Evidence map›Paper›PMID 34501803›Full record

ArticleInternational journal of environmental research and public health2021

Interrogating and Reflecting on Disability Prevalence Data Collected Using the Washington Group Tools: Results from Population-Based Surveys in Cameroon, Guatemala, India, Maldives, Nepal, Turkey and Vanuatu.

Islay Mactaggart, Ammar Hasan Bek, Lena Morgon Banks, Tess Bright, Carlos Dionicio, Shaffa Hameed, Shailes Neupane, Gvs Murthy, Ahmed Orucu, Joseph Oye and 5 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Article
  9. Disparities in functional dependence and population aging in Latin America.Revista panamericana de salud publica = Pan American journal of public health · 2025
    Article
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  17. The Prevalence and Correlates of Disability in Singapore: Results from a Nationwide Cross-Sectional Survey.International journal of environmental research and public health · 2021
    Article
  18. Use of the Washington Group Questions in Non-Government Programming.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Islay MactaggartInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.ORCID 0000-0001-6287-0384
Ammar Hasan BekRelief International, Istanbul 34087, Turkey.
Lena Morgon BanksInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.ORCID 0000-0002-4585-1103
Tess BrightInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.ORCID 0000-0003-2079-7216
Carlos DionicioCenter for Research in Indigenous Health, Wuqu' Kawoq, Maya Health Alliance 2a Avenida 3-48 Zona 3, Barrio Patacabaj, Tecpán, Chimaltenango 4001, Guatemala.ORCID 0000-0002-6069-7669
Shaffa HameedInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.ORCID 0000-0003-2723-1709
Shailes NeupaneValley Research Group, Kathmandu 44600, Nepal.
Gvs MurthyIndian Institute of Public Health, Hyderabad 122002, India.
Ahmed OrucuMülteciler Derneği, Istanbul 34930, Turkey.
Joseph OyeSightsavers Cameroon, Yaounde P.O. Box 4484, Cameroon.
Jonathan NaberRange of Motion Project, P.O. Box 100915, Denver, CO 80250, USA.ORCID 0000-0003-4821-6030
Tom ShakespeareInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Andrea PattersonRelief International, Istanbul 34087, Turkey.
Sarah PolackInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Hannah KuperInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Washington Group (WG) tools capture self-reported functional limitations, ranging from 6 domains in the Short Set (SS) to 11 in the Extended Set (ESF). Prevalence estimates can vary considerably on account of differences between modules and the different applications of them. We compare prevalence estimates by WG module, threshold, application and domain to explore these nuances and consider whether alternative combinations of questions may be valuable in reduced sets. We conducted secondary analyses of seven population-based surveys (analyses restricted to adults 18+) in Low- and Middle-Income Countries that used the WG tools. The prevalence estimates using the SS standard threshold (a lot of difficulty or higher in one or more domain) varied between 3.2% (95% Confidence Interval 2.9-3.6) in Vanuatu to 14.1% (12.2-16.2) in Turkey. The prevalence was higher using the ESF than the SS, and much higher (5 to 10-fold) using a wider threshold of "some" or greater difficulty. Two of the SS domains (communication, self-care) identified few additional individuals with functional limitations. An alternative SS replacing these domains with the psychosocial domains of anxiety and depression would identify more participants with functional limitations for the same number of items. The WG tools are valuable for collecting harmonised population data on disability. It is important that the impact on prevalence of use of different modules, thresholds and applications is recognised. An alternative SS may capture a greater proportion of people with functional domains without increasing the number of items.

Indexed as

PrevalenceAdultCameroonGuatemalaHumansIndiaIndian Ocean IslandsNepalSurveys and QuestionnairesTurkeyVanuatuWashingtondisability measurementdisability prevalencepopulation surveys

Identifiers

PMID34501803
PMCPMC8431177

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.