Measuring Disability among Migrants with Washington Group Tools: Reflections for Field Use
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting
2.2. Participants
2.3. Washington Group Tools
2.4. Administrative Procedures
2.5. Data Collection and Analysis
2.6. Ethical Considerations
3. Results
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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WG Tools | Domains | N | Questions | Response Patterns | Cut-Off |
---|---|---|---|---|---|
WG-SS | Vision | 1 | Do you have difficulty in seeing, even if wearing glasses? | 1. No difficulty 2. Some difficulty 3. A lot of difficulty 4. Cannot do at all | A lot of difficulty or cannot do at all in any domain |
Hearing | 1 | Do you have difficulty in hearing, even if using a hearing aid? | |||
Mobility | 1 | Do you have difficulty walking or climbing steps? | |||
Cognition | 1 | Do you have difficulty remembering or concentrating? | |||
Self-care | 1 | Do you have difficulty with self-care, such as washing all over or dressing? | |||
Communication | 1 | Using your usual language, do you have difficulty communicating, for example understanding or being understood? | |||
WG-SS-E | WG-SS | 6 | WG-SS | Pattern of WG-SS | A lot of difficulty or cannot do at all in any domain |
Upper body | Do you have difficulty raising a 2-liter bottle of water or soda from waist to eye level? | 1. No difficulty 2. Some difficulty 3. A lot of difficulty 4. Cannot do at all | |||
2 | Do you have difficulty using your hands and fingers, such as picking up small objects, for example, a button or pencil, or opening or closing containers or bottles? | ||||
Affect (anxiety and depression) | 4 | How often do you feel worried, nervous, or anxious? How often do you feel depressed? | 1. Daily 2. Weekly 3. Monthly 4. A few times a year 5. Never | Daily or a lot in either domain | |
Thinking about the last time you felt worried, nervous, or anxious, how would you describe the level of these feelings? Thinking about the last time you felt depressed, how depressed did you feel? | 1. A little 2. A lot 3. Somewhere in between a little and a lot | ||||
WG-ES | WG-SS-E | 12 | WG-SS-E | ||
Pain | 2 | In the past 3 months, how often did you have pain? Thinking about the last time you had pain, how much pain did you have? | 1. Never 2. Some days 3. Most days 4. Every dayPattern Affect WG-SS-E | Pain: Every day and a lot Fatigue: Most days and all of the day or Every day and most of the day or Every day and all of the day | |
Fatigue | 3 | In the past 3 months, how often did you feel very tired or exhausted? Thinking about the last time you felt very tired or exhausted, how long did it last? Thinking about the last time you felt this way, how would you describe the level of tiredness? | Pattern Pain WG-SS-EPattern Affect WG-SS-E | ||
Others | 20 | Optional questions or questions related to assistive devices or medications |
Age, Mean (SD) | 29.8 (8.7) |
---|---|
Gender | N (%) |
Male | 96 (59.6) |
Female | 65 (40.4) |
