VALIDATION DATA

MEASUREMENT PROPERTIES
Limitations <5 European languages (English)
Observations
1. RELIABILITY
A. Internal Consistency Tested
Cronbach's (Describe)

0.88

B. Reliability intraobserver or test-retest Not Tested
Continuous scores: intraclass
correlation coefficient (ICC)
Dichotomus: Cohen kappa (Describe)
C. Reliability interobserver or Measurement error Not Tested
Standard error of measurement (SEM),
smallest detectable change (SDC) or
Limits of agreement (LoA) (Describe)
2. VALIDITY
A. Content validity: face validity Tested
Expert opinion (relevance and
comprehensiveness) (Describe)

The HAQ-II was developed to be a short replacement for the HAQ and was created using an item bank and Rasch analysis to best balance item fit, scale length, and item spacing in an attempt to correct the floor effects seen with earlier modifications of the HAQ.

B. Construct Validity:
Structural validity
Tested
Hypotheses-testing Tested
Cross-cultural validity Tested
Brief Description

The HAQ-II was designed using Rasch analysis and was found to measure disability over a longer scale than the HAQ, and has no nonfitting items and no gaps between items. The HAQ-II is not a true unidimensional tool and includes 9 items assessing functional limitations and 1 measure of disability (“doing outside work”).

C. Criterion validity Tested
Comparison with a 'gold standard' Continuous scores:
correlations, ROC curves Dichotomus:
Sensitivity & Specificity (Describe)

The HAQ-II and HAQ are highly correlated (r= 0.92) with average HAQ-II scores shown to be only minimally lower (by 0.02–0.04) than HAQ scores. Notably, HAQ and HAQ-II have been shown not to be interchangeable in an individual patient.