期刊论文详细信息
BMC Musculoskeletal Disorders
Swedish version of the multi dimensional health assessment questionnaire – translation and psychometric evaluation
Gunvor Gard1  Ulf Jakobsson2  Charlotte Ekdahl1  Kristina Areskoug Josefsson3 
[1] Department of Health Sciences, Division of Physiotherapy, Lund University, Box 157, 221 00, Lund, Sweden;Center for Primary Health Care Research, Lund University, CRC, 20205, Malmö, Sweden;Värnamo Hospital, Samrehab, Värnamo Sjukhus, 331 85, Värnamo, Sweden
关键词: Rehabilitation;    Rheumatoid arthritis;    Health assessment;   
Others  :  1130565
DOI  :  10.1186/1471-2474-14-178
 received in 2013-02-06, accepted in 2013-05-28,  发布年份 2013
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【 摘 要 】

Background

Health assessment measurements for patients with Rheumatoid arthritis (RA) have to be meaningful, valid and relevant. A commonly used questionnaire for patients with RA is the Stanford Health Assessment Questionnaire Disability Index (HAQ), which has been available in Swedish since 1988. The HAQ has been revised and improved several times and the latest version is the Multi Dimensional Health Assessment Questionnaire (MDHAQ). The aim of this study was to translate the MDHAQ to Swedish conditions and to test the validity and reliability of this version for persons with RA.

Methods

Translation and adaption of the MDHAQ were performed according to guidelines by Guillemin et al. The translated version was tested for face validity and test-retest in a group of 30 patients with RA. Content validity, criterion validity and internal consistency were tested in a larger study group of 83 patients with RA. Reliability was tested with test-retest and Cronbach´s alpha for internal consistency. Two aspects of validity were explored: content and criterion validity. Content validity was tested with a content validity index.

Criterion validity was tested with concurrent validity by exploring the correlation between the MDHAQ-S and the AIMS2-SF. Floor and ceiling effects were explored.

Results

Test-retest with intra-class correlation coefficient (ICC) gave a coefficient of 0.85 for physical function and 0.79 for psychological properties. Reliability test with Cronbach´s alpha gave an alpha of 0.65 for the psychological dimension and an alpha of 0.88 for the physical dimension of the MDHAQ-S.

The average sum of the content validity index for each item was of the MDHAQ-S was 0.94. The MDHAQ-S had mainly a moderate correlation with the AIMS2-SF, except for the social dimension of the AIMS2-SF, which had a very low correlation with the MDHAQ-S.

Conclusions

The MDHAQ-S was considered to be reliable and valid, but further research is needed concerning sensitivity to change.

