Article

Assessment of patient satisfaction in ADL using a modified Stanford Health Assessment Questionnaire

Arthritis & Rheumatology (Impact Factor: 7.87). 11/1983; 26(11):1346-53. DOI: 10.1002/art.1780261107
Source: PubMed

ABSTRACT Patient satisfaction in performing activities of daily living (ADL) was assessed by using a self-administered questionnaire modified from the Stanford Health Assessment Questionnaire (HAQ). The HAQ includes questions to determine a patient's degree of difficulty and need for help and assistive devices in ADL. A modification of the HAQ (MHAQ) was developed to include questions concerning perceived patient satisfaction regarding the same ADL, along with perceived change in degree of difficulty. In order to add additional questions while maintaining the length of the questionnaire in a format suitable in routine care, the number of ADL included in the MHAQ was reduced from 20 to 8. Information regarding degree of difficulty derived from 8 questions in the MHAQ is comparable with that derived from 20 questions in the HAQ. The response of a patient that a specific activity is associated with difficulty in functional capacity was not inevitably associated with the absence of patient satisfaction; 43.7% of patients responding "with some difficulty" and 19.1% of patients responding "with much difficulty" expressed satisfaction with their functional capacity. A major determinant of expression of patient satisfaction was perceived change in difficulty: 81.4% of patients noting that their function was "less difficult now," in contrast to 16.9% of patients responding "more difficult now," expressed satisfaction. These studies suggest that data regarding patient satisfaction and perceived change in difficulty can be assessed to more completely characterize patients' functional status in ADL.

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    • "The MHAQ includes questions to determine a patient's degree of difficulty and need for help and assistive devices in ADL. The patients answer if they have difficulty performing ADL from 0 = no difficulty; 1 = some difficulty; 2 = much difficulty, and 4 = unable to do (Pincus et al. 1983). "
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    • "Modified health assessment questionnaire (m-HAQ) [18] was used to assess functional disability. It is a self-administered instrument which asks respondents to rate the amount of difficulty they experience performing eight activities, evaluating patient difficulty with activities of daily living over the past week, on a scale ranging from 0 to 3 (0: without difficulty, 1: 2 E. Karaca Umay et al. "
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    • "b. The Modified Health Assessment Questionnaire (MHAQ) (Pincus et al., 1983) is a valid and reliable measure of functional disability. Final scores ranged from 0 to 3, with 0 indicating perfect function and 3 indicating severe disability. "
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