Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis

Serdar Kenan KÖSE, (Ankara Üniversitesi Tıp Fakültesi, Biyoistatislik Anabilim Dalı, Ankara, Türkiye)
Derya ÖZTUNA, (Ankara Üniversitesi Tıp Fakültesi, Biyoistatislik Anabilim Dalı, Ankara, Türkiye)
Şehim KUTLAY, (Ankara Fiziksel Tıp ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Atilla Halil ELHAN, (Ankara Üniversitesi Tıp Fakültesi, Biyoistatislik Anabilim Dalı, Ankara, Türkiye)
Alan TENNANT, (Leeds Metropolitan Univercity, UK)
Ayşe Adile KÜÇÜKDEVECİ (Ankara Üniversitesi Tıp Fakültesi, Biyoistatislik Anabilim Dalı, Ankara, Türkiye)
Turkish Journal of Rheumatology(.)Archives of Rheumatology
31 2
Yıl: 2010 Cilt: 25 Sayı: 3 Sayfa Aralığı: 147 - 155 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis

Öz:
Diz osteoartritli hastalarda, Sağlık Değerlendirme Anketi Özürlülük İndeksinin (SDA-Öİ) ve Modifiye Sağlık Değerlendirme Anketinin (MSDA) psikometrik özelliklerini incelemektir.Yöntem ve Gereçler: SDA-Öİ ve MSDA'nın iç yapısal geçerliliği Rasch analizi ile dış yapısal geçerliliği ise WOMAC (Western Ontario and McMaster Universities) Osteoartrit İndeksi, Dünya Sağlık Örgütü (DSÖ) Yetiyitimi Değerlendirme Çizelgesi ve Nottingham Sağlık Profili ile ilişkiler incelenerek değerlendirilmiştir. Güvenirlik, içsel tutarlılık ve birey ayırsama indeksi kullanılarak belirlenmiştir. Bulgular: Diz osteoartritli 215 hasta (yaş ortalaması±standart sapma (SS): 57.7±10.9 yıl; %81 kadın), SDA-Öİ, WOMAC Osteoartrit İndeksi, DSÖ Yetiyitimi Değerlendirme Çizelgesi ve Nottingham Sağlık Profili değerlendirme ölçeklerindeki maddelere yanıt vermişlerdir. MSDA, ayrı bir ölçek olarak uygulanmayıp, SDA-Öİ formlarına verilen yanıtlardan puanlanmıştır. Hem SDA-Öİ hem de MSDA sırasıyla ortalama madde uyumu 0.096 (SS: 1.186) ve -0.312 (SS: 1.063); ortalama birey uyumu 0.307 (SS: 0.895) ve -0.329 (SS: 0.879) değerleri ile Rasch modeline uyum göstermiştir. Her iki ölçeğin de tek boyutlu olduğu ve madde işlev farklılığı göstermediği belirlenmiştir. Ölçeklerin güvenirlikleri 0.85'in üzerindeki Cronbach'ın alfa katsayısı ve birey ayırsama indeksi değerleri ile yüksek bulunmuştur. Mevcut popülasyonun özürlülük düzeyi, SDA-Öİ ve MSDA'nın zorluk düzeylerinin ortalamasından oldukça düşük olduğu için, ölçeklerdeki maddelerin zorluk düzeylerinin dağılımı ile popülasyondaki hastaların özürlülük düzeylerinin dağılımı arasındaki uyum yeterli bulunmamıştır. Her iki ölçeğin de, WOMAC Osteoartrit İndeksi, DSÖ Yetiyitimi Değerlendirme Çizelgesi ve Nottingham Sağlık Profili ile beklenen düzeyde ilişkiler göstermesi, dış yapısal geçerliliklerini doğrulamıştır. Her iki ölçeğin de dağılımlarının sağdan çarpık olmasına rağmen, taban etkisinin MSDA'da daha belirgin olduğu gözlenmiştir.Sonuç: SDA-Öİ ve MSDA, diz osteoartritli hastalarda fiziksel özürlülüğün değerlendirilmesinde güvenilir ve geçerli olarak bulunmuştur. Ancak, bu tanı grubundaki olası taban etkisinin göz önünde bulundurulması gerekmektedir
Anahtar Kelime:

