Skip to main content
Log in

Adaptation of the osteoarthritis-specific quality of life scale (the OAQoL) for use in Germany, Hungary, Italy, Spain and Turkey

  • Validation Studies
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

The Osteoarthritis Quality of Life scale (OAQoL) is specific to individuals with osteoarthritis. The present study describes the adaptation of the OAQoL for use in the following five European languages: German, Hungarian, Italian, Spanish and Turkish. The study involved three stages in each language; translation, cognitive debriefing (face and content validity) and validation. The validation stage assessed internal consistency (Cronbach’s alpha), reproducibility (test–retest reliability using Spearman’s rank correlations), convergent and divergent validity (correlations with the Health Assessment Questionnaire, The Western Ontario and McMaster Universities Index of osteoarthritis and Nottingham Health Profile) and known group validity. The OAQoL was successfully translated into the target languages with minimal problems. Cognitive debriefing interviewees found the measures easy to complete and identified few problems with content. Internal consistency ranged from 0.94 to 0.97 and test–retest reliability (reproducibility) from 0.87 to 0.98. These values indicate that the new language versions produce very low levels of measurement error. Median OAQoL scores were higher for patients reporting a current flare of osteoarthritis in all countries. Scores were also related, as expected, to perceived severity of osteoarthritis. The OAQoL was successfully adapted for use in Germany, Hungary, Italy, Spain and Turkey. The addition of these new language versions will prove valuable to multinational clinical trials and to clinical practice in the respective countries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Moskowitz RW (2009) The burden of osteoarthritis: clinical and quality-of-life issues. Am J Manag Care 15:S223–S229

    PubMed  Google Scholar 

  2. Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull WHO 81:646–656. doi:10.1590/S0042-96862003000900007

    PubMed  PubMed Central  Google Scholar 

  3. Badley EM, Wang PP (1998) Arthritis and the aging population: projections of arthritis prevalence in Canada 1991 to 2031. J Rheumatol 25:138–144

    CAS  PubMed  Google Scholar 

  4. Juhl C, Lund H, Roos EM, Zhang W, Christensen R (2012) A hierarchy of patient-reported outcomes for meta-analysis of knee osteoarthritis trials: empirical evidence from a survey of high impact journals. Arthritis. doi:10.1155/2012/136245

    PubMed  PubMed Central  Google Scholar 

  5. McKenna SP (2011) Measuring patient-reported outcomes: moving beyond misplaced common sense to hard science. BMC Med 9:86–97. doi:10.1186/1741-7015-9-86

    Article  PubMed  PubMed Central  Google Scholar 

  6. Keenan AM, McKenna SP, Doward LC, Conaghan PG, Emery P, Tennant A (2008) Development and validation of a needs-based quality of life instrument for osteoarthritis. Arthritis Rheum (Arthritis Care Res) 59:841–848. doi:10.1002/art.23714

    Article  Google Scholar 

  7. Swaine-Verdier A, Doward LC, Hagell P, Thorsen H (2004) Adapting quality of life instruments. Value Health 7:S27–S30. doi:10.1111/j.1524-4733.2004.7s107.x

    Article  PubMed  Google Scholar 

  8. Hunt SM, Alonso J, Bucquet D, Niero M, Wiklund I, McKenna S (1991) Cross-cultural adaptation of health measures. European Group for Health Management and Quality of Life Assessment. Health Policy 19(1):33–44 (Review).

    Article  CAS  PubMed  Google Scholar 

  9. Altman R, Asch E, Bloch D et al (1986) Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum 29:1039–1049. doi:10.1002/art.1780290816

    Article  CAS  PubMed  Google Scholar 

  10. Altman R, Alarcón G, Appelrouth D et al (1991) The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum 34:505–514. doi:10.1002/art.1780340502

    Article  CAS  PubMed  Google Scholar 

  11. Altman R, Alarcón G, Appelrouth D et al (1991) The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand. Arthritis Rheum 33:1601–1610. doi:10.1002/art.1780331101

    Article  Google Scholar 

  12. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt L (1988) Validation study of WOMAC: a health status instrument for measuring clinically-important patient-relevant outcomes following total hip or knee arthroplasty in osteoarthritis. J Orthop Rheumatol 1:95–108

    Google Scholar 

  13. Fries JF, Spitz P, Kraines RG, Holman HR (1980) Measurement of patient outcome in arthritis. Arthritis Rheum 23:137–145. doi:10.1002/art.1780230202

    Article  CAS  PubMed  Google Scholar 

  14. Hunt SM, McKenna SP, McEwen J, Williams J, Papp E (1981) The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med A 15:221–229. doi:10.1016/0271-7123(81)90005-5

    CAS  PubMed  Google Scholar 

  15. McKenna SP, Hunt SM, Tennant A (1993) The development of a patient-completed index of distress from the Nottingham Health Profile: A new measure for use in cost-utility studies. J Med Econ 6:13–24

    Article  Google Scholar 

  16. Neville C, Whalley D, McKenna, Le Comte M, Fortin PR (2001) Adaptation and validation of the rheumatoid arthritis quality of life scale for use in Canada. J Rheumatol 28:1505–1510

