Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/571
Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: The Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) can measure the impairment, activity limitations and participation restriction constructs from the International Classification of Functioning, Disability and Health (ICF)
Authors: Dixon, Diane
Johnston, Marie
McQueen, Margaret
Court-Brown, Charles
Keywords: disability
ICF
health outcomes
orthopaedics
Issue Date: Aug-2008
Publisher: Biomed Central Ltd
Citation: Dixon D, Johnston M, McQueen M & Court-Brown C (2008) The Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) can measure the impairment, activity limitations and participation restriction constructs from the International Classification of Functioning, Disability and Health (ICF), BMC Musculoskeletal Disorders, 9 (1), p. 114.
Abstract: Background The International Classification of Functioning, Disability and Health (ICF) model of the consequences of disease identifies three health outcomes, impairment, activity limitations and participation restrictions. However, few orthopaedic health outcome measures were developed with reference to the ICF. This study examined the ability of a valid and frequently used measure of upper limb function, namely the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), to operationalise the ICF. Methods Twenty-four judges used the method of Discriminant Content Validation to allocate the 38 items of the DASH to the theoretical definition of one or more ICF outcome. One-sample t-tests classified each item as measuring, impairment, activity limitations, participation restrictions, or a combination thereof. Results The DASH contains items able to measure each of the three ICF outcomes with discriminant validity. The DASH contains five pure impairment items, 19 pure activity limitations items and three participation restriction items. In addition, seven items measured both activity limitations and participation restrictions. Conclusions The DASH can measure the three health outcomes identified by the ICF. Consequently the DASH could be used to examine the impact of trauma and subsequent interventions on each health outcome in the absence of measurement confound.
Type: Journal Article
URI: http://hdl.handle.net/1893/571
DOI Link: http://dx.doi.org/10.1186/1471-2474-9-114
Affiliation: University of Stirling
University of Aberdeen
Royal Infirmary of Edinburgh
Royal Infirmary of Edinburgh

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