Konular: Tıbbi İnformatik

Sağlık Değerlendirme Anketi Özürlülük İndeksinin (SDA-Öİ) ve Modifiye Sağlık Değerlendirme Anketinin (MSDA) Diz Osteoartritli Hastalarda Psikometrik Özellikleri

Öz:
To investigate the psychometric properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the modified HAQ (MHAQ) in patients with knee osteoarthritis (OA). Materials and Methods: The internal construct validity of the HAQ-DI and MHAQ were assessed by Rasch analysis and external construct validity by associations with the Western Ontario and McMaster Universities Index of Osteoarthritis Index (WOMAC), the World Health Organization Disability Assessment Schedule (WHODAS-II) and the Nottingham Health Profile (NHP). Reliability was tested by internal consistency and person separation index.Results: Two hundred and fifteen outpatients with knee OA (mean age±standard deviation (SD) 57.7±10.9 years; 81% female) filled in the assessment scales including HAQ-DI, WOMAC, WHODAS-II and the NHP. MHAQ was not administered as a separate measure but scored by using the HAQ-DI forms. Both the HAQ-DI and the MHAQ data satisfied Rasch model expectations with a mean item fit of 0.096 (SD 1.186) and -0.312 (SD 1.063), and person fit of 0.307 (SD 0.895) and -0.329 (SD 0.879), respectively. Both scales were unidimensional and showed no differential item functioning. The reliabilities of both scales were good with high Cronbach's alpha and PSI levels above 0.85. However neither of them was particularly well targeted to the current population who displayed a level of disability much below the average difficulty level of the scales. External construct validity was confirmed by expected correlations with WOMAC, WHODAS-II and NHP. Although the distribution of both scales was right skewed, the floor effect was more prominent in MHAQ. Conclusion: Both the HAQ-DI and MHAQ are found to be reliable and valid to assess physical disability in patients with knee OA. However, the possible floor effect in this diagnostic group should be kept in mind
Anahtar Kelime:

