Validity and responsiveness of the Michigan hand questionnaire in patients with rheumatoid arthritis: A multicenter, international study
dc.contributor.author | Waljee, Jennifer F. | en_US |
dc.contributor.author | Chung, Kevin C. | en_US |
dc.contributor.author | Kim, H. Myra | en_US |
dc.contributor.author | Burns, Patricia B. | en_US |
dc.contributor.author | Burke, Frank D. | en_US |
dc.contributor.author | Wilgis, E. F. Shaw | en_US |
dc.contributor.author | Fox, David A. | en_US |
dc.date.accessioned | 2010-11-18T20:27:03Z | |
dc.date.available | 2011-03-01T16:26:46Z | en_US |
dc.date.issued | 2010-11 | en_US |
dc.identifier.citation | Waljee, Jennifer F.; Chung, Kevin C.; Kim, H. Myra; Burns, Patricia B.; Burke, Frank D.; Wilgis, E. F. Shaw; Fox, David A. (2010). "Validity and responsiveness of the Michigan hand questionnaire in patients with rheumatoid arthritis: A multicenter, international study." Arthritis Care & Research 62(11): 1569-1577. <http://hdl.handle.net/2027.42/78299> | en_US |
dc.identifier.issn | 2151-464X | en_US |
dc.identifier.issn | 2151-4658 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/78299 | |
dc.description.abstract | Objective Millions of patients experience the disabling hand manifestations of rheumatoid arthritis (RA), yet few hand-specific instruments are validated in this population. Our objective was to assess the reliability, validity, and responsiveness of the Michigan Hand Questionnaire (MHQ) in patients with RA. Methods At enrollment and at 6 months, 128 RA patients with severe subluxation of the metacarpophalangeal joints completed the MHQ, a 37-item questionnaire with 6 domains: function, activities of daily living (ADL), pain, work, aesthetics, and satisfaction. Reliability was measured using Spearman's correlation coefficients between time periods. Internal consistency was measured using Cronbach's alpha. Construct validity was measured by correlating MHQ responses with the Arthritis Impact Measurement Scales 2 (AIMS2). Responsiveness was measured by calculating standardized response means (SRMs) between time periods. Results The MHQ demonstrated good test–retest reliability (r = 0.66, P < 0.001). Cronbach's alpha scores were high for ADL (Α = 0.90), function (Α = 0.87), aesthetics (Α = 0.79), and satisfaction (Α = 0.89), indicating redundancy. The MHQ correlated well with AIMS2 responses. Function (r = −0.63), ADL (r = −0.77), work (r = −0.64), pain (r = 0.59), and summary score (r = −0.74) were correlated with the physical domain. Affect was correlated with ADL (r = −0.47), work (r = −0.47), pain (r = 0.48), and summary score (r = −0.53). Responsiveness was excellent among arthroplasty patients in function (SRM 1.42), ADL (SRM 0.89), aesthetics (SRM 1.23), satisfaction (SRM 1.76), and summary score (SRM 1.61). Conclusion The MHQ is easily administered, reliable, and valid to measure rheumatoid hand function, and can be used to measure outcomes in rheumatic hand disease. | en_US |
dc.format.extent | 177518 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | John Wiley & Sons, Inc. | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.title | Validity and responsiveness of the Michigan hand questionnaire in patients with rheumatoid arthritis: A multicenter, international study | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | University of Michigan Health System, Ann Arbor | en_US |
dc.contributor.affiliationum | University of Michigan Health System, Ann Arbor ; Section of Plastic Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340 | en_US |
dc.contributor.affiliationum | University of Michigan, Ann Arbor | en_US |
dc.contributor.affiliationum | University of Michigan Medical Center, Ann Arbor | en_US |
dc.contributor.affiliationum | University of Michigan Health System, Ann Arbor | en_US |
dc.contributor.affiliationother | Pulvertaft Hand Centre, Derby, UK | en_US |
dc.contributor.affiliationother | Curtis National Hand Center, Baltimore, Maryland | en_US |
dc.identifier.pmid | 20521331 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/78299/1/20274_ftp.pdf | |
dc.identifier.doi | 10.1002/acr.20274 | en_US |
dc.identifier.source | Arthritis Care & Research | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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