The health assessment questionnaire haq, introduced in 1980, is among the first pro instruments designed to represent a model of patientoriented outcome assessment. Know the principal symptoms of rheumatoid arthritis, disease progression and consequences for the patient. The haqii is a reliable and valid 10item questionnaire that performs at least as well as the haq and is simpler to administer and score. The rheumatoid arthritis quality of life questionnaire. Rheumakit early diagnostic solution for patients with.
Comparison of the health assessment questionnaire haq. Health assessment questionnaire disability index haq, modified health assessment questionnaire mhaq, multidimensional health assessment questionnaire mdhaq, health. Health assessment questionnaire for rheumatoid arthritis. The haq is the original health assessment questionnaire used in rheumatology. Originally developed for use in patients with rheumatoid arthritis ra and osteoarthritis, the haq has had application in both adults and children within a wider range of rheumatologic conditions. The health assessment questionnaire haq is a widely used and validated tool to quantify selfreported functional disability in rheumatoid arthritis. We compared remission rates, according to different definitions of remission in rheumatoid arthritis ra and investigated the potential predictors of sustained remission at the 2year followup.
Barbers work was supported by the canadian institutes of health research and the university of calgary department of medicine. Functional disability, assessment, rheumatic diseases created date. The haq is the original health assessment questionnaire used in rheumatology haqii. This is a retrospective crosssectional study using data in adelphi diseasespecific program collected in 2014. Health assessment questionnaire disability index original author. Objective to investigate the course of selfreported disability in rheumatoid arthritis ra using the major selfreport measure of functional impairment, the health assessment questionnaire haq. Reappraisal of haq disability in rheumatoid arthritis. The haq has been utilized in several chronic rheumatologic diseases, including psoriatic arthritis. Functional supported by the american college of rheumatology. Pdf the health assessment questionnaire haq researchgate. Dress yourself, including tying shoelaces and doing buttons.
Review of the health assessment questionnaire use in. Health assessment questionnaires haq, haqii, mdhaq haq. A reappraisal of haq disability in rheumatoid arthritis ra april, 2005 by arthritis center wolfe, arthritis rheum 43. We examined 51 level i studies 19 physical activity, 32 psychoeducational published 20002014 and identified from five databases. Haqdi expresses patients disability in daily life adl, and this is influenced by disease activity acthaq and joint structural damage damhaq, and aging when patient gets older in senectitude agehaq. Patientreported outcomes are used in clinical practice and trials. The minimally important difference for the health assessment.
While the haq was validated for use in a psoriatic arthritis population, it has been. Treatment of rheumatoid arthritis and other inflammatory. Clinical disease activity assessments in rheumatoid arthritis. Odell,1 and salahuddin kazi8 guidelines and recommendations developed andor endorsed by the american college. Di was originally published in 1980 by fries et al. Effectiveness of occupational therapy interventions for. Health assessment questionnaire disability progression in. Percentile benchmarks in patients with rheumatoid arthritis. The haqii is a reliable and valid 10item questionnaire that performs at. They include functional measures such as the health assessment questionnaire haq, quality of life measures such as the nottingham health profile nhp, quality of lifehealth status measures such as the sf. The raqol has 30 items with a yes and no response format and takes about six minutes to complete. We compared the health assessment questionnaire haq with the modified haq mhaq in a cohort of ra patients across various levels of disability, and examined correlations with other measures of physical function. This is a retrospective crosssectional study using data in adelphi diseasespecific program collected in 2014 eu5. Measures of functional status and quality of life in rheumatoid arthritis.
American college of rheumatology recommendations for use in clinical practice jaclyn anderson,1 liron caplan,2 jinoos yazdany,3 mark l. Originally developed for use in patients with rheumatoid arthritis ra and osteoarthritis, the haq has had application in both adults and children within a wider range of rheumatologic conditions including juvenile idiopathic arthritis, systemic lupus erythematosus, systemic sclerosis, ankylosing spondylitis, fibromyalgia, and psoriatic arthritis. It was one of the first selfreport functional status disability measures and has become the dominant instrument in many disease areas, including arthritis. The new england journal of medicine n engl j med 365. Health assessment questionnaire haq for rheumatoid arthritis. Comparison of the health assessment questionnaire haq and the modi. The das28 score the das28 is a measure of disease activity in rheumatoid arthritis ra. The questionnaire is usually selfadministered but may also be completed facetoface in a clinical setting or in a telephone interview format by trained outcome assessors. Haq score is an independent predictor of sustained remission.
Using exclusion criteria, input from an expert advisory panel eap, and psychometric analysis, a list of potential measures was created. The haq disability index haqdi, the original haq section to be developed and validated, was initially developed under the auspices of. The health assessment questionnaire haq has been used to assess disability in people with rheumatoid arthritis ra for over 30 years. Sep 14, 2004 the health assessment questionnaire haq is a widely used and validated tool to quantify selfreported functional disability in rheumatoid arthritis. Jun 09, 2003 the 2page haq contains the haq disability index haqdi, the haq visual analog vas pain scale, and the vas patient global health scale. The haqdi is a common measure of reduced functionality of patients with rheumatoid arthritis and has been used in numerous mapping studies using hrqol questionnaires as the target measure marra et al. It has also been applied to patients with hivaids and. The haq was developed as a comprehensive measure of outcome in patients with a wide variety of rheumatic diseases, including rheumatoid arthritis. Measures of functional status and quality of life in. In 90% of ra patients, joints of the hand are affected resulting in problems performing activities of daily living adl 2, 3. Validation of an indian version of the health assessment. The health assessment questionnaire haq was originally developed in 1978 by james f. Acr205070 response also used in rheumatoid arthritis american college of rheumatology response criteria definition. The haq disability index haq di, the original haq section to be developed and validated, was initially developed under the auspices of the stanford arthritis center.
