| Name of the Instrument/Tool | Bristol Impact of Hypermobility (BIoH) |
| First Description |
Palmer S, Cramp F, Lewis R, Gould G, Clark EM. Development and initial validation of the Bristol Impact of Hypermobility questionnaire. Physiotherapy. 2017;103(2):186-192 |
| Year | 2017 |
| Domains | |
| Concept of constructs | Anxiety and depression, Coping & helplessness, Fatigue, Pain, Physical function |
| Population/Disease | Disease specific |
| Originally developed for | Joint Hypermobility Syndrome |
| Other rheumatic diseases where can be applied (only if validated) |
--- |
| Additional population with no rheumatic diseases |
No |
| Language: Originally published in | English |
| Available in Language | --- |
| REFERENCE IDENTIFICATION | |
| Author/s | S. Palmer F. Cramp R. Lewis G. Gould E.M. Clark |
| Title | Development and initial validation of the Bristol Impact of Hypermobility questionnaire |
| Journal | Physiotherapy |
| Year | 2017 |
| Vol | 103 |
| Num | 2 |
| Pages | 186-192 |
| Country | UK |
| Language | English |
| Other references of interest | |
| Link | https://pubmed.ncbi.nlm.nih.gov/30312837/ |
| Brief Description |
This study aimed to evaluate the appropriateness, validity, acceptability, feasibility and interpretability of the BIoH. |
| Link | https://pubmed.ncbi.nlm.nih.gov/28881227/ |
| Brief Description |
A test-retest reliability study of the BIoH. |
| Link | https://pubmed.ncbi.nlm.nih.gov/31944577/ |
| Brief Description |
This study aimed to identify whether the BIoH can discriminate between those with and without Joint Hypermobility Syndrome (JHS). |
| Instrument/Tool Translations References | |
| No other References. | |
| DEVELOPER CONTACT INFORMATION | |
| Correspondence to | S. Palmer |
| Shea.Palmer@uwe.ac.uk | |
| Address | Department of Allied Health Professions, University of the West of England, Blackberry Hill, Bristol BS16 1DD, UK. |
| Website | --- |
| Available | --- |
| Links | --- |
| DESCRIPTION OF THE INSTRUMENT | |
| Type Of Measure | Questionnaire |
| Brief Description |
The Bristol Impact of Hypermobility (BIoH) questionnaire is a condition-specific patient-reported outcome measure developed for adults with Joint Hypermobility Syndrome; it has 55 scored items, and correlated well with the physical component score of the Short Form 36 health questionnaire (r=-0.725). |
| Number of Items | 55 |
| Range | 0-360 |
| Responses options/scale |
No |
| Developed for | Both |
| PRACTICAL APPLICATION | |
| Method of administration | Self-administered |
| Recommendations to score |
55 items comprised the final BIoH questionnaire and gave a single composite score of 360. |
| Score Interpretation | Higher scores represent more severe impact |
| Cut-off points | --- |
| Cut-off points applied to | --- |
| Smallest detectable change if described | 42 points |
| Smallest detectable change applied to | --- |
| Completion time by the patient | 10 minutes |
| Scoring time by the assessor | 1 minutes |
| Training to score | Not necessary |
| Strengths | Useful in clinical practice & research |
| Limitations | Lengthy |
| OTHER COMMENTS | |
| Other Comments | --- |