Assessment of functionality using the WHODAS 2.0 in community-dwelling elderly individuals: A scoping review

In elderly individuals, it is more common to observe a decline in their functionality, resulting in difficulties in performing daily activities and participating in the community. To mitigate this decline, longitudinal monitoring of the elderly individual is necessary, along with the use of instruments such as the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), which evaluates functionality across various aspects. The scope is to analyze the use of WHODAS 2.0 as an instrument for assessing functionality in community-dwelling elderly individuals. A scoping review was conducted on WHODAS 2.0 as an instrument for assessing functionality in community-dwelling elderly individuals. The descriptors "Disability Assessment Schedule II"; "WHODAS 2.0"; "WHODAS"; "Aged"; "Elderly"; "Aging"; "Primary Health Care"; "Primary Care"; "Primary Healthcare" were used in the following databases: Medline, Embase, CINAHL, Scopus, Web Of Science, Embase, Science Direct, and Google Scholar. The initial collection resulted in a total of 425 studies addressing the topic. After readings using inclusion and exclusion criteria, 14 studies were included for analysis. The majority of studies were conducted in primary healthcare, with a greater number of women in various countries. The domains that most impacted functionality were mobility, activities of daily living, and social participation. Conversely, interpersonal relationships and self-care were the least affected domains. It is notable that WHODAS 2.0 is an instrument that can be used in community-dwelling elderly individuals. The domains that most negatively influenced functionality were mobility, activities of daily living, and social participation.