Women, smokers, and those with a family history of the disease are most often affected. Comparison of the health assessment questionnaire haq and. Rheumatoid arthritis is the most commonly diagnosed systemic inflammatory arthritis. Physical disability in patients with rheumatoid arthritis ra is often assessed by questionnaires. This survey is based on the health assessment questionnaire haq developed by stanford university for assessing the ability of pharmaceutical preparations to relieve rheumatoid arthritis symptoms. Health assessment questionnaire haq mapi research trust. The rheumatoid arthritis quality of life questionnaire raqol is a disease specific patientreported outcome measure which determines the effect rheumatoid arthritis has on a patients quality of life. Measure of function in rheumatoid arthritis halinserm.
As accurately as possible, try to remember which medications you have taken, how long you were taking the medications, the results of taking the medication and list any reactions you may have had. The haq di is a common measure of reduced functionality of patients with rheumatoid arthritis and has been used in numerous mapping studies using hrqol questionnaires as the target measure marra et al. Ii was shown to correlate with the short form 36 physical function scale r. Measurement of disability in rheumatoid arthritis is often used to support treatment decisions and outcome assessments, but is used without reference to the impact of disability on individual patients. We studied a large clinical practice to determine the minimally important difference mid estimates for 1 the health assessment questionnairedamage index haqdi. Health assessment questionnaire haq name phn date yyyy mm dd dressing and grooming ess yourself, including tying shoelaces and doing buttonsdr shampoo your hair rising tand up from an armless chairs et in and out of bedg eating ut your meatc t a full cup or glass to your mouthlif. A reappraisal of haq disability in rheumatoid arthritis. Worse functional disability is associated with increased cardiovascular and allcause mortality 3, 4, joint damage 5 and work disability in patients with ip and. S ir, measurement of functional disability is now routinely done in all outcome studies on patients with rheumatoid arthritis ra. Handexercise programs may have positive effects on hand.
The haqii is a reliable and valid 10item questionnaire that performs at least as well as the haq and is simpler to administer and score conversion from haq to haqii and from haqii to haq for research purposes is simple and reliable. A number of different scores, many of them composite outcomes, are used in daily rheumatology practice and in clinical trials to assess the efficacy of new treatments. Sociodemographic data and answers to questionnaires were collected in facetoface. The committee on outcome measures in rheumatoid arthritis clinical trials. Improved haq, and rheumatoid arthritis quality of life raqol. Pdf a reappraisal of haq disability in rheumatoid arthritis. Be able to give examples of inflammatory disease, notably rheumatoid arthritis ra. Health assessment questionnaire haq for rheumatoid. Evaluation of a dutch version of the aims2 for patients with rheumatoid arthritis. Scores for all individualized scales were highly correlated with the haqdi score rho0. Fri0145 does pain have influence on health assessment. The health assessment questionnaire haq disability index. However, the haq may not measure essential aspects of disease impact on ability to perform tasks because it does not consider real world context or consequences of performing particular tasks. Rheumakit is a solution for early differential diagnosis of patients with undifferentiated arthritis.
Thorsen h, hansen tm, mckenna sp, sorensen sf, whalley d. Patient survey regarding utility of the health assessment. We searched medline and embase databases using the terms clinical practice guidelines and rheumatoid arthritis from january 2000 to january 2017 together with publications. Pdf measures of functional status and quality of life in. Measuring the meaning of disability in rheumatoid arthritis. At least a 20%, 50%, or 70% improvement in the number of tender and swollen joints, and at least a 20%, 50%, or 70% improvement in three of the following five criteria. The health assessment questionnaire haq is the most widely used measure of function in studies of inflammatory polyarthritis ip and its subset, rheumatoid arthritis ra.
Health assessment questionnaire, rheumatoid arthritis, patient specific index. Adaptation into danish of the stanford health assessment questionnaire haq and the rheumatoid arthritis quality of life scale raqol. To determine whether the full health assessment questionnaire haq, the shortened modified haq mhaq, or the new shortened ra haq, developed on the basis of rasch item response theory irt, performs best in terms of distributional characteristics, detection of functional loss, and identification of change in functional status in patients with active rheumatoid arthritis ra. To determine whether the full health assessment questionnaire haq, the shortened modified haq mhaq, or the new shortened rahaq, developed on the basis of rasch item response theory irt, performs best in terms of distributional characteristics, detection of functional loss, and identification of change in functional status in patients with active rheumatoid arthritis ra. Hand exercise for women with rheumatoid arthritis and. Health assessment questionnaire disability index haq. We obtained data on 291 ra outpatients, seen from july 2009 to september 2012. There are a wide range of measures of disease activity in ra including. Sociodemographic data and answers to questionnaires were collected in faceto. Rheumatoid arthritis ra is a chronic autoimmune disease characterized by inflammation of synovium. This study is to evaluate the clinical meaningfulness of the haq change from health economic perspectives in patients with rheumatoid arthritis using realworld data. Health assessment questionnaires haq, haqii, mdhaq. The science of mdhaqrapid3 scores the rheumatologist. The health assessment questionnaire haq, developed in 1979, is one of the original measurements of quality of life in patients with rheumatoid arthritis.
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