Validity and responsiveness of the Michigan Hand Questionnaire in patients with rheumatoid arthritis: a multicenter, international study.

Jennifer F. Waljee, Kevin C. Chung, H. Myra Kim, Patricia B. Burns, Frank D. Burke, E. F Shaw Wilgis, David A. Fox

Research output: Contribution to journalArticle

Abstract

Millions of patients experience the disabling hand manifestations of rheumatoid arthritis (RA), yet few hand-specific instruments are validated in this population. Our objective was to assess the reliability, validity, and responsiveness of the Michigan Hand Questionnaire (MHQ) in patients with RA. At enrollment and at 6 months, 128 RA patients with severe subluxation of the metacarpophalangeal joints completed the MHQ, a 37-item questionnaire with 6 domains: function, activities of daily living (ADL), pain, work, aesthetics, and satisfaction. Reliability was measured using Spearman's correlation coefficients between time periods. Internal consistency was measured using Cronbach's alpha. Construct validity was measured by correlating MHQ responses with the Arthritis Impact Measurement Scales 2 (AIMS2). Responsiveness was measured by calculating standardized response means (SRMs) between time periods. The MHQ demonstrated good test-retest reliability (r = 0.66, P <0.001). Cronbach's alpha scores were high for ADL (α = 0.90), function (α = 0.87), aesthetics (α = 0.79), and satisfaction (α = 0.89), indicating redundancy. The MHQ correlated well with AIMS2 responses. Function (r = -0.63), ADL (r = -0.77), work (r = -0.64), pain (r = 0.59), and summary score (r = -0.74) were correlated with the physical domain. Affect was correlated with ADL (r = -0.47), work (r = -0.47), pain (r = 0.48), and summary score (r = -0.53). Responsiveness was excellent among arthroplasty patients in function (SRM 1.42), ADL (SRM 0.89), aesthetics (SRM 1.23), satisfaction (SRM 1.76), and summary score (SRM 1.61). The MHQ is easily administered, reliable, and valid to measure rheumatoid hand function, and can be used to measure outcomes in rheumatic hand disease.

Original languageEnglish (US)
Pages (from-to)1569-1577
Number of pages9
JournalArthritis Care and Research
Volume62
Issue number11
StatePublished - Nov 2010
Externally publishedYes

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Multicenter Studies
Rheumatoid Arthritis
Hand
Activities of Daily Living
Esthetics
Reproducibility of Results
Pain
Arthritis
Surveys and Questionnaires
Metacarpophalangeal Joint
Job Satisfaction
Rheumatic Diseases
Arthroplasty
Outcome Assessment (Health Care)
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Waljee, J. F., Chung, K. C., Kim, H. M., Burns, P. B., Burke, F. D., Wilgis, E. F. S., & Fox, D. A. (2010). Validity and responsiveness of the Michigan Hand Questionnaire in patients with rheumatoid arthritis: a multicenter, international study. Arthritis Care and Research, 62(11), 1569-1577.

Validity and responsiveness of the Michigan Hand Questionnaire in patients with rheumatoid arthritis : a multicenter, international study. / Waljee, Jennifer F.; Chung, Kevin C.; Kim, H. Myra; Burns, Patricia B.; Burke, Frank D.; Wilgis, E. F Shaw; Fox, David A.

In: Arthritis Care and Research, Vol. 62, No. 11, 11.2010, p. 1569-1577.

Research output: Contribution to journalArticle

Waljee, JF, Chung, KC, Kim, HM, Burns, PB, Burke, FD, Wilgis, EFS & Fox, DA 2010, 'Validity and responsiveness of the Michigan Hand Questionnaire in patients with rheumatoid arthritis: a multicenter, international study.', Arthritis Care and Research, vol. 62, no. 11, pp. 1569-1577.
Waljee, Jennifer F. ; Chung, Kevin C. ; Kim, H. Myra ; Burns, Patricia B. ; Burke, Frank D. ; Wilgis, E. F Shaw ; Fox, David A. / Validity and responsiveness of the Michigan Hand Questionnaire in patients with rheumatoid arthritis : a multicenter, international study. In: Arthritis Care and Research. 2010 ; Vol. 62, No. 11. pp. 1569-1577.
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