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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A cross-sectional study of the association between Heberden’s nodes, radiographic osteoarthritis of the hands, grip strength, disability, and pain. This is a significant addition to prior research on the AUSCAN because this scale has not been previously validated among African Americans, and other studies have shown that there are racial differences in pain reporting among individuals with arthritis 67.

The AUSCAN stiffness subscale 1 item, scale of 0—4 and the self-reported hand pain items scale of 0—3 were not normally distributed. KL grading is a standard and the most common method for assessing radiographic hand OA. Coefficient alpha and the internal structure of tests. To examine construct validity of the subscales, we assessed correlations of all three AUSCAN subscales with hand strength grip and pinch strength for both right and left hands and the self-reported right and left hand pain four-point scale.

The HAQ was developed as a comprehensive measure of outcome in patients with a wide variety of rheumatic diseases, including rheumatoid arthritis, osteoarthritis, lupus, scleroderma, ankylosing spondylitis, fibromyalgia, and psoriatic arthritis.

We used an oblique rotation promax since we expected the subscales to be correlated. We examined these partial correlations in right and left hands.

This analysis allowed us to test the associations of each subscale with strength and pain while controlling for the other subscale. It would be valuable to examine whether these cognitive processes vary according to ascan and other demographic characteristics.


Validity and factor structure of the AUSCAN Osteoarthritis Hand Index in a community-based sample

Radiological assessment of osteoarthrosis. Details of the protocol are reported elsewhere 8.

All items are rated on a scale of 0 none to 4 extreme. Dimensionality and clinical importance of pain and disability in hand osteoarthritis: Next, we conducted factor analyses with two factors specified, since the AUSCAN items we included were intended to measure two constructs pain and function. 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.

The three dimensions of pain, disability and joint stiffness are evaluated for patients with osteoarthritis of the hand. The HAQc is a parent administered questionnaire and has been used extensively in children with rheumatoid arthritis. Does parallel item content on WOMAC’s pain and function subscales limit its ability to detect change in functional status?

Author manuscript; available in PMC Nov It assesses the three dimensions of pain, disability and joint stiffness for patients with osteoarthritis of the hip or knee. This is likely due to similarity between some activities queried in the pain and function subscales i. Because the AUSCAN is a relatively new scale, it is important to examine its utility and measurement properties in a variety of populations and settings to evaluate the generalizability of this scale.

Construct validity was also supported, as grip and pinch strength were more strongly correlated with the AUSCAN function subscale than with the pain and stiffness subscales.

Australian/Canadian Osteoarthritis Hand Index (AUSCAN)

The source language is English for USA. Translated and Validated Questionnaires Health Outcomes Group has translated and linguistically validated many questionnaires over the years. This article was originally published in a journal published by Elsevier, and the attached copy is provided by Elsevier for the author’s benefit and for the benefit of the author’s institution, for non-commercial research and educational use including without limitation use in instruction at your institution, sending it to specific colleagues that you know, and providing a copy to your institution’s administrator.


The views expressed in this manuscript are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs. Open in a separate window. For the total sample, all pain subscale items clearly loaded on one factor and all function items on another. However, we did not observe a clear factor pattern corresponding to activity type in this analysis. Prior studies have involved small clinical samples 1 — 3 and family-based samples 45.

The racial differences observed in this study add to prior research showing that African Americans and whites differ in their experience and descriptions of pain 7 Results for the total sample are not shown but were similar to the factor loadings for the Caucasian group shown in Table V.

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.

Because sample size can influence factor analytic results and thus may have contributed to the questionnajre differences between Caucasian and African American groups, we randomly divided the Caucasian participants in the sample into two groups that were approximately the same size as the African American group. Author information Copyright and License information Disclaimer. Conclusions Results support the validity of the AUSCAN in a general sample of adults, as well as across demographic and qestionnaire subgroups, although the subscale structures differed slightly by race.