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Measuring functioning in patients with hand osteoarthritis: content comparison of questionnaires based on the International Classification of Functioning, Disability and Health (ICF)

Measuring functioning in patients with hand osteoarthritis: content comparison of questionnaires based on the International Classification of Functioning, Disability and Health (ICF)
Measuring functioning in patients with hand osteoarthritis: content comparison of questionnaires based on the International Classification of Functioning, Disability and Health (ICF)
Objective: When selecting a questionnaire, researchers and clinicians need to know whether or not a questionnaire covers the relevant outcomes. The aim of this study was to analyse and compare the content of questionnaires that have been used to assess functioning in patients with hand osteoarthritis (OA) based on the International Classification of Functioning, Disability and Health (ICF).

Method: Questionnaires were identified in a structured literature search. All concepts included in the items of the questionnaires were linked to the ICF categories according to the 10 established linking rules by two health professionals. The degree of agreement between the two health professionals was determined by means of kappa statistic. On the basis of the linking, the content of the instruments was compared. For each concept, it was examined whether functioning is measured on the level of activity or participation or both activity and participation. Indicators for content density, content diversity and the percentage of linked ICF categories addressing participation were calculated.

Results: Health Assessment Questionnaire, AUSCAN, Cochin scale, FIHOA, SACRAH and AIMS2-SF were analysed. The result of the kappa statistic for agreement between the two investigators was 0.74. 163 concepts were identified in the 113 items of all instruments, which were then linked to seven ICF categories of the component body functions, 45 categories of the component activities and participation and six categories of the component environmental factors. AUSCAN and SACRAH had the lowest and AIMS2-SF showed the highest diversity ratio and the highest percentage of linked ICF categories that addressed participation.

Conclusion: When selecting instruments for comprehensive measurements of functioning in hand OA, researchers and clinicians are advised to include both one instrument with a low diversity ratio (for disease-specific aspects) and another instrument with a high diversity ratio (for broader aspects of functioning including some aspects of participation).
international classification of functioning disability and health (ICF), hand functioning, hand osteoarthritis
1462-0324
1534-1541
Stamm, Tanja
abe85120-cb3d-4b86-8e65-ad91c602445c
Geyh, Szilvia
277a9f7e-1e41-48ef-ad1a-cb91f559f215
Cieza, Alarcos
a0df25c5-ee2c-4580-82b3-d0a75591580e
Machold, Klaus
6cff35d0-5ddd-4d78-9c5b-175e6c85a0e8
Kollerits, Barbara
720e9d45-8d82-48a5-9cce-cae57388f636
Kloppenburg, Margreet
49dc2dd9-bbd0-42e9-8f1d-a56961ebe95f
Smolen, Josef
6eeaaaae-306e-4e62-80bd-69a81013eb69
Stucki, Gerold
0534525c-103b-45be-b0a5-061d8867ef0d
Stamm, Tanja
abe85120-cb3d-4b86-8e65-ad91c602445c
Geyh, Szilvia
277a9f7e-1e41-48ef-ad1a-cb91f559f215
Cieza, Alarcos
a0df25c5-ee2c-4580-82b3-d0a75591580e
Machold, Klaus
6cff35d0-5ddd-4d78-9c5b-175e6c85a0e8
Kollerits, Barbara
720e9d45-8d82-48a5-9cce-cae57388f636
Kloppenburg, Margreet
49dc2dd9-bbd0-42e9-8f1d-a56961ebe95f
Smolen, Josef
6eeaaaae-306e-4e62-80bd-69a81013eb69
Stucki, Gerold
0534525c-103b-45be-b0a5-061d8867ef0d

Stamm, Tanja, Geyh, Szilvia, Cieza, Alarcos, Machold, Klaus, Kollerits, Barbara, Kloppenburg, Margreet, Smolen, Josef and Stucki, Gerold (2006) Measuring functioning in patients with hand osteoarthritis: content comparison of questionnaires based on the International Classification of Functioning, Disability and Health (ICF). Rheumatology, 45 (12), 1534-1541. (doi:10.1093/rheumatology/kel133). (PMID:16670156)

Record type: Article

Abstract

Objective: When selecting a questionnaire, researchers and clinicians need to know whether or not a questionnaire covers the relevant outcomes. The aim of this study was to analyse and compare the content of questionnaires that have been used to assess functioning in patients with hand osteoarthritis (OA) based on the International Classification of Functioning, Disability and Health (ICF).

Method: Questionnaires were identified in a structured literature search. All concepts included in the items of the questionnaires were linked to the ICF categories according to the 10 established linking rules by two health professionals. The degree of agreement between the two health professionals was determined by means of kappa statistic. On the basis of the linking, the content of the instruments was compared. For each concept, it was examined whether functioning is measured on the level of activity or participation or both activity and participation. Indicators for content density, content diversity and the percentage of linked ICF categories addressing participation were calculated.

Results: Health Assessment Questionnaire, AUSCAN, Cochin scale, FIHOA, SACRAH and AIMS2-SF were analysed. The result of the kappa statistic for agreement between the two investigators was 0.74. 163 concepts were identified in the 113 items of all instruments, which were then linked to seven ICF categories of the component body functions, 45 categories of the component activities and participation and six categories of the component environmental factors. AUSCAN and SACRAH had the lowest and AIMS2-SF showed the highest diversity ratio and the highest percentage of linked ICF categories that addressed participation.

Conclusion: When selecting instruments for comprehensive measurements of functioning in hand OA, researchers and clinicians are advised to include both one instrument with a low diversity ratio (for disease-specific aspects) and another instrument with a high diversity ratio (for broader aspects of functioning including some aspects of participation).

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More information

Published date: December 2006
Keywords: international classification of functioning disability and health (ICF), hand functioning, hand osteoarthritis
Organisations: Psychology

Identifiers

Local EPrints ID: 341719
URI: http://eprints.soton.ac.uk/id/eprint/341719
ISSN: 1462-0324
PURE UUID: e6cb4755-3a73-4258-a1a2-305baf8a8412

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Date deposited: 01 Aug 2012 14:51
Last modified: 08 Nov 2021 23:05

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Contributors

Author: Tanja Stamm
Author: Szilvia Geyh
Author: Alarcos Cieza
Author: Klaus Machold
Author: Barbara Kollerits
Author: Margreet Kloppenburg
Author: Josef Smolen
Author: Gerold Stucki

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