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Bibliographic reference(s) of the original questionnaire. Bellamy N, Campbell J, Haraoui B, Gerecz-Simon E, Buchbinder R, Hobby K, MacDermid JC. Clinimetric . The questionnaire was intended for persons with hand and wrist conditions and. Jun 7, (AUSCAN), Cochin Hand Function Scale, Functional Index for Hand Osteoarthritis and Michigan Hand Outcomes Questionnaire (MHQ).

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It would be valuable to examine whether these cognitive processes vary according to race and other demographic characteristics. This may indicate some item redundancy, and it is possible that the number of items could be reduced. It assesses the three dimensions of pain, disability and joint stiffness for patients with osteoarthritis of the hip or knee. In addition, we used an queshionnaire classification of hand OA to examine whether results differed if a less strict definition of OA was employed.

The HAQ should be considered a generic rather than a disease-specific instrument. Radiological assessment of osteoarthrosis. Cronbach’s alpha levels were lowest for participants with no self-reported hand pain, but these were still well within the acceptable range 0. The impact of arthritis in rural populations. A First Course in Factor Analysis. Cronbach’s alphas for the total scale and subscales were above 0.

Australian/Canadian Osteoarthritis Hand Index (AUSCAN)

Wuscan questions were asked separately for the right and left hands. Satisfactory cross cultural equivalence of the Dutch WOMAC in patients with hip osteoarthritis waiting for questionnair. However, as stated above, it also may be related to limitations in our single-item hand pain measures. Older patients’ perceptions of quality of chronic knee or hip pain: Cognitive interviewing would also help to examine individuals’ thought processes when responding to these items.

Overall, results suggest that the AUSCAN has acceptable measurement properties and can be a valuable tool for assessing the impact of OA on pain and function in the community. The AUSCAN was developed through an interactive process involving expert opinion from health care providers rheumatologists, physiotherapists, orthopedic surgeons and interviews with patients.

We used an oblique rotation promax since we expected the subscales to be correlated. Results were similar for all subgroups gender, race, all age groups, both classifications of radiographic OA, hand pain.


AUSCAN Osteoarthritis Index – AUSCAN – Hand Osteoarthritis

Studies have shown auxcan measure has acceptable reliability, construct validity, and responsiveness 1 — 5. Validation of an algofunctional index for osteoarthritis of the hand. Open in a separate window.

With respect to gender, associations of AUSCAN subscales with pinch and grip strength were slightly weaker for men than women, but these were all statistically significant for both groups and followed patterns similar to those shown in Table II.

Stratford PW, Kennedy D. Among African Americans, there was a more notable difference in the factor structure of the AUSCAN pain and function items when two factors were specified. While the AUSCAN was originally developed among patients with OA, it may also have broader application if its measurement properties extend across a more general sample. The publisher’s final edited version of this article is available at Osteoarthritis Cartilage. For the total sample, all pain subscale items clearly loaded on one factor and all function items on another.

We conducted factor analyses with two factors specified on these two separate Caucasian groups and found that the factor loadings were similar to each other and to those for the full sample.

Participants completed grip and pinch strength measures at the same visit as questionnaire measures AUSCAN and self-reported pain. Is there a difference in the perception of symptoms between African Americans and auecan with osteoarthritis. The questionnaire also includes a global question. Translated and Validated Questionnaires Health Outcomes Group has translated and linguistically validated many questionnaires over the years. For measures including multiple subscales i.

Several of these have been made available for distribution through us by their developers. This may indicate some weakness in the construct validity and specificity of the AUSCAN pain subscale among these subgroups.

Therefore Spearman’s rank-order coefficient was used for any correlations involving either of these two variables. We did not find substantial differences questilnnaire the subscales’ associations with single-item pain measures for the right or left hand. However, it is not clear why the less difficult function items share more variance with the pain items which relate to tasks of varying difficulty than with the other function items.

While the AUSCAN was originally designed and validated for use among individuals with radiographic hand OA, this study indicates its utility may be broader, suitable for assessing hand pain, stiffness, and function in more general adult samples. Partial correlations Spearman represent the association of one subscale with the strength or pain item while controlling for the other subscale.


The HAQ is a self reported questionnaire that evaluates functional capability to perform various activities of daily during the past week using a 4-level Likert scale. The AUSCAN is a item scale measuring pain 5 itemsstiffness 1 item and function 9 items during the preceding 48 h. Furthermore, internal consistency was acceptable for all subgroups we examined, including individuals without self-reported hand pain and individuals without radiographic hand OA. Sensitivity to change of the Functional Index for Hand Osteoarthritis.

These partial correlations were also age- and sex-adjusted. All other uses, reproduction and distribution, including without limitation commercial reprints, selling or licensing copies or access, or posting on open internet sites, your personal or institution’s website or repository, are prohibited. Results of the exploratory factor analysis with the number of factors not specified are shown in Table IV for the full sample.

Auscn College Publishers; Patients and methods Subjects The cross-sectional sample was composed of individuals enrolled in the Johnston County Osteoarthritis Project who completed the AUSCAN during a follow-up assessment approximately 5—7 years after their baseline assessment.

We recently reported that among a large sample of adults with familial hand osteoarthritis OAthe AUSCAN showed acceptable factorial validity, with three distinct subscales 5. KL grading is a standard and the most common method for assessing radiographic hand OA. Three trials were conducted, and an average of the three trials was calculated. Please review our privacy policy. We examined the internal consistency, construct validity, and factor structure of the AUSCAN among the total sample, as well as in subgroups according to gender, race, presence of hand pain, and presence of radiographic hand osteoarthritis OA.

Because the subscales may not discretely measure pain and function as expected, their sensitivity to change may not be optimal when used independently rather qusetionnaire as part of a total AUSCAN score.