| MEASUREMENT PROPERTIES | |
| Limitations | >=5 European languages (English) |
| Observations | |
| 1. RELIABILITY | |
| A. Internal Consistency | Tested |
| Cronbach's (Describe) |
Cronbach's alpha = 0.95 |
| B. Reliability intraobserver or test-retest | Tested |
| Continuous scores: intraclass correlation coefficient (ICC) Dichotomus: Cohen kappa (Describe) |
Reliability of the HAQ and SHAQ VAS was demonstrated using data from a Raynaud's phenomenon trial. A therapist observed and graded the activities of the HAQ in patients with SSc. The therapist versus patient ICC ranged from 0.38–0.76, and there were significant differences between the observer and subjects' responses for 4 items, whereas the other items had moderate to good agreement. |
| 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 SHAQ has further face and content validity over the HAQ since it includes SSc‐specific manifestations. |
| B. Construct Validity: Structural validity |
Tested |
| Hypotheses-testing | Tested |
| Cross-cultural validity | Tested |
| Brief Description |
Cole et al compared the HAQ in SSc and early rheumatoid arthritis (ERA), and structural validity was demonstrated. HAQ scores have also been compared between established RA and SSc, where the HAQ is on average higher in SSc. |
| C. Criterion validity | Tested |
| Comparison with a 'gold standard' Continuous scores: correlations, ROC curves Dichotomus: Sensitivity & Specificity (Describe) |
HAQ and pain were found to be related to the physical component score of the Medical Outcomes Study Short Form 36 (SF‐36; R = 0.70) in a cross‐sectional study of 89 patients with SSc. Also, the criterion validity of the SHAQ by comparing the clinician's assessment of the patient's activities (observed disability) with the scores noted by the patient in the questionnaire (referred disability);(r = 0.87) |