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A new biopsychosocial and clinical questionnaire to assess juvenile idiopathic arthritis: JAB-Q

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Abstract

Objective

To create a new multidimensional questionnaire for the assessment of juvenile idiopathic arthritis (JIA) patients in standard clinical practice and study the validity and reliability of this questionnaire.

Methods

The Juvenile Arthritis Biopsychosocial and Clinical Questionnaire (JAB-Q) was created using the Delphi technique and consensus conference following an initial literature search. The questionnaire has three parts including a clinician form, child form and parent form. This is a patient/parent-centered outcome tool, which helps us to evaluate the biopsychosocial aspects of the patient, including disease activity, posture, functional and psychosocial status, fatigue, and performance in school. From January 2015 to January 2018, 6–18 years old children with JIA were enrolled in the study. The previously validated questionnaires were also applied to each participant to validate the JAB-Q: Juvenile Idiopathic Disease Arthritis Score (JADAS) and Childhood Health Assessment Questionnaire (CHAQ), and the Family Impact Questionnaire (FIS). The same questionnaire was re-administered after one week to assess the test–retest reliability in randomly selected 50 children and their parents.

Results

A group of experts were invited to the Delphi survey. After the Delphi tours, the final form of the questionnaire containing three parts as clinician form, child form and parent form was created. This tool was applied to 310 JIA patients and their parents. The children and parents easily handled the JAB-Q and filled the forms in around 10–15 min. The validity of the clinician, child and parents’ forms were assessed by the JADAS, CHAQ, and FIS, respectively. The validity of these three scales were determined as moderate. In addition, the test–retest reliability of the clinician, child and parents’ forms were considerably high.

Conclusion

JAB-Q is a valid and reliable multidimensional biopsychosocial outcome tool that can be used routinely in clinical practice of pediatric rheumatology. The main advantage of this tool is incorporation of patients’ and parents’ perspectives separately while providing a practical and standard setting for the clinician’s evaluation. However, further validation of this tool in an independent cohort is needed to improve its applicability.

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Acknowledgements

We thank to all clinicians and physiotherapists, especially to Pınar Kisacik, PT-PhD, for their help during Delphi surveys and data collection.

Funding

No financial support was received in the preparation of this article.

Author information

Authors and Affiliations

  1. Department of Physical Therapy and Rehabilitation, Hacettepe University Faculty of Health Sciences, Ankara, Turkey

    Edibe Unal, Gamze Arin, Nur Banu Karaca, Aykut Ozcadirci & Fatma Birgul Oflaz

  2. Department of Pediatric Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Ezgi Deniz Batu, Hafize Emine Sonmez, Erdal Sag, Selcan Demir, Yelda Bilginer & Seza Ozen

  3. Department of Pediatric Rheumatology, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey

    Zehra Serap Arici

  4. Department of Biostatistics, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Duygu Aydin Hakli & Reha Alpar

  5. Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, 06100, Ankara, Turkey

    Seza Ozen

Authors
  1. Edibe Unal
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  2. Ezgi Deniz Batu
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  3. Hafize Emine Sonmez
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  4. Zehra Serap Arici
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  10. Aykut Ozcadirci
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  13. Yelda Bilginer
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  14. Seza Ozen
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Contributions

All authors contributed to the study concept, design, acquisition, and interpretation of data. EDB, HES, ZSA, GA, NBK, ES, SD, AO, and FBO drafted the manuscript. Literature review was conducted by NBK, GA, and AO. EU, YB, and SO revised the manuscript critically. DAH and RA performed the statistical analysis. All authors have read and approved the final form of the manuscript for publication.

Corresponding author

Correspondence to Seza Ozen.

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Conflict of interest

The authors declare no conflict of interest.

Ethical approval

The study was approved by the ethics committee of Hacettepe University (March 18 2015; GO 15/231-11). Written informed consent was obtained from all participants (both children and their parents).

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Unal, E., Batu, E.D., Sonmez, H.E. et al. A new biopsychosocial and clinical questionnaire to assess juvenile idiopathic arthritis: JAB-Q. Rheumatol Int 38, 1557–1564 (2018). https://doi.org/10.1007/s00296-018-4075-4

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