title: Experience of People With Disabilities in Haiti Before and After the 2010 Earthquake: WHODAS 2.0 Documentation.
abstract: OBJECTIVE
  To describe the functioning and participation of people with disabilities seen in Haiti Team Canada Healing Hands clinics before and after the 2010 earthquake.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Rehabilitation clinics.
  
  
  METHODS
  A convenience sample of individuals attending Team Canada Healing Hands clinics (N=194): individuals who completed the survey before the 2010 earthquake (n=72) and individuals who completed the survey after the 2010 earthquake (n=122).
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).
  
  
  RESULTS
  Overall WHODAS 2.0 scores before and after the 2010 earthquake were in the top 10th percentile of population normative data, where higher scores reflect greater disability. A median increase (6.6 points) in disability was reported after the earthquake (Mann-Whitney U, P=.055). There was a significant increase (Mann-Whitney U, P<.001) in WHODAS 2.0 scores related to mobility (18.8 points), life activities (30 points), and participation (16.7 points) domains after the earthquake.
  
  
  CONCLUSIONS
  Persons in Haiti with a disability attending Team Canada Healing Hands clinics reported a low level of functioning. The increase in WHODAS 2.0 scores related to mobility, life activities, and participation domains suggests that the 2010 earthquake had a negative impact on functioning of this population and provides additional information on the responsiveness of the WHODAS 2.0 in limited resource settings. Future work can include using WHODAS 2.0 to monitor the impact of rehabilitation service and advocacy initiatives in Haiti and similar locations.
authors.affiliation: Assistive Technology, Capital District Health Authority, Nova Scotia Rehabilitation Centre, Halifax, Nova Scotia, Canada.
authors.forename: Kim
authors.initials: K
authors.lastname: Parker
authors.affiliation: Assistive Technology, Capital District Health Authority, Nova Scotia Rehabilitation Centre, Halifax, Nova Scotia, Canada. Electronic address: james.adderson@nshealth.ca.
authors.forename: James
authors.initials: J
authors.lastname: Adderson
authors.affiliation: Team Canada Healing Hands, Inuvik, Northwest Territories, Canada.
authors.forename: Marc
authors.initials: M
authors.lastname: Arseneau
authors.affiliation: Team Canada Healing Hands, Fredericton, New Brunswick, Canada.
authors.forename: Colleen
authors.initials: C
authors.lastname: O'Connell
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology* / Q000534:rehabilitation*; D055866:Earthquakes; D005260:Female; D006205:Haiti; D006304:Health Status; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D051346:Mobility Limitation; D011788:Quality of Life; D012047:Rehabilitation Centers; D015203:Reproducibility of Results; D058992:Social Participation; D055815:Young Adult
keywords: Activities of daily living; Earthquakes; Haiti; Outcome assessment (health care); Rehabilitation; Social participation