WHODAS como estratégia para viabilizar a aplicação do modelo biopsicossocial na prática clínica: revisão sistemática

Autores

DOI:

https://doi.org/10.1590/

Palavras-chave:

Modelo Biopsicossial, Artigo de Revisão

Resumo

Este estudo teve o objetivo de identificar
como o WHODAS 2.0 está sendo utilizado em ensaios
clínicos. Trata-se de uma revisão sistemática em que
se selecionou ensaios clínicos em português, inglês e
espanhol que faziam uso do WHODAS 2.0. A busca foi
realizada nas bases de dados: MEDLINE, Embase, LILACS
e PEDro. Foram coletados dados de país, ano, população,
objetivos, versão do WHODAS 2.0 e variáveis avaliadas.
Encontraram-se 206 referências, após análise e avaliação
dos critérios de inclusão e foram selecionados 32 artigos.
A maioria dos estudos foi realizada na Ásia (n=10),
seguida pela América (n=9). Dos 32 estudos, quatro
utilizaram a versão de 36 itens, 17 utilizaram a versão de
12 itens, os outros não informaram ou usaram resultados
de alguns domínios. Em relação à população dos
estudos, a maioria dos artigos (n=24) apresentou como
população-alvo indivíduos com transtornos mentais.
A maioria dos profissionais de saúde que participaram da
pesquisa eram médicos e enfermeiros. Observa-se que
apesar de ser um instrumento indicado pela Organização
Mundial da Saúde (OMS) para avaliar a funcionalidade,
apenas 32 estudos o utilizaram. Foi possível observar que
o instrumento é difundido mundialmente e apesar de ser
genérico, a maioria dos estudos o utilizou na avaliação
da população com transtornos mentais.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S,

et al. Global estimates of the need for rehabilitation based

on the Global Burden of Disease study 2019: a systematic

analysis for the Global Burden of Disease Study 2019. Lancet.

;396(10267):2006-17. doi: 10.1016/s0140-6736(20)32340-0.

Cieza A. Rehabilitation the Health Strategy of the 21st

Century, Really? Arch Phys Med Rehabil. 2019;100(11):2212-4.

doi: 10.1016/j.apmr.2019.05.019.

Sabariego C, Fellinghauer C, Lee L, Kamenov K, Posarac A,

et al. Generating comprehensive functioning and disability data

worldwide: development process, data analyses strategy and

reliability of the WHO and World Bank Model Disability Survey.

Arch Public Health. 2022;80(1):6. doi: 10.1186/s13690-021-00769-z.

Stucki G, Bickenbach J. Health, Functioning, and wellbeing:

individual and societal. Arch Phys Med Rehabil.

;100(9):1788-92. doi: 10.1016/j.apmr.2019.03.004.

World Health Organization. International Classification of

Functioning, Disability and Health (ICF). Genebra: WHO; 2001.

World Health Organization. WHO Disability Assessment

Schedule 2.0. Geneva: WHO; 2013.

Barreto MCA, Andrade FG, Castaneda L, Castro SS. A

Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) como dicionário unificador de termos. Acta Fisiátr.

;28(3):207-13. doi: 10.11606/issn.2317-0190.v28i3a188487.

Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, et al.

Cochrane Handbook for Systematic Reviews of Interventions.

London: Cochrane; 2019.

Page MJ, McKenzie JE, Bossuyt PMB, Hoffmann TC, Mulrow CD, et al.

The PRISMA 2020 Statement: an updated guideline for reporting

systematic reviews. BMJ. 2021;372(71):1-9. doi: 10.1136/bmj.n71.

Von Korff M, Katon WJ, Lin EHB, Ciechanowski P, Peterson D,

et al. Functional outcomes of multi-condition collaborative

care and successful ageing: results of randomised trial. BMJ.

;343(7833):1083. doi: 10.1136/bmj.d6612.

Jenkins R, Othieno C, Okeyo S, Kaseje D, Aruwa J, et al. Short

structured general mental health in service training programme

in Kenya improves patient health and social outcomes but not

detection of mental health problems – a pragmatic cluster

randomised controlled trial. Int J Ment Health Syst. 2013;7(1):1-14.

doi: 10.1186/1752-4458-7-25.

Choi NG, Marti CN, Bruce ML, Hegel MT, Wilson NL, et al. Sixmonth

postintervention depression and disability outcomes

of in-home telehealth problem-solving therapy for depressed,

low-income homebound older adults. Depress Anxiety.

