Abstract
SAT0155 Scores on the MDHAQ for “Walk 2 Miles or 3 Kilometers,” “Poor Sleep” and “Participate in Recreation,” Which Are not on the Haq, Indicate Poorer Status than Scores from the Haq: Data from the United States and Australia
Annals of the rheumatic diseases, v 73(Suppl 2), 646
Jun 2014
Abstract
Background Patients with rheumatoid arthritis (RA) are significantly better in recent years than in previous decades.1 Health assessment questionnaire (HAQ) scores were almost always elevated in 1980 when the HAQ2 was reported; in 1999, 16% of patients had HAQ scores of zero, suggesting “no difficulty” in function, but most nonetheless reported problems with function as well as psychosocial issues, reflecting “floor effects.”3 Therefore, a multidimensional HAQ (MDHAQ) was developed to include 13 queries in the user-friendly HAQ format, 8 simple activities of daily living (ADL) from (and identical to) the HAQ, and 5 not on the HAQ: 2 complex activities – “walk 2 miles or 3 kilometers” and “participate in recreation and sports as you would like”; and 3 “psychological” queries – sleep quality, anxiety and depression. Objectives To analyze mean scores for each of 13 MDHAQ items in 3 rheumatology settings, 2 in the USA and one in Australia, to recognize their capacity to document improved clinical status. Methods All patients at 3 settings in Ridley Park, PA USA, Baltimore, MD USA and Liverpool, NSW, Australia complete an MDHAQ at each visit in the reception area before seeing the physician. The MDHAQ queries 13 items (Table) in the patient-friendly HAQ format, all scored 0-3, with 4 response options: without any difficulty=0, with some difficulty=1, with much difficulty=2 and unable to do=3. Mean scores were analyzed in 224 RA patients in PA USA, 432 visits of 72 RA patients in MD USA, and 228 patients with all rheumatic diseases (RD) in Australia. Statistical significance was evaluated using Wilcoxon signed rank tests. Results Mean scores >0.88 (0-3 scale) were seen at all 3 sites for 3 of the 13 items in all patient groups, “walk 2 miles/3 kilometers,” “participate in recreation/sports as you would like” and “poor sleep”, 3 of the 5 MDHAQ items not found on the HAQ. Scores varied at the 3 sites, but patterns were similar. Questionnaire items USA, PA: USA, MD: Australia: RA (n=224 pts) RA (n=432 visits) All RD (n=228 pts) Traditional HAQ items a. Dress yourself 0.45 0.65 0.63 b. Get in and out of bed 0.44 0.41 0.56 c. Lift a cup to your mouth 0.20 0.28 0.21 d. Walk outdoors on flat ground 0.50 0.61 0.44 e. Wash/dry one's body 0.38 0.48 0.49 f. Bend down to pick up clothing 0.57 0.58 0.76 g. Turn on taps/faucets 0.27 0.34 0.50 h. Get in and out of car/bus 0.51 0.59 0.67 Unique MDHAQ items i. Walk 2 miles/3 kilometers 1.37 1.42 1.47 j. Participate in recreation/sports 1.31 1.78 1.76 k. Get a good night's sleep 0.91 0.88 1.20 l. Deal with anxiety 0.47 0.41 0.74 m. Deal with depression 0.43 0.39 0.69 Conclusions The MDHAQ identifies patient problems that are not captured by the HAQ, similarly in USA and Australia, which may be valuable in clinical management and documentation of improvement over time, not possible when baseline scores are zero. The MDHAQ might be included in usual clinical care and in clinical trials. References Arthritis Rheum 2005;52:1009. Arthritis Rheum 1980;23:137. Arthritis Rheum 1999;42:2220. Disclosure of Interest None declared DOI 10.1136/annrheumdis-2014-eular.3458
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Details
- Title
- SAT0155 Scores on the MDHAQ for “Walk 2 Miles or 3 Kilometers,” “Poor Sleep” and “Participate in Recreation,” Which Are not on the Haq, Indicate Poorer Status than Scores from the Haq: Data from the United States and Australia
- Creators
- I. Castrejόn - New York UniversityM.J. Bergman - Taylor Hospital, Ridley Park, PA, United StatesK.A. Gibson - Liverpool HospitalJ. Meyerhoff - Sinai HospitalG. Luta - Georgetown UniversityE.P. Davoudzadeh - New York UniversityT. Pincus - New York University
- Publication Details
- Annals of the rheumatic diseases, v 73(Suppl 2), 646
- Publisher
- BMJ PUBLISHING GROUP
- Number of pages
- 1
- Resource Type
- Abstract
- Language
- English
- Academic Unit
- Medicine (Graduate)
- Web of Science ID
- WOS:000346919803352
- Other Identifier
- 991021916904404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Rheumatology