Health Assessment Questionnaire Sample Clauses

Health Assessment Questionnaire. The HAQ assesses disability in eight domains; dressing, arising, eating, walking, hygiene, reach, grip and common activities. There are twenty questions over the eight domains with four possible answers; without any difficulty, with some difficulty, with much difficulty, unable to do. Each of the disability items has a companion aids or devices variable, which is used to document whether the patient requires the assistance of a device and or the assistance of another person to perform each task. The HAQ can be seen in the appendix. There are a number of variations to the original HAQ score, including the shortened modified HAQ [Xxxxxx et al. 1983] and the shortened RA-HAQ, a study by Xxxxx [Xxxxx et al. 2001] of 2,491 clinic patients with RA with active disease showed the conventional HAQ is better at detecting treatment change, and identifies the extent of functional disability better than the shortened questionnaires. The benefits of the MHAQ and RA-HAQ are that they are short and easier to score but this comes at a price, which is loss of sensitivity and loss of sensitivity to change. An alternative termed the HAQ-II, which involves 10 items, has also been developed. This has been studied in 14,038 RA patients with rheumatic disease over a 2-year period [Xxxxx et al. 2004]. It is reliable, has a longer scale than the conventional HAQ, and may therefore be better equipped to avoid floor and ceiling effects. Conversion from HAQ to HAQ-II and from HAQ-II to HAQ for research purposes is simple and reliable. [Xxxxxxxx et al. 2010] The HAQ-II can be used in all places where the HAQ is now used, and it may prove to be easier to use in the clinic. Another modification of the HAQ is the multidimensional HAQ (MDHAQ), developed and validated on 688 patients by Xxxxxx et al in 1999. One of the problems of the MHAQ and HAQ as mentioned above is the floor effect. The MDHAQ by adding 6 advanced questions on activities of living (ADL) to the 8 ADL included on the MHAQ aimed to overcome this floor effect. Whereas patients may report no problems performing simple tasks, they may experience difficulty performing advanced tasks. Also psychological items which assess depression, anxiety and poor sleep which are included may be used to screen for these common problems. The MDHAQ has been subsequently revised [Sokka et al. 2005] and the number of ADL items reduced to 10 items. This was found to provide similar information to the 14 item MDHAQ but to be more easily completed. ...