Stanford Health Assessment
Questionnaire (the HAQ).
Source Article
Fries JF, Spitz P, Kraines RG, Holman HR. Measurement of patient
outcome in arthritis. Arthritis Rheum 1980;23: 137-145.
Description The Health Assessment
Questionnaire (HAQ) was one of the first self-report functional status
(disability) measures and has become the major instrument in many
disease areas, including arthritis.
Structure / Content
There are two types of HAQ: full and short (2-page). The full HAQ assesses 5 dimensions of health outcome (see below). The
short HAQ contains the HAQ Disability Index (HAQ-DI), the VAS Pain
Scale, and the VAS Patient Global in a 2-page format.
1. DISABILITY: These 8 categories make up the “Disability
Index“ (HAQ-DI): Dressing, Walking, Arising, Reach, Eating, Grip,
Hygiene, Outside activity.
2. DISCOMFORT: HAQ VAS pain scale, Patient Global VAS
[Supplemental dimensions also included in the Full HAQ (tailored to
specific hypotheses or research questions)]
3. DRUG SIDE EFFECTS: Medical, Toxicity Index, Surgical
4. DOLLAR COSTS: Direct costs: Medical/surgical costs
(Medications, Paramedical visits, Laboratory tests, Devices,
Radiographs, Hospitalizations, Physician visits, Surgeries), Indirect
costs: Loss of productivity
5. DEATH: Time to death, Cause of death
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