Title
Self-administered joint counts in rheumatoid arthritis: Comparison with standard joint counts
Date Issued
22 March 1999
Access level
metadata only access
Resource Type
journal article
Author(s)
Calvo F.
Berrocal A.
Pevez C.
Romero F.
Vega E.
Cusi R.
Visaga M.
De La Cruz R.
Publisher(s)
Journal of Rheumatology
Abstract
Objective. To test the reliability and validity of a self-administered 36 joint count developed after the Rapid Assessment of Disease Activity in Rheumatology (RADAR) questionnaire for assessing pain/tenderness. Methods. Two self-administered formats (mannequin and text) were evaluated in 60 patients with rheumatoid arthritis (RA). Reliability between both formats was tested by Spearman rank correlation. Criterion validity/accuracy was tested by Spearman correlation coefficient between each self-report format and a joint count performed by a physician. Construct validity was ascertained by correlation of each format with other variables of disease activity. Results. Reliability between the 2 formats was high (R = 0.94). Correlations between each format and the physician's joint count were also high (R = 0.77 for mannequin, 0.75 for text). Patients consistently rated their joint pain/tenderness higher than the physician (means 29, 27, and 12 for text, mannequin, and physician, respectively; p < 0.01). Construct validity of the text, mannequin, and physician formats compared with the modified Health Assessment Questionnaire showed R = 0.61, 0.65, 0.63; with Steinbrocker functional class R = 0.41, 0.46, 0.56; with pain R = 0.59, 0.61, 0.62; with global evaluation R = 0.66, 0.71, 0.84; and with morning stiffness R = 0.64, 0.59, 0.60, respectively. Conclusion. Although both self-administered formats exhibited adequate reliability and construct validity, a systematic difference between patient and physician/trained assistant performed joint counts was observed, with patients consistently rating their pain/tenderness higher. We thus do not believe they can replace standard physician/trained assistant evaluation in obtaining clinical research data in rheumatology.
Start page
536
End page
539
Volume
26
Issue
3
Language
English
OCDE Knowledge area
Reumatología
Subjects
Scopus EID
2-s2.0-0033026879
PubMed ID
Source
Journal of Rheumatology
ISSN of the container
0315162X
Sources of information:
Directorio de Producción Científica
Scopus