Exploratory and confirmatory factor analysis of the 12-item Arabic World Health Organization Disability Assessment Schedule (WHODAS 2.0) as a screening tool for Syrian refugees

Background The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a generic measure of functional impairment and disability but to date no studies have reported its applicability in population Syrian refugees. Aims aim this study was explore the psychometric properties factor structure Arabic version WHODAS among refugees Jordanian refugee camp setting. tool used as part screening procedure for randomised controlled trial assessing effectiveness low-intensity psychological intervention. Method A representative sample ( n = 650) were screened assess levels distress. results internal consistency dimensionality 2.0. We assessed level convergence with validated Kessler 10-item Psychological Distress Scale (K10), which assesses Exploratory analysis (EFA) confirmatory (CFA) conducted construct validity Results mean baseline score 20.5 (s.d. 7.6). acceptable (Cronbach's alpha 0.74), all 12-items appearing be related same construct. positively correlated K10 r 0.57, P < 0.001). EFA identified three-factor solution accounting 51% variation, corresponding factors self-activities, external activities self-care. CFA indicated good fit solution. Conclusions that has an use