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Assessment of functionality using the WHODAS 2.0 in community-dwelling elderly individuals: A scoping review
José Felipe Costa da Silva1, Luciana Araújo Dos Reis2, Catharinne Angélica Carvalho de Farias3
1Public Health at the Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Medicine
|July 29, 2025
Summary
The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) effectively assesses functionality in community-dwelling elderly individuals. Mobility, daily activities, and social participation were the most impacted domains, highlighting areas for targeted support.
Area of Science:
- Gerontology
- Public Health
- Rehabilitation Science
Background:
- Functional decline is common in the elderly, impacting daily activities and community participation.
- Longitudinal monitoring and validated instruments are crucial for managing age-related functional changes.
- The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a key tool for assessing diverse aspects of functionality.
Purpose of the Study:
- To analyze the utility of the WHODAS 2.0 for evaluating functionality in elderly individuals living in the community.
- To synthesize current research on WHODAS 2.0 application within this demographic.
Main Methods:
- A scoping review methodology was employed to systematically search and analyze relevant literature.
- Databases searched included Medline, Embase, CINAHL, Scopus, Web of Science, Science Direct, and Google Scholar.
- Inclusion criteria led to the analysis of 14 studies focusing on WHODAS 2.0 in community-dwelling elderly populations.
Main Results:
- The majority of studies were situated within primary healthcare settings and included a higher proportion of female participants.
- Mobility, activities of daily living, and social participation emerged as the domains most significantly affected by functional limitations.
- Interpersonal relationships and self-care were identified as the least impacted functional domains.
Conclusions:
- The WHODAS 2.0 is a suitable and valuable instrument for assessing the functionality of community-dwelling elderly individuals.
- Findings underscore the critical impact of mobility, daily activities, and social participation on overall elderly functionality.
- This assessment provides a foundation for developing targeted interventions to support aging in place.