【 授权许可】

   
2013 Josefsson et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Ekdahl C, Eberhardt K, Andersson SI, Svensson B: Assessing disability in patients with rheumatoid arthritis, Use of a Swedish version of the Stanford Health Assessment Questionnaire. Scand J Rheumatol 1988, 17(4):263-271.
  • [2]Eberhardt K, Duckberg S, Larsson BM, Johnson PM, Nived K: Measuring health related quality of life in patients with rheumatoid arthritis–reliability, validity, and responsiveness of a Swedish version of RAQoL. Scand J Rheumatol 2002, 31(1):6-12.
  • [3]Pincus T, Sokka T: Quantitative measures for assessing rheumatoid arthritis in clinical trials and clinical care. Best Pract Res Clin Rheumatol 2003, 17(5):753-781.
  • [4]Lillegraven S, Kvien TK: Measuring disability and quality of life in established rheumatoid arthritis. Best Pract Res Clin Rheumatol 2007, 21(5):827-840.
  • [5]Hakkinen A, Arkela-Kautiainen M, Sokka T, Hannonen P, Kautiainen H: Self-report functioning according to the ICF model in elderly patients with rheumatoid arthritis and in population controls using the multidimensional health assessment questionnaire. J Rheumatol 2009, 36(2):246-253.
  • [6]Pincus T, Sokka T, Kautiainen H: Further development of a physical function scale on a MDHAQ [corrected] for standard care of patients with rheumatic diseases. J Rheumatol 2005, 32(8):1432-1439.
  • [7]Pincus T, Swearingen C, Wolfe F: Toward a multidimensional Health Assessment Questionnaire (MDHAQ): assessment of advanced activities of daily living and psychological status in the patient-friendly health assessment questionnaire format. Arthritis Rheum 1999, 42(10):2220-2230.
  • [8]Pincus T, Swearingen CJ, Bergman MJ, Colglazier CL, Kaell AT, Kunath AM, Siegel EL, Yazici Y: RAPID3 (Routine Assessment of Patient Index Data) on an MDHAQ (Multidimensional Health Assessment Questionnaire): agreement with DAS28 (Disease Activity Score) and CDAI (Clinical Disease Activity Index) activity categories, scored in five versus more than ninety seconds. Arthritis Care Res 2010, 62(2):181-189.
  • [9]Pincus T, Yazici Y, Castrejon I: Pragmatic and scientific advantages of MDHAQ/ RAPID3 completion by all patients at all visits in routine clinical care. Bull NYU Hosp Jt Dis 2012, 70(Suppl 1):30-36.
  • [10]Arkela-Kautiainen M, Kautiainen H, Uutela T, Laiho K, Blafield H, Leirisalo-Repo M, Hakala M: Evaluation of the MDHAQ in Finnish patients with RA [corrected]. J Rheumatol 2005, 32(8):1426-1431.
  • [11]Lee SS, Park MJ, Yoon HJ, Park YW, Park IH, Park KS: Evaluating the Korean version of the Multidimensional Health Assessment Questionnaire in patients with rheumatoid arthritis. Clin Rheumatol 2006, 25(3):353-357.
  • [12]Oude Voshaar MA, ten Klooster PM, Taal E, van de Laar MA: Measurement properties of physical function scales validated for use in patients with rheumatoid arthritis: a systematic review of the literature. Health Qual Life Outcomes 2011, 9:99. BioMed Central Full Text
  • [13]Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC: Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007, 60(1):34-42.
  • [14]Pincus T: A multidimensional health assessment questionnaire (MDHAQ) for all patients with rheumatic diseases to complete at all visits in standard clinical care. Bull NYU Hosp Jt Dis 2007, 65(2):150-160.
  • [15]Guillemin F, Coste J, Pouchot J, Ghezail M, Bregeon C, Sany J: The AIMS2-SF: a short form of the Arthritis Impact Measurement Scales 2, French Quality of Life in Rheumatology Group. Arthritis Rheum 1997, 40(7):1267-1274.
  • [16]Leeb BF, Sautner J, Mai HT, Haindl PM, Deutsch C, Rintelen B: A comparison of patient questionnaires and composite indexes in routine care of rheumatoid arthritis patients. Joint Bone Spine 2009, 76(6):658-664.
  • [17]Stucki G, Liang MH, Stucki S, Bruhlmann P, Michel BA: A self-administered rheumatoid arthritis disease activity index (RADAI) for epidemiologic research, Psychometric properties and correlation with parameters of disease activity. Arthritis Rheum 1995, 38(6):795-798.
  • [18]Fransen J, Langenegger T, Michel BA, Stucki G: Feasibility and validity of the RADAI, a self-administered rheumatoid arthritis disease activity index. Rheumatology (Oxford) 2000, 39(3):321-327.
