Detailled Information

Name of the Instrument/Tool Rheumatoid Arthritis Disease Activity Index 5 (RADAI 5)
First Description

Leeb BF, Haindl PM, Maktari A, Nothnagl T, Rintelen B. Patient-centered rheumatoid arthritis disease activity assessment by a modified RADAI. J Rheumatol. 2008 Jul;35(7):1294-9. Epub 2008 May 15. PMID: 18484698.

Year 2104
Domains
Concept of constructs Disease activity
Population/Disease Disease specific
Originally developed for Rheumatoid Arthritis (RA)
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 Dutch, French, German, Italian, Turkish
REFERENCE IDENTIFICATION
Author/s Leeb BF, Haindl PM, Brezinschek HP, Nothnagl T, Rintelen B.
Title RADAI-5 to monitor rheumatoid arthritis.
Journal Clin Exp Rheumatol.
Year 2014
Vol 32
Num 5
Pages 55-58
Country Austria
Language English
Other references of interest
Link https://pubmed.ncbi.nlm.nih.gov/19332635/
Brief Description

The rheumatoid arthritis disease activity index-5 in daily use. Proposal for disease activity categories. 

Link https://pubmed.ncbi.nlm.nih.gov/27762187/
Brief Description

RADAI-5 and electronic monitoring tools.

Link https://onlinelibrary.wiley.com/doi/full/10.1002/acr.20621
Brief Description

Review of measures of rheumatoid arthritis disease activity.

Instrument/Tool Translations References
No other References.
DEVELOPER CONTACT INFORMATION
Correspondence to Burkhard F. Leeb
E-Mail leeb.rheuma@aon.at
Address Karl Landsteiner Institut für Klinische Rheumatologie, Babogasse 20; A-2020 Hollabrunn, Österreich.
Website www.leeb-rheuma.at
Available ---
Links ---
DESCRIPTION OF THE INSTRUMENT
Type Of Measure Questionnaire
Brief Description

The RADAI and RADAI‐5 are patient‐assessed measures for disease activity in rheumatoid arthritis (RA). Both are 5‐item questionnaires. The items ask about global disease activity in the last 6 months, current disease activity with respect to joint tenderness and swelling, arthritis pain, and duration of morning stiffness. The RADAI also includes tender joints rated on a joint list and the RADAI‐5 asks about general health.

The RADAI‐5 is analogous to the RADAI with replacement of joint counts by the patient's general health assessment and slight change of question format. 

Number of Items 5
Range 0-10
Responses options/scale No
Developed for ---
PRACTICAL APPLICATION
Method of administration Self-administered
Recommendations to score

All items are scored on a 0–10 ordered category scale. For items 1 and 2, 0 = “completely inactive” and 10 = “extremely active.” For item 3, 0 = “no pain” and 10 = “unbearable pain.” For item 4, 0 = “very good” health status and 10 = “very bad” health status. For item 5, 0 = “no stiffness” and 10 = “stiffness the whole day.”

Score Interpretation 0 means no RA disease activity, with higher scores indicating higher levels of disease activity.
Cut-off points 0.0–1.4 = a remission‐like state, 1.6–3.0 = mild disease activity, 3.2–5.4 = moderate disease activity, and 5.6–10.0 = high disease activity
Cut-off points applied to ---
Smallest detectable change if described 1.4
Smallest detectable change applied to ---
Completion time by the patient <1 minutes
Scoring time by the assessor <1 minutes
Training to score Not necessary
Strengths Easy to use, Useful in clinical practice & research
Limitations ---
OTHER COMMENTS
Other Comments ---