| Name of the Instrument/Tool | Health Assessment Questionnaire for the Spondyloarthropaties (HAQ-S) |
| First Description |
Daltroy LH, Larson MG, Roberts NW, Liang MH. A modification of the Health Assessment Questionnaire for the spondyloarthropathies. J Rheumatol 1990;17(7):946–50. |
| Year | 1990 |
| Domains | |
| Concept of constructs | Physical function |
| Population/Disease | Disease specific |
| Originally developed for | Ankylosing spondylitis (AS), Axial Spondyloarthritis |
| 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 | English, Turkish, Spanish, Finnish, Portuguese |
| REFERENCE IDENTIFICATION | |
| Author/s | Daltroy LH |
| Title | A modification of the Health Assessment Questionnaire for the spondyloarthropathies. |
| Journal | J Rheumatol |
| Year | 1990 |
| Vol | 17 |
| Num | 7 |
| Pages | 946-50 |
| Country | United States |
| Language | English |
| Other references of interest | |
| Link | http://www.ncbi.nlm.nih.gov/pubmed/10493677 |
| Brief Description |
Comparative responsiveness of 3 functional indices in ankylosing spondylitis. |
| Link | http://www.ncbi.nlm.nih.gov/pubmed/9918252 |
| Brief Description |
Validity and sensitivity to change of spondylitis specific measures of functional disability. |
| Link | http://www.ncbi.nlm.nih.gov/pubmed/7362664 |
| Brief Description |
Brief description: Measurement of patient outcome in arthritis - HAQ-DI article. |
| Instrument/Tool Translations References | |
| Link | http://www.ncbi.nlm.nih.gov/pubmed/2213762 |
| Brief Description |
A modification of the Health Assessment Questionnaire for the spondyloarthropathies (original English version). |
| Link | http://www.ncbi.nlm.nih.gov/pubmed/7641514 |
| Brief Description |
Factors related to change in global health after group physical therapy in ankylosing spondylitis (Dutch). |
| Link | http://www.ncbi.nlm.nih.gov/pubmed/7857999 |
| Brief Description |
Continuation of group physical therapy is necessary in ankylosing spondylitis: results of a randomized controlled trial (Dutch). |
| DEVELOPER CONTACT INFORMATION | |
| Correspondence to | Professor Mathew Liang |
| mhliang@bics.bwh.harvard.edu | |
| Address | 5 Francis Street, Department of Rheumatology Brigham & Women’s Hospital, Boston, MA 02115 |
| Website | --- |
| Available | --- |
| Links |
The HAQ 20-item disability scale is available at http://patienteducation.stanford.edu/research/haq20.html. The 5 extra questions are outlined in the original HAQ-S manuscript |
| DESCRIPTION OF THE INSTRUMENT | |
| Type Of Measure | Questionnaire |
| Brief Description |
Patient self-administered questionnaire used to assess the physical functioning of an individual with ankylosing spondylitis/axial SpA. The HAQ-S is an adaptation of the Health Assessment Questionnaire (HAQ) that includes five items specific to axSpA |
| Number of Items | 25 items (20 from HAQ-DI and 5 unique to HAQ-S) |
| Range | 0-3 |
| Responses options/scale |
Yes Responses are 0 = able to do with no difficulty; 1 = able to do with some difficulty; 2 = able to do with much difficulty; and 3 = unable to do. |
| Developed for | Both |
| PRACTICAL APPLICATION | |
| Method of administration | Self-administered |
| Recommendations to score |
Score each category by the highest score within that category. Do not score if 25% items are missing. If any "aids or devices" and/or "help from another person" item is checked, upscore to “2” the category to which they apply (unneeded if the score is already "2" or "3"). The total score is = (sum of the categories / number of answered categories). Do not score if >2categories are missing. |
| Score Interpretation | --- |
| Cut-off points | --- |
| Cut-off points applied to | --- |
| Smallest detectable change if described | --- |
| Smallest detectable change applied to | --- |
| Completion time by the patient | - minutes |
| Scoring time by the assessor | - minutes |
| Training to score | Need to get used to the scoring. |
| Strengths | Useful in clinical practice & research, Widely used |
| Limitations | Floor effect |
| OTHER COMMENTS | |
| Other Comments |
This measure has been used in some registries to monitor axSpA symptoms |