;31(8):653-61. doi: 10.1002/da.22242.

Alegría M, Ludman E, Kafali EN, Lapatin S, Vila D, et al.

Effectiveness of the Engagement and Counseling for Latinos

(ECLA) intervention in low-income latinos. Med Care.

;52(11):989-97.doi: 10.1097/mlr.0000000000000232.

Kang HJ, Stewart R, Bae KY, Kim SW, Shin IS, et al. Effects of

depression screening on psychiatric outcomes in patients with

acute coronary syndrome: Findings from the K-DEPACS and

EsDEPACS studies. Int J Cardiol. 2015;190(1):114-21. doi: 10.1016/j.

ijcard.2015.04.164.

Jordans MJD, Luitel NP, Garman E, Kohrt BA, Rathod SD, et al.

Effectiveness of psychological treatments for depression

and alcohol use disorder delivered by community-based

counsellors: Two pragmatic randomised controlled trials within

primary healthcare in Nepal. Br J Psychiatry. 2019;215(2):485-93.

doi: 10.1192/bjp.2018.300.

Kästner D, Büchtemann D, Warnke I, Radisch J, Baumgardt

J, et al. Clinical and functional outcome of assertive outreach

for patients with schizophrenic disorder: results of a quasiexperimental

controlled trial. Eur Psychiatry. 2015 ;30(6):736-42.

doi: 10.1016/j.eurpsy.2015.04.003.

Robinson J, Dixon J, Macsween A, van Schaik P, Martin D.

The effects of exergaming on balance, gait, technology

acceptance and flow experience in people with multiple

sclerosis: A randomized controlled trial. BMC Sports Sci Med

Rehabil. 2015;7(1):1-12. doi: 10.1186/s13102-015-0001-1.

Rahman A, Hamdani SU, Awan NR, Bryant RA, Dawson KS,

et al. Effect of a multicomponent behavioral intervention

in adults impaired by psychological distress in a conflictaffected

area of Pakistan: A randomized clinical trial. JAMA.

;316(24):2609-17. doi: 10.1001/jama.2016.17165.

Medina Vidales G, Cabello Arreola A, Galarza Molina DA,

Lopez Rangel A, Cuellar Barboza A.B. Brief psychoeducation

intervention for bipolar disorder in a Mexican population.

Preliminary results from 6-month follow-up of a randomized

controlled trial. Bipolar Disorders. 2017;19:156.

Nadkarni A, Weobong B, Weiss HA, McCambridge J,

Bhat B, et al. Counselling for Alcohol Problems (CAP), a lay

counsellor-delivered brief psychological treatment for harmful

drinking in men, in primary care in India: a randomised

controlled trial. Lancet. 2017;389(10065):186-95. doi: 10.1016/

s0140-6736(16)31590-2.

Bryant RA, Schafer A, Dawson KS, Anjuri D, Mulili C, et al.

Effectiveness of a brief behavioural intervention on

psychological distress among women with a history of genderbased

violence in urban Kenya: A randomised clinical trial. Tsai

AC, editor. PLOS Med. 2017;14(8):e1002371. doi: 10.1371/journal.

pmed.1002371.

Teixeira-Machado L, Azevedo-Santos I, DeSantana JM.

Dance improves functionality and psychosocial adjustment

in cerebral palsy: a randomized controlled clinical trial.

Am J Phys Med Rehabil. 2017;96(6):424-9. doi: 10.1097/

phm.0000000000000646.

Weobong B, Weiss HA, McDaid D, Singla DR, Hollon SD,

et al. Sustained effectiveness and cost-effectiveness of the

Healthy Activity Programme, a brief psychological treatment

for depression delivered by lay counsellors in primary care:

-month follow-up of a randomised controlled trial. PLoS

Med. 2017;14(9):e1002385. doi: 10.1371/journal.pmed.1002385.

Alegría M, Frontera W, Cruz-Gonzalez M, Markle SL, Trinh-

Shevrin C, et al. Effectiveness of a disability preventive

intervention for minority and immigrant elders: the positive

minds-strong bodies randomized clinical trial. Am J Geriatr

Psychiatry. 2019;27(12):1299-313. doi: 10.1016/j.jagp.2019.08.008.

Anjara SG, Bonetto C, Ganguli P, Mahendradhata Y, Setiyawati D,

et al. Evaluating two frameworks of primary mental health care

provisions in indonesia. J Mental Health Policy Economics.

;22(SUPPL1):S3.