Legal status | N (%) |
Asylum seeker | 44 (27.3) |
Refugee | 45 (28) |
Subsidiary protection | 37 (23) |
Humanitarian protection | 14 (8.7) |
Undocumented migrant | 6 (3.7) |
Special case | 9 (5.6) |
Prefer not to say | 6 (3.7) |
WG-SS | WG-SS-E | WG-ES | ||||
---|---|---|---|---|---|---|
Domain | N (%) | CI 95% | N (%) | CI 95% | N (%) | CI 95% |
Vision | 7 (4.3) | (1.7–8.7) | 7 (4.3) | (1.7–8.7) | 7 (4.3) | (1.7–8.7) |
Hearing | 1 (0.6) | (0.0–3.4) | 1 (0.6) | (0.0–3.4) | 3 (1.9) | (0.3–5.3) |
Mobility | 6 (3.7) | (1.3–7.9) | 6 (3.7) | (1.3–7.9) | 6 (3.7) | (1.3–7.9) |
Communication | 6 (3.7) | (1.3–7.9) | 6 (3.7) | (1.3–7.9) | 6 (3.7) | (1.3–7.9) |
Self-care | 2 (1.2) | (0.1–4.4) | 2 (1.2) | (0.1–4.4) | 2 (1.2) | (0.1–4.4) |
Cognition | 5 (3.1) | (1.0–7.1) | 5 (3.1) | (1.0–7.1) | 8 (4.9) | (2.1–9.5) |
Upper body | / | 5 (3.1) | (1.0–7.1) | 5 (3.1) | (1.0–7.1) | |
Anxiety | / | 14 (8.7) | (4.8–14.1) | 14 (8.7) | (4.8–14.1) | |
Depression | / | 5 (3.1) | (1.0–7.1) | 5 (3.1) | (1.0–7.1) | |
Pain | / | / | 3 (1.9) | (0.3–5.3) | ||
Fatigue | / | / | 2 (1.2) | (0.1–4.4) | ||
Disability yes | 22 (13.7) | (8.7–19.9) | 35 (21.7) | (15.6–28.9) | 51 (31.6) | (24.6–39.5) |
WG-SSDisability | WG-SS-EDisability | WG-ESDisability | |||||||
---|---|---|---|---|---|---|---|---|---|
Gender | YES | NO | PR | YES | NO | PR | YES | NO | PR |
Female | 14 (8.7) | 51 (31.7) | 2.62 | 18 (11.2) | 47 (29.2) | 1.58 | 28 (17.3) | 37 (23) | 1.86 |
Male | 8 (4.9) | 88 (54.7) | 17 (10.5) | 79 (49.1) | 23 (14.3) | 73 (45.4) | |||
Legal status | |||||||||
Asylum seeker | 9 (5.6) | 35 (21.7) | 10 (6.2) | 34 (21.1) | 14 (8.7) | 30 (18.6) | |||
Refugee | 3 (1.9) | 42 (26.1) | 9 (5.6) | 36 (22.4) | 12 (7.4) | 33 (20.5) | |||
Subsidiary protection | 4 (2.4) | 33 (20.5) | 9 (5.6) | 28 (17.3) | 9 (5.6) | 28 (17.3) | |||
Humanitarian protection | 4 (2.4) | 10 (6.2) | 4 (2.4) | 10 (6.2) | 6 (3.7) | 8 (4.9) | |||
Undocumented migrant | 1 (0.6) | 5 (3.1) | 2 (1.2) | 4 (2.4) | 4 (2.4) | 2 (1.2) | |||
Special case | 1 (0.6) | 8 (4.9) | 1 (0.6) | 8 (4.9) | 2 (1.2) | 7 (4.3) | |||
Prefer not to say | 0 | 6 (3.7) | 0 | 6 (3.7) | 4 (2.4) | 2 (1.2) |
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Tofani, M.; Galeoto, G.; Berardi, A.; Iorio, S.; Conte, A.; Fabbrini, G.; Valente, D.; Marceca, M. Measuring Disability among Migrants with Washington Group Tools: Reflections for Field Use. Healthcare 2022, 10, 1860. https://doi.org/10.3390/healthcare10101860
Tofani M, Galeoto G, Berardi A, Iorio S, Conte A, Fabbrini G, Valente D, Marceca M. Measuring Disability among Migrants with Washington Group Tools: Reflections for Field Use. Healthcare. 2022; 10(10):1860. https://doi.org/10.3390/healthcare10101860
Chicago/Turabian StyleTofani, Marco, Giovanni Galeoto, Anna Berardi, Silvia Iorio, Antonella Conte, Giovanni Fabbrini, Donatella Valente, and Maurizio Marceca. 2022. "Measuring Disability among Migrants with Washington Group Tools: Reflections for Field Use" Healthcare 10, no. 10: 1860. https://doi.org/10.3390/healthcare10101860