    CAS  PubMed  Google Scholar 

  17. Thorsen H, Hansen TM, McKenna SP, Sørensen SF, Whalley D (2001) Adaptation into Danish of the Stanford Health Assessment Questionnaire (HAQ) and the Rheumatoid Arthritis Quality of Life Scale (RAQoL). Scand J Rheumatol 30:103–109. doi:10.1080/03009740151095402

    Article  CAS  PubMed  Google Scholar 

  18. Kutlay S, Küçükdevec AA, Gönül D, Tennant A (2003) Adaptation and validation of the Turkish version of the Rheumatoid Arthritis Quality of Life Scale. Rheumatol Int 23:21–26. doi:10.1007/s00296-002-0247-2

    PubMed  Google Scholar 

  19. Tammaru M, McKenna SP, Meads DM, Maimets K, Hansen E (2006) Adaptation of the Rheumatoid Arthritis Quality of Life Scale for Estonia. Rheumatol Int 26:655–662. doi:10.1007/s00296-005-0038-7

    Article  PubMed  Google Scholar 

  20. Cox SR, McWilliams L, Massy-Westropp N, Meads DM, Hansen E (2007) Adaptation of the RAQoL for use in Australia. Rheumatol Int 27:661–666. doi:10.1007/s00296-006-0287-0

    Article  CAS  PubMed  Google Scholar 

  21. Wilburn J, McKenna SP, Twiss J et al (2015) Further international adaptation and validation of the Rheumatoid Arthritis Quality of Life (RAQoL) questionnaire. Rheumatol Int 34:669–675. doi:10.1007/s00296-014-3138-4

    Article  Google Scholar 

  22. Hagell P, Hedin PJ, Meads DM, Nyberg L, McKenna SP (2010) Effects of method of translation of patient-reported health outcome questionnaires: a randomized study of the translation of the Rheumatoid Arthritis Quality of Life (RAQoL) Instrument for Sweden. Value Health 13:424–430. doi:10.1111/j.1524-4733.2009.00677.x

    Article  PubMed  Google Scholar 

  23. Nijsten T, Meads DM, de Korte J, Sampogna F, Gelfand JM, Ongenae K, Evers AW, Augustin M (2007) Cross-cultural inequivalence of dermatology-specific health-related quality of life instruments in psoriasis patients. J Invest Dermatol 127:2315–2322. doi:10.1038/sj.jid.5700875

    Article  CAS  PubMed  Google Scholar 

  24. McKenna SP, Doward LC, Meads DM, Tennant A, Lawton G, Grueger J (2007) Quality of life in infants and children with atopic dermatitis: addressing issues of differential item functioning across countries in multinational clinical trials. Health Qual Life Outcomes 5:45–52. doi:10.1186/1477-7525-5-45

    Article  PubMed  PubMed Central  Google Scholar 

  25. Meads DM, McKenna SP, Doward LC (2006) Assessing the cross-cultural comparability of the Centre for Epidemiologic Studies Depression Scale (CES-D). Value Health 9:A324. doi:10.1016/s1098-3015(10)63577-2

    Article  Google Scholar 

  26. Whalley D, McKenna SP, de Jong Z, van der Heijde D (1997) Quality of life in rheumatoid arthritis. Br J Rheumatol 36:884–888. doi:10.1093/rheumatology/36.8.884

    Article  CAS  PubMed  Google Scholar 

  27. Doward LC, Spoorenberg A, Cook SA et al (2003) Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis. Ann Rheum Dis 62:20–26. doi:10.1136/ard.62.1.20

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. McKenna SP, Doward LC, Whalley D, Tennant A, Emery P, Veale DJ (2004) Development of the PsAQoL: a quality of life instrument specific to psoriatic arthritis. Ann Rheum Dis 63:162–169. doi:10.1136/ard.2003.006296

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Keenan AM, McKenna SP, Doward LC, Conaghan PG, Emery P, Tennant A (2008) Development and validation of a needs-based quality of life instrument for osteoarthritis. Arthritis Rheum 59:841–848. doi:10.1002/art.23714

    Article  PubMed  Google Scholar 

  30. Doward LC, McKenna SP, Whalley D, Tennant A, Griffiths B, Emery P, Veale DJ (2009) The development of the L-QoL: a quality of life instrument specific to Systemic Lupus Erythematosus. Ann Rheum Dis 68:196–200. doi:10.1136/ard.2007.086009

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This study was funded by The European League Against Rheumatism (EULAR). We would particularly like to thank the translation panel members and the participants in the cognitive debriefing interviews and validation surveys.

Author contributions

All authors qualify for the definition given by the International Committee of Medical Journal Editors for authorship.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeanette Wilburn.

Ethics declarations

Funding

This study was funded by The European League Against Rheumatism (EULAR).

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual patients included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wilburn, J., McKenna, S.P., Kutlay, Ş. et al. Adaptation of the osteoarthritis-specific quality of life scale (the OAQoL) for use in Germany, Hungary, Italy, Spain and Turkey. Rheumatol Int 37, 727–734 (2017). https://doi.org/10.1007/s00296-017-3664-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-017-3664-y

Keywords

Navigation