Konular: Tıbbi İnformatik
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Fries JF, Spitz P, Kraines G, Holman H. Measurement of Patient Outcome in Arthritis. Arthritis and Rheum 1980; 23: 137-45.
  • Bruce B, Fries JF. The Stanford Health Assessment Questionnaire: a review of its history, issues, progress, and documentation. J Rheumatol 2003; 30: 167-78.
  • Lillegraven S, Kvien TK. Measuring disability and quality of life in established rheumaroid arthritis. Best Pract Res Clin Rheumatol 2007; 21: 827-40.
  • Pincus T, Summey JA, Soracı SA JR, Wallston KA, Hummon NP. Assessment of patient satisfaction in activities of daily living using a modified Stanford Health Assessment Questionnaire. Arthritis Rheum 1983; 26: 1346-53.
  • Wolfe F. Which HAQ is best? A comparison of the HAQ, MHAQ and RA-HAQ, a difficult 8 item HAQ (DHAQ), and a rescored 20 item HAQ (HAQ20): analyses in 2,491 rheumatoid arthritis patients following leflunomide initiation. J Rheumatol. 2001; 28 (5): 982-9.
  • Stucki G, Stucki S, Briihlmann P, Michel BA. Ceiling effects of the Health Assessment Questionnaire and its modified version in some ambulatory rheumatoid arthritis patients. Ann Rheum Dis 1995; 54: 461-5.
  • Slatkowsky-Christensen B, Mowinckel P, Kvien TK. Health status and perception of pain: a comparative study between female patients with hand osteoarthritis and rheumatoid arthritis. Scand J Rheumatol 2009; 38: 342-8
  • Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and therapeutic criteria committee of the American rheumatism association. Arthritis Rheum 1986; 29: 1039-49.
  • Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in cross-cultural validity: example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Rheum 2004; 51: 14-9.
  • Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988; 15: 1833-40.
  • Tüzün EH, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthr Cartilage 2005; 13: 28-33.
  • World Health Organisation Disability Assessment Schedule II (2001) URL: http://www.who.int/icidh/whodas/
  • Ulug B, Ertugrul A, Gogus A, Kabakcı E. Yetiyitimi degerlendirme cizelgesinin (WHODAS-II) sizofreni hastalarında gecerlilik ve güvenilirligi. Turk Psikiyatr Derg 2001; 12: 121-30.
  • European Group for Quality of Life Assessment and Health Measurement. European Guide for Nottingham Health Profile. Surrey: Brookwood Medical Publications, 1993.
  • Küçükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 2000; 23: 31-8.
  • Rasch G. Probabilistic models for some intelligence and attainment tests. Copenhagen: Danish Institution for Educational Research, 1960.
  • Perline R, Wright BD, Wainer H. The Rasch model as additive conjoint measurement. Appl Psych Meas 1979; 3: 237-56.
  • Andrich D. Rasch Models for Measurement. London: SAGE Publications, 1988.
  • Karabatsos G. The Rasch model, additive conjoint measurement, and new models of probabilistic measurement theory. J Appl Meas 2001; 2: 389-423.
  • Masters G. A Rasch model for partial credit scoring. Psychometrika 1982; 47: 149-74.
  • Tennant A, Conaghan PG. The Rasch Measurement Model in Rheumatology: What is it and why use it? When should it be applied, and what should one look for in a Rasch paper? Arthritis Rheum 2007; 57: 1358-62.
  • Pallant JF, Tennant A. An introduction to the Rasch measurement model: an example using the hospital anxiety and depression scale (HADS). Br J Clin Psychol 2007; 46: 1-18.
  • Smith EV. Detecting and evaluation the impact of multidimensionality using item fit statistics and principal component analysis of residuals. J Appl Meas 2002; 3: 205- 231.
  • Wright BD. Local dependency, correlations and principal components. Rasch Meas Trans 1996; 10: 509-11.
  • Teresi JA, Kleinman M, Ocepek-Welikson K. Modern psychometric methods for detection of differential item functioning: application to cognitive assessment measures. Stat Med 2000; 19: 1651-83.
  • Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika 1951; 16: 297-334.
  • Fisher WP: Reliability statistics. Rasch Measure Trans 1992; 6: 238.
  • Streiner DL, Norman GR. Health measurement scales. Oxford: Oxford University Press, 1995.
  • Nunnally JC. Psychometric theory. New York: McGraw-Hill, 1978.
  • Linacre JM. Sample size and item calibration stability. Rasch Measure Trans 1994; 7: 28.
