Cross-cultural Adaptation and Validation of the Chinese Version of the Health Assessment Questionnaire for the Spondyloarthropathies (HAQ-S)

Overview

Journal Clin Rheumatol

Publisher Springer

Specialty Rheumatology

Date 2017 Jul 28

PMID 28748512

Citations 1

Authors

Delin Liu

Chen Zhang

Chen Wang

Jiao Liu

Dahe Li

Jia Li

Weidong Xu

Affiliations

Soon will be listed here.

Abstract

The Health Assessment Questionnaire for Spondyloarthropathies (HAQ-S) is a commonly used questionnaire to evaluate function and health status of patients with ankylosing spondylitis (AS). The objective of this study was to cross-culturally adapt the HAQ-S into Chinese and then to evaluate its reliability and validity. The Chinese version of the HAQ-S was obtained with a five-step procedure of translation and cross-cultural adaptation. All invited patients met the New York criteria for AS, and a total of 103 patients finally participated in this study. Intraclass correlation coefficient (ICC) was used to evaluate the test-retest and inter-rater reliability of the HAQ-S. Internal consistency of the questionnaire was evaluated by Cronbach's alpha coefficient. Spearman's correlation coefficient was calculated to assess the construct validity between the HAQ-S and Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), Bath AS Metrology Index (BASMI), and the laboratory parameters (erythrocyte sedimentation rate, ESR; C-reactive protein, CRP). Test-retest and inter-rater reliability were excellent with intraclass correlation coefficients of 0.987 (p < 0.05) and 0.982 (p < 0.05), respectively. The overall internal consistency of the HAQ-S was found satisfactory (Cronbach's alpha = 0.914). The Chinese version of the HAQ-S correlated good with the BASFI (r = 0.749, p < 0.01), and moderate with the BASDAI (r = 0.581, p < 0.01) and the BASMI (r = 0.425, p < 0.01). But, the adapted questionnaire correlated poorly with ESR (r = 0.298, p < 0.01) or CRP (r = 0.283, p < 0.01). The Chinese version of the HAQ-S is reliable and valid for the evaluation of Chinese-speaking patients with AS.

Citing Articles

Evaluation of adalimumab biosimilar candidate (HS016) in Chinese patients with active ankylosing spondylitis based on a health survey: sub-analysis of a phase 3 study.

Su J, Li M, He L, Zhao D, Wan W, Liu Y Clin Rheumatol. 2021; 41(3):731-739.

PMID: 34709497 PMC: 8873115. DOI: 10.1007/s10067-021-05943-w.

References

Zhang C, Liu D, Qu Y, Jia Z, Wang W, Li J . Transcultural adaptation and validation of the Chinese version of the intermittent and constant osteoarthritis pain (ICOAP) measure in patients with knee osteoarthritis. Osteoarthritis Cartilage. 2016; 25(4):506-512. DOI: 10.1016/j.joca.2016.11.012. View

Guillemin F, Bombardier C, Beaton D . Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993; 46(12):1417-32. DOI: 10.1016/0895-4356(93)90142-n. View

Mokkink L, Terwee C, Patrick D, Alonso J, Stratford P, Knol D . The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res. 2010; 19(4):539-49. PMC: 2852520. DOI: 10.1007/s11136-010-9606-8. View

Calin A, Garrett S, Whitelock H, Kennedy L, OHea J, Mallorie P . A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol. 1994; 21(12):2281-5. View

Bruce B, Fries J . The Health Assessment Questionnaire (HAQ). Clin Exp Rheumatol. 2005; 23(5 Suppl 39):S14-8. View

Hidding A, van der Linden S . Factors related to change in global health after group physical therapy in ankylosing spondylitis. Clin Rheumatol. 1995; 14(3):347-51. DOI: 10.1007/BF02208352. View

Kwan Y, Fong W, Lui N, Yong S, Cheung Y, Malhotra R . Validity and reliability of the Health Assessment Questionnaire among patients with spondyloarthritis in Singapore. Int J Rheum Dis. 2016; 21(3):699-704. DOI: 10.1111/1756-185X.12989. View

Zhao L, Liao Z, Li C, Li T, Wu J, Lin Q . Evaluation of quality of life using ASQoL questionnaire in patients with ankylosing spondylitis in a Chinese population. Rheumatol Int. 2006; 27(7):605-11. DOI: 10.1007/s00296-006-0267-4. View

van der Linden S, VALKENBURG H, Cats A . Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984; 27(4):361-8. DOI: 10.1002/art.1780270401. View

10.

Ozcan E, Yilmaz O, Tutoglu A, Bodur H . Validity and reliability of the Turkish version of the Health Assessment Questionnaire for the Spondyloarthropathies. Rheumatol Int. 2011; 32(6):1563-8. DOI: 10.1007/s00296-011-1795-0. View

11.

Terwee C, Bot S, de Boer M, van der Windt D, Knol D, Dekker J . Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2006; 60(1):34-42. DOI: 10.1016/j.jclinepi.2006.03.012. View

12.

Bruce B, Fries J . The Stanford Health Assessment Questionnaire: a review of its history, issues, progress, and documentation. J Rheumatol. 2003; 30(1):167-78. View

13.

Daltroy L, Larson M, Roberts N, Liang M . A modification of the Health Assessment Questionnaire for the spondyloarthropathies. J Rheumatol. 1990; 17(7):946-50. View

14.

Curran D, Molenberghs G, Fayers P, Machin D . Incomplete quality of life data in randomized trials: missing forms. Stat Med. 1998; 17(5-7):697-709. DOI: 10.1002/(sici)1097-0258(19980315/15)17:5/7<697::aid-sim815>3.0.co;2-y. View

15.

Cheng-Chung Wei J, Wong R, Huang J, Yu C, Chou C, Jan M . Evaluation of internal consistency and re-test reliability of Bath ankylosing spondylitis indices in a large cohort of adult and juvenile spondylitis patients in Taiwan. Clin Rheumatol. 2007; 26(10):1685-91. DOI: 10.1007/s10067-007-0573-6. View

16.

Koh E, Seow A, Pong L, Koh W, Chan L, Howe H . Cross cultural adaptation and validation of the Chinese Health Assessment Questionnaire for use in rheumatoid arthritis. J Rheumatol. 1998; 25(9):1705-8. View

17.

Fries J, Spitz P, Kraines R, HOLMAN H . Measurement of patient outcome in arthritis. Arthritis Rheum. 1980; 23(2):137-45. DOI: 10.1002/art.1780230202. View

18.

Viitanen J, Heikkila S . Functional changes in patients with spondylarthropathy. A controlled trial of the effects of short-term rehabilitation and 3-year follow-up. Rheumatol Int. 2001; 20(5):211-4. DOI: 10.1007/s002960100101. View

19.

Shinjo S, Goncalves R, Kowalski S, Goncalves C . Brazilian-Portuguese version of the Health Assessment Questionnaire for Spondyloarthropathies (HAQ-S) in patients with ankylosing spondylitis: a translation, cross-cultural adaptation, and validation. Clin Rheumatol. 2007; 26(8):1254-8. DOI: 10.1007/s10067-006-0479-8. View

20.

Dhir V, Kulkarni S, Adgaonkar A, Dhobe P, Aggarwal A . Translation, cultural adaptation, and validation of the Bath questionnaires and HAQ-S in Hindi for Indian patients with ankylosing spondylitis. Clin Rheumatol. 2012; 31(10):1511-5. DOI: 10.1007/s10067-012-2043-z. View