discriminant validity.

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References

Nassif NJ, Al-Salleeh F, Al-Admawi M. The prevalence and treatment needs of symptoms and signs of temporomandibular disorders among young adult males. J Oral Rehabil. 2003; 30(9):944-50. doi:10.1046/j.1365-2842.2003.01143.x.

Almoznino G, Zini A, Zakuto A, Sharav Y, Haviv Y, Avraham H, et al. Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders. J Oral Facial Pain Headache. 2015; 29(3):231-41. doi:10.11607/ofph.1413.

McNeely ML, Olivo AS, Magee DJ. A Systematic Review of the Effectiveness of Physical Therapy Interventions for Temporomandibular Disorders. Phys Ther. 2006; 86(5):710–25. doi:10.1093/ptj/86.5.710.

Maluf SA, Moreno BGD, Alfredo PP, Marques AP, Rodrigues G. Exercícios terapêuticos nas desordens temporomandibulares: uma revisão de literatura. Fisioter e Pesqui. 2008; 15(4):408-15. doi:10.1590/S1809-29502008000400016.

Rodrigues MF, Rodrigues ML, Bueno KS, Aroca JP, Camilotti V, Busato MCA, et al. Effects of low-power laser auriculotherapy on the physical and emotional aspects in patients with temporomandibular disorders: A blind, randomized, controlled clinical trial. Complement Ther Med. 2019; 42:340-46. doi:10.1016/j.ctim.2018.12.010.

Calixtre LB, Oliveira AB, de Sena Rosa LR, Armijo-Olivo S, Visscher CM, Alburquerque-Sendín F.Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial.J Oral Rehabil. 2019;46(2):109-19. doi:10.1111/joor.12733.

Garrigós-Pedrón M, La Touche R, Navarro-Desentre P, Gracia-Naya M, Segura-Ortí E. Effects of a Physical Therapy Protocol in Patients with Chronic Migraine and Temporomandibular Disorders: A Randomized, Single-Blinded, Clinical Trial. J Oral Facial Pain Headache. 2018; 32(2):137–150. doi:10.11607/ofph.1912.

Castro SS, Leite CF, Baldin JE, Accioly MF. Validation of the Brazilian version of WHODAS 2.0 in patients on hemodialysis therapy. Fisioter em Mov. 2018; 31(0):1–13. doi:10.1590/1980-5918.031.ao30.

Castro SS, Leite CF. Translation and cross-cultural adaptation of the World Health Organization Disability Assessment Schedule - WHODAS 2.0. Fisioter e Pesqui. 2017; 24(4):385-91. doi:10.1590/1809-2950/17118724042017.

Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: Review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992; 6(4):301-55.

Terwee CB, Bot SDM, de Boer MR, van der Windt DAWM, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007; 60(1):34-42. doi: 10.1016/j.jclinepi.2006.03.012

Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. COSMIN checklist manual. Amsterdam: EMGO Institute for Health and Care Research; 2012.

McDowell I. Measuring Health: A Guide to Rating Scales and Questionnaires. Oxford University Press; 2009.

Castro S, Leite C, Osterbrock C, Santos M, Adery R. Avaliação de Saúde e Deficiência Manual do WHO Disability Assessment Schedule WHODAS 2.0. Uberaba: Universidade Federal do Triângulo Mineiro - UFTM; 2015.

Üstün TB, Kostanjsek N, Chatterji S, Rehm J. Measuring Health and Disability: Manual for WHO Disability Assessment Schedule WHODAS 2.0. World Heal Organ; 2010.

Üstün TB, Chatterji S, Kostanjsek N, Rehm J, Kennedy C, Epping-Jordan J, et al. Developing the World Health Organization disability assessment schedule 2.0. Bull World Health Organ. 2010; 88(11):815-23. doi:10.2471/BLT.09.067231.

de Lucena LBS, Kosminsky M, da Costa LJ, de Géoes PSA. Validation of the Portuguese version of the RDC/TMD Axis II questionnaire. Braz Oral Res. 2006; 20(4):312-17. doi:10.1590/S1806-83242006000400006.

Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Revista de Saúde Pública 2000; 34(2): 178-83. doi:10.1590/S0034-89102000000200012.

Revelle W, Zinbarg RE. Coefficients alpha, beta, omega, and the glb: Comments on sijtsma. Psychometrika. 2009;74(1):145- 54.doi: 10.1007/S11336-008-9102-Z.

Peters GY, Nederland OU. T-e alpha and the omega of scale reliability and validity. The European Health Psychologist 2014; 16(2):56-69.doi: 10.31234/osf.io/h47.

Cohen J. Statistical power analysis for the behavioural sciences. New York: NJ Lawrence Earlbaum Assoc; 1988.

Pösl M, Cieza A, Stucki G. Psychometric properties of the WHODASII in rehabilitation patients. Qual Life Res. 2007; 16(9):1521-31. doi:10.1007/s11136-007-9259-4.

Magistrale G, Pisani V, Argento O, Incerti CC, Bozzali M, Cadavid D, et al. Validation of the world health organization disability assessment schedule II (WHODAS-II) in patients with multiple sclerosis. Mult Scler J. 2015; 21(4):448-56. doi:10.1177/1352458514543732.

Sousa AJS, Silva MC, Barreto MCA, Nunes BP, Coutinho BD, Castro SS. Propriedades psicométricas do WHODAS para uso em pessoas com chikungunya no Brasil. Fisioter e Pesqui. 2019; 26(4):419-26. doi:10.1590/1809-2950/18036226042019.

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Published

2023-02-23

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Original Research

How to Cite

Validation of the brazilian version of whodas 2.0 for individuals with temporomandibular disorders. (2023). Fisioterapia E Pesquisa, 28(4), 408-415. https://doi.org/10.1590/1809-2950/20025428042021