Hounsome N, Kassahun MM, Ngari M, Berkley JA, Kivaya E, et al.

Cost-effectiveness and social outcomes of a community-based

treatment for podoconiosis lymphoedema in the East Gojjam

zone, Ethiopia. PLoS Negl Trop Dis. 2019;13(10):e0007780.

doi: 10.1371%2Fjournal.pntd.0007780.

Khan MN, Hamdani SU, Chiumento A, Dawson K, Bryant RA,

et al. Evaluating feasibility and acceptability of a group WHO

trans-diagnostic intervention for women with common mental

disorders in rural Pakistan: a cluster randomised controlled

feasibility trial. Epidemiol Psychiatr Sci. 2019;28(1):77-87.

doi: 10.1017/s2045796017000336

Rahman A, Khan MN, Hamdani SU, Chiumento A, Akhtar P, et al.

Effectiveness of a brief group psychological intervention for

women in a post-conflict setting in Pakistan: a single-blind, cluster,

randomised controlled trial. Lancet. 2019;393(10182):1733-44.

doi: https://doi.org/10.1016/s0140-6736(18)32343-2.

Choi NG, Pepin R, Marti CN, Stevens CJ, Bruce ML. Improving

social connectedness for homebound older adults: randomized

controlled trial of tele-delivered behavioral activation versus

tele-delivered friendly visits. Americ J Geriatric Psychiatry.

;28(7):698-708. doi: 10.1016/j.jagp.2020.02.008.

Kladnitski N, Smith J, Uppal S, James MA, Allen AR, et al.

Transdiagnostic internet-delivered CBT and mindfulnessbased

treatment for depression and anxiety: a randomised

controlled trial. Internet Interv. 2020;20:e100310. doi: 10.1016/j.

invent.2020.100310.

Maurus I, Mantel C, Keller-Varady K, Schmitt A, Lembeck M,

et al. Resistance training in patients with schizophrenia: Concept

and proof of principle trial. J Psychiatr Res. 2020;120:72-82.

doi: 10.1016/j.jpsychires.2019.09.015.

Jain S, Ortigo K, Gimeno J, Baldor DA, Weiss B, et al.

A randomized controlled trial of brief skills training in affective

and interpersonal regulation (STAIR) for veterans in primary

care. J Trauma Stress. 2020;33(4):401-9. doi: 10.1002/jts.22523.

Akhtar A, Giardinelli L, Bawaneh A, Awwad M, Al-Hayek H,

et al. Feasibility trial of a scalable transdiagnostic group

psychological intervention for Syrians residing in a

refugee camp. Eur J Psychotraumatol. 2021;12(1):1-13.

doi: 10.1080/20008198.2021.1932295.

Hamdani SU, Huma ZE, Masood A, Zhou K, Ahmed Z, et al.

Effect of adding a psychological intervention to routine care of

common mental disorders in a specialized mental healthcare

facility in Pakistan: a randomized controlled trial. Int J Ment

Health Syst. 2021;15(1). doi: 10.1186/s13033-020-00434-y.

Pinho LMG, Sequeira CADC, Sampaio FMC, Rocha NB, Ozaslan Z,

et al. Assessing the efficacy and feasibility of providing

metacognitive training for patients with schizophrenia by

mental health nurses: a randomized controlled trial. J Adv

Nurs. 2021;77(2):999-1012. doi: 10.1111/jan.14627.

Asher L, Birhane R, Weiss HA, Medhin G, Selamu M, et al.

Community-based rehabilitation intervention for people

with schizophrenia in Ethiopia (RISE): results of a 12-month

cluster-randomised controlled trial. Lancet Glob Health.

;10(4):e530-42. doi: 10.1016/s2214-109x(22)00027-4.

Bryant RA, Bawaneh A, Awwad M, Al-Hayek H, Giardinelli L,

et al. Effectiveness of a brief group behavioral intervention

for common mental disorders in Syrian refugees in Jordan:

A randomized controlled trial. Murray S, editor. PLOS Med.

17;19(3):e1003949. doi: 10.1371/journal.pmed.1003949.

Catto JWF, Khetrapal P, Ricciardi F, Ambler G, Williams NR, et al.

Effect of robot-assisted radical cystectomy with intracorporeal

urinary diversion vs open radical cystectomy on 90-day

morbidity and mortality among patients with bladder cancer:

a randomized clinical trial. JAMA. 2022;327(21):2092-103.

doi: 10.1001/jama.2022.7393.

