PMID- 21131272 OWN - NLM STAT- MEDLINE DCOM- 20111102 LR - 20191210 IS - 1462-0332 (Electronic) IS - 1462-0324 (Linking) VI - 50 IP - 4 DP - 2011 Apr TI - Comparison of measures of functional disability in patients with gout. PG - 709-13 LID - 10.1093/rheumatology/keq387 [doi] AB - OBJECTIVE: To compare the measurement properties of the HAQ disability index (HAQ-DI), HAQ-II and short form 36 physical functioning scale (PF-10) in patients with gout. METHODS: A cross-sectional sample of 97 patients with gout completed all three measures. Reliability was assessed by examining the internal consistency of the scales. Validity was assessed by testing for expected intercorrelations and associations with other aspects of health status and the ability to discriminate between patients with different levels of general health. Additionally, distributional properties were examined. RESULTS: All three measures demonstrated high reliability (Cronbach's alpha >/= 0.93), strong intercorrelations (r >/= 0.75), and the expected pattern of external correlations. The HAQ-DI and HAQ-II performed somewhat better in discriminating between patients. However, both demonstrated ceiling effects of 34.0 and 25.8%, respectively, compared with only 7.2% of the patients scoring no disability on the PF-10. CONCLUSIONS: The HAQ-DI, HAQ-II and PF-10 demonstrated similar and adequate reliability and validity for measuring functional disability in patients with gout. The large ceiling effects of both HAQ versions, however, may point to limited content validity and responsiveness to change. Further research should examine whether current instruments cover all aspects of physical functioning relevant to patients with gout. FAU - Ten Klooster, Peter M AU - Ten Klooster PM AD - Institute for Behavioural Research, Faculty of Behavioural Sciences, University of Twente, The Netherlands. p.m.tenklooster@utwente.nl FAU - Oude Voshaar, Martijn A H AU - Oude Voshaar MA FAU - Taal, Erik AU - Taal E FAU - van de Laar, Mart A F J AU - van de Laar MA LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20101202 PL - England TA - Rheumatology (Oxford) JT - Rheumatology (Oxford, England) JID - 100883501 SB - IM MH - Activities of Daily Living MH - Aged MH - Cross-Sectional Studies MH - Diagnosis, Differential MH - *Disability Evaluation MH - Female MH - Gout/diagnosis/*physiopathology MH - Humans MH - Male MH - Middle Aged MH - Outcome Assessment, Health Care/*methods MH - Reproducibility of Results MH - Severity of Illness Index EDAT- 2010/12/07 06:00 MHDA- 2011/11/04 06:00 CRDT- 2010/12/07 06:00 PHST- 2010/12/07 06:00 [entrez] PHST- 2010/12/07 06:00 [pubmed] PHST- 2011/11/04 06:00 [medline] AID - keq387 [pii] AID - 10.1093/rheumatology/keq387 [doi] PST - ppublish SO - Rheumatology (Oxford). 2011 Apr;50(4):709-13. doi: 10.1093/rheumatology/keq387. Epub 2010 Dec 2.