  • Sloan JA, Symonds T, Vargas-Chanes D, Friedly B. Practical guidelines for assessing the clinical significance of healthr elated quality of life change within clinical trials. Drug Inf J 2003; 37: 23-31.
  • Bland JM, Altman DG. Multiple significance tests: the Bonferroni method. BMJ 1995; 310: 170.
  • Felson DT, Anderson JJ, Boers M, Bombardier C, Chernoff M, Fried B, et al. The American College of Rheumatology preliminary core set of disease activity measures for rheumatoid arthritis clinical trials. The Committee on Outcome Measures in Rheumatoid Arthritis Clinical Trials. Arthritis Rheum. 1993; 36(6): 729-40.
  • Anderson J, Sayles H, Curtis JR, Wolfe F, Michaud K. Converting MHAQ, MDHAQ and HAQII scores into HAQ scores using models developed with a large cohort of RA patients. Arthritis Care Res (Hoboken). 2010 May 23. [Epub ahead of print]
  • Kvien TK, Kaasa S, Smedstad LM. Performance of the Norwegian SF-36 Health Survey in Patients with Rheumatoid Arthritis. II. A Comparison of the SF-36 with Disease-Specific Measures. J Clin Epidemiol 1998; 51: 1077-86.
  • Bruce B, Fries J. Longitudinal Comparison of the Health Assessment Questionnaire (HAQ) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Arthritis & Rheum (Arthritis Care & Research) 2004; 51: 730-7.
  • Nagasawa H, Kameda H, Sekiguchi N, Amano K, Takeuchi T. Normalisation of physical function by infliximab in patients with RA: factors associated with normal physical function. Clin Exp Rheumatol 2010; 28: 365-72.
  • Taylor WJ, McPherson KM. Using Rasch analysis to compare the psychometric properties of the short form 36 physical function score and the health assessment questionnaire disability index in patients with psoriatic arthritis and rheumatoid arthritis. Arthritis & Rheumatism (Arthritis Care & Research) 2007); 57: 723-9.
  • Van Groen MM, Ten Klooster PM, Taal E, van de Laar MA, Glas CA. Application of the health assessment questionnaire disability index to various rheumatic diseases. Qual Life Res Published [On-line first 2010].
APA KÖSE S, ÖZTUNA D, KUTLAY Ş, ELHAN A, TENNANT A, Küçükdeveci A (2010). Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. , 147 - 155.
Chicago KÖSE Serdar Kenan,ÖZTUNA Derya,KUTLAY Şehim,ELHAN Atilla Halil,TENNANT Alan,Küçükdeveci Ayşe A. Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. (2010): 147 - 155.
MLA KÖSE Serdar Kenan,ÖZTUNA Derya,KUTLAY Şehim,ELHAN Atilla Halil,TENNANT Alan,Küçükdeveci Ayşe A. Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. , 2010, ss.147 - 155.
AMA KÖSE S,ÖZTUNA D,KUTLAY Ş,ELHAN A,TENNANT A,Küçükdeveci A Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. . 2010; 147 - 155.
Vancouver KÖSE S,ÖZTUNA D,KUTLAY Ş,ELHAN A,TENNANT A,Küçükdeveci A Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. . 2010; 147 - 155.
IEEE KÖSE S,ÖZTUNA D,KUTLAY Ş,ELHAN A,TENNANT A,Küçükdeveci A "Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis." , ss.147 - 155, 2010.
ISNAD KÖSE, Serdar Kenan vd. "Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis". (2010), 147-155.
APA KÖSE S, ÖZTUNA D, KUTLAY Ş, ELHAN A, TENNANT A, Küçükdeveci A (2010). Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 25(3), 147 - 155.
Chicago KÖSE Serdar Kenan,ÖZTUNA Derya,KUTLAY Şehim,ELHAN Atilla Halil,TENNANT Alan,Küçükdeveci Ayşe A. Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology 25, no.3 (2010): 147 - 155.
MLA KÖSE Serdar Kenan,ÖZTUNA Derya,KUTLAY Şehim,ELHAN Atilla Halil,TENNANT Alan,Küçükdeveci Ayşe A. Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.25, no.3, 2010, ss.147 - 155.
AMA KÖSE S,ÖZTUNA D,KUTLAY Ş,ELHAN A,TENNANT A,Küçükdeveci A Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2010; 25(3): 147 - 155.
Vancouver KÖSE S,ÖZTUNA D,KUTLAY Ş,ELHAN A,TENNANT A,Küçükdeveci A Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2010; 25(3): 147 - 155.
IEEE KÖSE S,ÖZTUNA D,KUTLAY Ş,ELHAN A,TENNANT A,Küçükdeveci A "Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 25, ss.147 - 155, 2010.
ISNAD KÖSE, Serdar Kenan vd. "Psychometric Properties of the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Modified Health Assessment Questionnaire (MHAQ) in Patients with Knee Osteoarthritis". Turkish Journal of Rheumatology(.)Archives of Rheumatology 25/3 (2010), 147-155.
Sayfa Oluşturulma Tarihi
17-04-2024 4:42

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