VALIDATION DATA

MEASUREMENT PROPERTIES
Limitations <5 European languages (English)
Observations

Available in English, Turkish and Brazilian Portuguese

1. RELIABILITY
A. Internal Consistency Tested
Cronbach's (Describe)

Kuder-Richardson Formula 20 (KR-20):0.95

B. Reliability intraobserver or test-retest Tested
Continuous scores: intraclass
correlation coefficient (ICC)
Dichotomus: Cohen kappa (Describe)

Two-week interval postal questionnaire: Spearman’s rho 0.84

Analysis of the AS-WIS and AS Qaulity of Life scores for the respondents in work showed a correlation of 0.84 (Sperman’s rho) showing that 72% of the variation in Quality of life of those is associated with their level of WI.

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)

Qualitative interviews; 1st Postal questionnaire; Final item reduction; 2nd Postal questionnaire

AS-WIS is a simple 20 item questionnaire to measure Work Instability in AS. In the final scale half the items where shared with the original RA-WIS providing evidence of the communality of some aspects of WI, but also the unique elements brought to the concept by each diagnostic group.

B. Construct Validity:
Structural validity
Tested
Hypotheses-testing Not Tested
Cross-cultural validity Tested
Brief Description

Item-trait interaction χ²: 24.8; DF 20; p=0.21

The scale showed good fit to Rash model expectations and satisfied the test for unidimensionality (independent t test 10.8% 95% CI 5-17%).

The targeting of the scale was good, with a mean person estimate of 0.033 logits SD 2.315, suggesting the scale to be centered on the person distribution.

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

Tested by Fabreguet et al (Rheumatology 2011), non-parametric Spearman's correlations.

Correlations of the AS-WIS score with SpA scores were significant (P < 0.0001) but moderate:

BASDAI R = 0.42,

BASFI R = 0.41,

Patient's global assessment R = 0.53;