Cuijpers P, Heim E, Ramia JA, Burchert S, Carswell K, et al. Effects

of a WHO-guided digital health intervention for depression in

Syrian refugees in Lebanon: a randomized controlled trial. PLoS

Med. 2022;19(6):e1004231. doi: 10.1371/journal.pmed.1004025.

Javaherirenani R, Mortazavi SS, Shalbafan M, Ashouri A,

Farani AR. Virtual reality exposure and response prevention in

the treatment of obsessive-compulsive disorder in patients with

contamination subtype in comparison with in vivo exposure

therapy: a randomized clinical controlled trial. BMC Psychiatry.

;22(740):1-16. doi: 10.1186/s12888-022-04402-3.

Richerson JT, Wagner TH, Abrams T, Skelton K, Biswas K, et al.

Therapeutic and economic benefits of service dogs versus

emotional support dogs for veterans with PTSD. Psychiat Serv.

;74(8):789-897. doi: 10.1176/appi.ps.20220138.

Leonardi M, Lee H, Kostanjsek N, Fornari A, Raggi A, et al. 20

Years of ICF-International Classification of Functioning, disability

and health: uses and applications around the world. Int J Environ

Res Public Health. 2022;19(18):e11321. doi: 10.3390/ijerph191811321.

Castro e Silva TF, Medeiros PMSS, Leite CF, Castro SS, Nunes

ACL, et al. Is it time to rethink disability assessment in low back

pain? reliability, internal consistency, and construct validity of

the Brazilian WHODAS 2.0 for chronic low back pain. Physiother

Res Int. 2023;28(4):e2025. doi: 10.1002/pri.2025.

Mendes LMR, Barreto MCA, Castro SS. Instruments that assess

functioning in individuals with temporomandibular disorders

and the International Classification of Functioning: systematic

review. BrJP. 2021;4(1):63-7. doi: 10.5935/2595-0118.20210001.

Jain S, Ortigo K, Gimeno J, Baldor DA, Weiss BJ, et al.

A Randomized Controlled Trial of Brief Skills Training in Affective

and Interpersonal Regulation (STAIR) for Veterans in Primary

Care. J Traumatic Stress. 2020;33(4):401-9. doi: 10.1002/jts.22523.

Barreto MCA, Moraleida FRJ, Graminha CV, Leite CF, Castro SS,

et al. Functioning in the fibromyalgia syndrome: validity and

reliability of the WHODAS 2.0. Adv Rheumatol. 2021;61(58):1-8.

doi: 10.1186/s42358-021-00216-1.

Sousa AJS, Silva MC, Barreto MCA, Nunes BP, Coutinho BD,

et al. Psychometric properties of WHODAS for use in patients

with chikungunya in Brazil. Fisioter Pesqui. 2019;26(4):1-8.

doi: 10.1590/1809-2950/18036226042019.

Kutlay S, Küçükdeveci AA, Elhan AH, Oztuna D, Koç N,

et al. Validation of the World Health Organization disability

assessment schedule II (WHODAS-II) in patients with

osteoarthritis. Rheumatol Int. 2011;31(3):339-46. doi: 10.1007/

s00296-009-1306-8.

Bejer A, Ćwirlej-Sozańska A, Wiśniowska-Szurlej A, Wilmowska-

Pietruszyńska A, Spalek R, et al. Psychometric properties of

the Polish version of the 36-item WHODAS 2.0 in patients with

hip and knee osteoarthritis. Qual Life Res. 2021;30(8):2415-27.

doi: 10.1007/s11136-021-02806-4.

Castro SS, Leite CF, Nacci FR, Barbosa KSS, Accioly MF.

Validation of the Brazilian version of the World Health

Organization Disability Assessment Schedule in individuals

with diabetes mellitus. Fisioter Pesqui. 2019;26(4):413-8.

doi: 10.1590/1809-2950/18033926042019.

Ptyushkin P, Vidmar G, Burger H, Marincek C. Use of the

International Classification of Functioning, Disability, and Health

in Traumatic Brain Injury Rehabilitation. Am J Physi Med Rehabil.

;91(13):S48-54. doi: 10.1097/phm.0b013e31823d4e99.

Publicado

2025-04-29

Edição

Seção

Revisão Sistemática

Como Citar

WHODAS como estratégia para viabilizar a aplicação do modelo biopsicossocial na prática clínica: revisão sistemática. (2025). Fisioterapia E Pesquisa, 32(cont), e23014724pt. https://doi.org/10.1590/