| Name of the Instrument/Tool | Modified Health Assessment Questionnaire (MHAQ) |
| First Description |
Pincus T, Summey JA, Soraci SA, Wallston KA, Hummon NP. Assessment of patient satisfaction in activities of daily living using a modified Stanford Health Assessment Questionnaire. Arthritis & Rheumatology. 1983;26(11):1346-53 |
| Year | 1983 |
| Domains | |
| Concept of constructs | Health related quality of life, Physical function |
| Population/Disease | Disease specific |
| Originally developed for | Osteoarthritis (OA), Plaque psoriasis, Rheumatoid Arthritis (RA) |
| Other rheumatic diseases where can be applied (only if validated) |
Ankylosing spondylitis (AS), Fibromyalgia (FM), Inflammatory arthritis (IA), Juvenile Idiopathic Arthritis (JIA), Plaque psoriasis, Systemic Lupus Erythematosus (SLE) |
| Additional population with no rheumatic diseases |
No |
| Language: Originally published in | English |
| Available in Language | --- |
| REFERENCE IDENTIFICATION | |
| Author/s | Pincus T, Summey JA, Soraci SA Jr, Wallston KA, Hummon NP. |
| Title | Assessment of patient satisfaction in activities of daily living using a modified Stanford Health Assessment Questionnaire |
| Journal | Arthritis Rheum |
| Year | 1983 |
| Vol | 26 |
| Num | --- |
| Pages | 1346-1353 |
| Country | USA |
| Language | English |
| Other references of interest | |
| Link | http://www.ncbi.nlm.nih.gov/pubmed/22588760 |
| Brief Description |
Maska L, Anderson J, Michaud K. Measures of functional status and quality of life in rheumatoid arthritis: Health Assessment Questionnaire Disability Index (HAQ), Modified Health Assessment Questionnaire (MHAQ), Multidimensional Health Assessment Questionnaire (MDHAQ), Health Assessment Questionnaire II (HAQ-II), Improved Health Assessment Questionnaire (Improved HAQ), and Rheumatoid Arthritis Quality of Life (RAQoL).Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S4-13 |
| Link | http://onlinelibrary.wiley.com/doi/10.1002/1529-0131(199909) … |
| Brief Description |
Wolfe F, Pincus T. Listening to the patient: a practical guide to self-report questionnaires in clinical care. Arthritis Rheum 1999;42:1797–808. |
| Link | http://www.ncbi.nlm.nih.gov/pubmed/22588752 |
| Brief Description |
White DK, Wilson JC, Keysor JJ.Measures of adult general functional status: SF-36 Physical Functioning Subscale (PF-10), Health Assessment Questionnaire (HAQ), Modified Health Assessment Questionnaire (MHAQ), Katz Index of Independence in activities of daily living, Functional Independence Measure (FIM), and Osteoarthritis-Function-Computer Adaptive Test (OA-Function-CAT). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S297-307 |
| Instrument/Tool Translations References | |
| Link | http://link.springer.com/article/10.1007%2Fs10067-002-0659-0 |
| Brief Description |
Calvo-Alen J, Corrales A, Sanchez-Andrada S, Fernandez-Echevarria MA, Pena JL, Rodriguez-Valverde V. Functional outcome and subset dentification in RA patients from meridional Europe: analysis of a Spanish cohort. Clin Rheumatol 2003;22:77–83. |
| DEVELOPER CONTACT INFORMATION | |
| Correspondence to | Theodore Pincus, MD |
| t.pincus@rhul.ac.uk | |
| Address | New York University Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003 |
| Website | http://www.iche.edu/newsletter/MHAQ.pdf. |
| Available | --- |
| Links | --- |
| DESCRIPTION OF THE INSTRUMENT | |
| Type Of Measure | Questionnaire |
| Brief Description |
The MHAQ was developed as a short version of the HAQ with the goal of decreased patient and provider time commitment. The MHAQ was developed for use in patients with rheumatic disease as an assessment of functional status, but it has also been used to assess function after joint arthroplasty. There are 8 items: dressing, arising, eating, walking, hygiene, reaching, gripping, and getting in and out of car. |
| Number of Items | 8 |
| Range | 0-3 |
| Responses options/scale |
Yes and 3 =unable to do. |
| Developed for | Research |
| PRACTICAL APPLICATION | |
| Method of administration | Interviewer/assessor, Self-administered |
| Recommendations to score |
The MHAQ may be calculated by hand or with a calculator by adding all scored items together (at least 6 of the 8 items are required) and dividing by the total number of items answered to obtain the final score |
| Score Interpretation | Higher scores indicate worse function and greater disability. |
| Cut-off points |
MHAQ scores < 0.3 are considered normal. MHAQ scores can divided into categories: mild (MHAQ <1.3), moderate (1.3 |
| Cut-off points applied to | --- |
| Smallest detectable change if described | 0.22 |
| Smallest detectable change applied to | --- |
| Completion time by the patient | <5 minutes |
| Scoring time by the assessor | <5 minutes |
| Training to score | Not necessary |
| Strengths | Easy to use, Widely used |
| Limitations | Floor effect |
| OTHER COMMENTS | |
| Other Comments | --- |