  • [19]Barton JL, Criswell LA, Kaiser R, Chen YH, Schillinger D: Systematic review and metaanalysis of patient self-report versus trained assessor joint counts in rheumatoid arthritis. J Rheumatol 2009, 36(12):2635-2641.
  • [20]Meenan RF, Mason JH, Anderson JJ, Guccione AA, Kazis LE: AIMS2. The content and properties of a revised and expanded Arthritis Impact Measurement Scales Health Status Questionnaire. Arthritis Rheum 1992, 35(1):1-10.
  • [21]Taal E, Rasker JJ, Riemsma RP: Sensitivity to change of AIMS2 and AIMS2-SF components in comparison to M-HAQ and VAS-pain. Ann Rheum Dis 2004, 63(12):1655-1658.
  • [22]Archenholtz B, Bjelle A: Reliability, validity, and sensitivity of a Swedish version of the revised and expanded Arthritis Impact Measurement Scales (AIMS2). J Rheumatol 1997, 24(7):1370-1377.
  • [23]Liang MH, Fossel AH, Larson MG: Comparisons of five health status instruments for orthopedic evaluation. Med Care 1990, 28(7):632-642.
  • [24]Pincus T, Sokka T: Quantitative clinical rheumatology: "keep it simple, stupid": MDHAQ function, pain, global, and RAPID3 quantitative scores to improve and document the quality of rheumatologic care. J Rheumatol 2009, 36(6):1099-1100.
  • [25]Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993, 46(12):1417-1432.
  • [26]Beaton DE, Bombardier C, Guillemin F, Ferraz MB: Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 2000, 25(24):3186-3191.
  • [27]Hedin PJ, McKenna SP, Meads DM: The Rheumatoid Arthritis Quality of Life (RAQoL) for Sweden: adaptation and validation. Scand J Rheumatol 2006, 35(2):117-123.
  • [28]Polit DF, Beck CT: The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health 2006, 29(5):489-497.
  • [29]ten Klooster PM, Veehof MM, Taal E, van Riel PL, van de Laar MA: Confirmatory factor analysis of the Arthritis Impact Measurement Scales 2 short form in patients with rheumatoid arthritis. Arthritis Rheum 2008, 59(5):692-698.
  • [30]Haavardsholm EA, Kvien TK, Uhlig T, Smedstad LM, Guillemin F: A comparison of agreement and sensitivity to change between AIMS2 and a short form of AIMS2 (AIMS2-SF) in more than 1,000 rheumatoid arthritis patients. J Rheumatol 2000, 27(12):2810-2816.
  • [31]Polit DF, Beck CT: Essentials of Nursing Research. Methods, Appraisal and Utilization., 6 edn. Philadelphia: Lippingcott; 2006.
  • [32]Kirkwood BR, Sterne JA: Medical statistics. Malden: Blackwell Science Ltd; 2003.
  • [33]Polit DF, Beck CT, Owen SV: Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 2007, 30(4):459-467.
  • [34]Hagell P, Hedin PJ, Meads DM, Nyberg L, McKenna SP: Effects of method of translation of patient-reported health outcome questionnaires: a randomized study of the translation of the Rheumatoid Arthritis Quality of Life (RAQoL) Instrument for Sweden. Value Health 2010, 13(4):424-430.
  • [35]El Miedany Y, El Gaafary M, Youssef SS, Ahmed I: Validity of the Developed Arabic Multidimensional Health Assessment Questionnaire for use in standard clinical care of patients with rheumatic diseases. Int J Rheum Dis 2008, 11(3):224-236.
  • [36]Nordgren B, Friden C, Demmelmaier I, Bergstrom G, Opava CH: Long-term health- enhancing physical activity in rheumatoid arthritis - the PARA 2010 study. BMC Publ Health 2012, 12(1):397. BioMed Central Full Text
  • [37]Cooney JK, Law RJ, Matschke V, Lemmey AB, Moore JP, Ahmad Y, Jones JG, Maddison P, Thom JM: Benefits of exercise in rheumatoid arthritis. J Aging Res 2011, 2011:681640.
  • [38]Taal E, Rasker JJ, Riemsma RP: Psychometric properties of a Dutch short form of the Arthritis Impact Measurement Scales 2 (Dutch-AIMS2-SF). Rheumatology (Oxford) 2003, 42(3):427-434.
  • [39]Ehrlich-Jones L, Lee J, Semanik P, Cox C, Dunlop D, Chang RW: Relationship between beliefs, motivation, and worries about physical activity and physical activity participation in persons with rheumatoid arthritis. Arthritis Care Res 2011, 63(12):1700-1705.
  • [40]Meenan R: Work group recommendations: 2002 Exercise and Physical Activity Conference, St. Louis, Missouri. Session VI: population approaches to health promotion and disability prevention through physical activity. Arthritis Rheum 2003, 49(3):477.
  • [41]Hirsh JM, Boyle DJ, Collier DH, Oxenfeld AJ, Nash A, Quinzanos I, Caplan L: Limited health literacy is a common finding in a public health hospital's rheumatology clinic and is predictive of disease severity. J Clin Rheumatol 2011, 17(5):236-241.
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