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

Arthritis & Rheumatology (Impact Factor: 7.76). 11/1983; 26(11):1346-53. DOI: 10.1002/art.1780261107
Source: PubMed


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.

46 Reads
  • Source
    • "The mHAQ is calculated as the average of the single scores. To do that the following scoring is applied: without difficulty = 0, with some difficulty = 1, with much difficulty = 2, unable to do = 3, Values <0.3 are considered normal (Pincus et al 1983). "

    • "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). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Rheumatoid arthritis (RA) and juvenile idiopathic arthritis (JIA) are inflammatory diseases which involve increased risk of cardiovascular disease (CVD). High intensity interval training (HIIT) is known to be effective in improving cardiovascular health. The aim of this study was to investigate whether 10 weeks of HIIT at 85-95 % of HRmax would improve important risk factors of CVD in rheumatic patients, and if these patients would tolerate exercise intensities above today's recommendations. Seven women with RA and eleven with adult-JIA, 20-50 years, were recruited to this cross-over study. Participants performed HIIT, consisting of 4 × 4 min intervals at 85-95 % of HRmax twice a week for 10 weeks on spinning bikes. Maximal oxygen uptake (VO2max), heart rate recovery, blood pressure, body composition, and blood variables were measured before and after the exercise and control period. Disease activity was determined and questionnaire data were collected. HIIT resulted in 12.2 % increase in VO2max and 2.9 % improvement in heart rate recovery (p < 0.05). BMI, body fat, and waist circumference decreased 1.2, 1.0, and 1.6 %, respectively, whereas muscle mass increased 0.6 % (p < 0.05). A trend toward decreased CRP was detected after HIIT (p = 0.08). No changes were detected in disease activity or pain. Despite rigorous high intensity exercise, no increase was detected in disease activity or pain, indicating that HIIT was well tolerated by these patients. Furthermore, HIIT had positive effects on several CVD risk factors. In light of this pilot study, HIIT seems like a promising non-pharmacological treatment strategy for patients with RA and adult-JIA.
    Arbeitsphysiologie 05/2015; DOI:10.1007/s00421-015-3186-9 · 2.19 Impact Factor
  • Source
    • "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. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Aim of the work: The purpose of this study was to investigate the rheumatoid arthritis (RA) characteristics, functional capacity, depression and anxiety as well as quality of life (QoL) in RA patients with chronic radicular low back and leg pain diagnosis which was determined by using electroneuromyographic (ENMG) evaluation. Patients and methods: In this study, 32 female RA patients with radicular low back and leg pain for at least 3. months were recruited. Electroneuromyographic (ENMG) evaluation was performed in all patients and accordingly grouped: group 1: normal ENMG (n= 7; 22%), group 2: patients with polyneuropathy (n= 8; 25%) and group 3: patients with radiculopathy (n= 17; 53%). Disease activity was assessed by disease activity score (DAS28) and functional disability by modified Health Assessment Questionnaire (mHAQ). Arthritis Impact Measurement Scale-2 was used to assess QoL and Beck Inventory for assessment of anxiety and depression. Results: The mean age of the patients was 54.7. ± 10.3. years and disease duration 14.9. ± 8.3. years. The DAS-28 and functional disability were significantly increased (p= 0.005 and p= 0.01) in group-2 compared to the other groups. There were no significant differences in the depression and anxiety scores among the 3 groups. Significantly impaired QoL parameters (Hand-finger function, arm function, social activity and pain) were present in the polyneuropathy group. There was no difference in assessment parameters between the normal and radiculopathy groups. Conclusions: Chronic radicular low back and leg pain in patients with RA may be due to probable lumbar radiculopathy as well as an indicator for polyneuropathy.
    Egyptian Rheumatologist 12/2014; 68(4). DOI:10.1016/j.ejr.2014.11.007
Show more