Multi-dimensional health assessment questionnaire in China: reliability, validity and clinical value in patients with rheumatoid arthritis

To evaluate the psychometric properties and clinical utility of Chinese Multidimensional Health Assessment Questionnaire (MDHAQ-C) in patients with rheumatoid arthritis (RA) in China. 162 RA patients were recruited in the evaluation process. The reliability of the questionnaire was tested by interna...

Full description

Saved in:
Bibliographic Details
Published in:PloS one 2014-05, Vol.9 (5), p.e97952-e97952
Main Authors: Song, Yang, Zhu, Li-an, Wang, Su-li, Leng, Lin, Bucala, Richard, Lu, Liang-jing
Format: Article
Language:English
Subjects:
Activities of daily living
Adult
Aged
Anxiety
Arthritis
Arthritis, Rheumatoid - psychology
Biology and Life Sciences
Care and treatment
China
Consent
Correlation
Depression (Mood disorder)
Exercise
Family medical history
Female
Health
Health Surveys - methods
Hospitals
Humans
Language
Male
Medicine
Medicine and Health Sciences
Mental depression
Middle Aged
Pain
Patients
Physical fitness
Psychometrics
Quantitative psychology
Questionnaires
Real estate appraisal
Reliability analysis
Reproducibility of Results
Rheumatic diseases
Rheumatoid arthritis
Rheumatoid factor
Rheumatology
Surveys
Surveys and Questionnaires
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To evaluate the psychometric properties and clinical utility of Chinese Multidimensional Health Assessment Questionnaire (MDHAQ-C) in patients with rheumatoid arthritis (RA) in China. 162 RA patients were recruited in the evaluation process. The reliability of the questionnaire was tested by internal consistency and item analysis. Convergent validity was assessed by correlations of MDHAQ-C with Health Assessment Questionnaire (HAQ), the 36-item Short-Form Health Survey (SF-36) and the Hospital anxiety and depression scales (HAD). Discriminant validity was tested in groups of patients with varied disease activities and functional classes. To evaluate the clinical values, correlations were calculated between MDHAQ-C and indices of clinical relevance and disease activity. Agreement with the Disease Activity Score (DAS28) and Clinical Disease Activity Index (CDAI) was estimated. The Cronbach's alpha was 0.944 in the Function scale (FN) and 0.768 in the scale of psychological status (PS). The item analysis indicated all the items of FN and PS are correlated at an acceptable level. MDHAQ-C correlated with the questionnaires significantly in most scales and scores of scales differed significantly in groups of different disease activity and functional status. MDHAQ-C has moderate to high correlation with most clinical indices and high correlation with a spearman coefficient of 0.701 for DAS 28 and 0.843 for CDAI. The overall agreement of categories was satisfying. MDHAQ-C is a reliable, valid instrument for functional measurement and a feasible, informative quantitative index for busy clinical settings in Chinese RA patients.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0097952