Rheumatology International

, Volume 27, Issue 7, pp 661–666 | Cite as

Adaptation of the RAQoL for use in Australia

  • S. R. Cox
  • L. McWilliams
  • N. Massy-Westropp
  • D. M. Meads
  • S. P. McKenna
  • S. Proudman
Original Article

Abstract

Quality of life is an important patient-reported outcome of rheumatoid arthritis (RA) in addition to structural and functional outcomes. The RAQoL (Rheumatoid Arthritis Quality of Life questionnaire) was developed in the UK and the Netherlands as a disease-specific tool. It was adapted for use in the Australian social context and the reliability and validity was tested. A lay panel assessed the UK version and adapted the wording for use within Australia. Reliability and validity were assessed by a postal survey of the RAQoL and comparator questionnaires to 100 patients with RA. The RAQoL was easily adapted into Australian-English. Test–retest reliability was high with a Spearman rank correlation coefficient of 0.93. RAQoL scores correlated well with patient-perceived disease activity and severity—indicating good validity. The Australian version of the RAQoL is a valid and reliable tool for the assessment of quality of life. It is practical, easy to administer and has good potential for use in clinical settings and trials in Australia.

Keywords

RAQoL Australia Quality of life 

References

  1. 1.
    Wiles N, Symmons DP, Harriso B, Barrett E, Barrett J, Scott DG, Silman AJ (1999) Estimating the incidence of rheumatoid arthritis: trying to hit a moving target? Arthritis Rheum 42(7):1339–1346PubMedCrossRefGoogle Scholar
  2. 2.
    Spector TD (1990) Rheumatoid arthritis. Rheum Dis Clin North Am 16(3):513–537PubMedGoogle Scholar
  3. 3.
    Hochberg MC (1981) Adult and juvenile rheumatoid arthritis: current epidemiologic concepts. Epidemiol Rev 3:27–44PubMedGoogle Scholar
  4. 4.
    Hunt SM, McKenna SP (1992) The QLDS: a scale for the measurement of quality of life in depression. Health Policy 22(3):307–319PubMedCrossRefGoogle Scholar
  5. 5.
    Hawthorne G, Richardson J, Osborne R (1999) The Assessment of Quality of Life (AQoL) instrument: a psychometric measure of health-related quality of life. Qual Life Res 8(3):209–224PubMedCrossRefGoogle Scholar
  6. 6.
    de Jong Z, van der Heijde D, McKenna SP, Whalley D (1997) The reliability and construct validity of the RAQoL: a rheumatoid arthritis-specific quality of life instrument. Br J Rheum 36(8):878–883CrossRefGoogle Scholar
  7. 7.
    Whalley D, McKenna SP, de Jong Z, van der Heijd D (1997) Quality of life in rheumatoid arthritis. Br J Rheum 36(8):884–888CrossRefGoogle Scholar
  8. 8.
    Tijhuis GJ, de Jong Z, Zwinderman AH, Zuijderduin WM, Jansen LM, Hazes JM, Vliet Vlieland TP (2001) The validity of the Rheumatoid Arthritis Quality of Life (RAQoL) questionnaire. Rheumatology 40(10):1112–1119PubMedCrossRefGoogle Scholar
  9. 9.
    Thorsen H, Hansen TM, McKenna SP, Sorensen 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(2):103–109PubMedCrossRefGoogle Scholar
  10. 10.
    Neville C, Whalley D, McKenna S, Le Comte M, Fortin PR (2001) Adaptation and validation of the rheumatoid arthritis quality of life scale for use in Canada. J Rheum 28(7):1505–1510PubMedGoogle Scholar
  11. 11.
    Kutlay S, Kucukdeveci AA, Gonul D, Tennant A (2003) Adaptation and validation of the Turkish version of the Rheumatoid Arthritis Quality of Life scale. Rheumatol Int 23(1):21–26PubMedGoogle Scholar
  12. 12.
    Wells G, Boers M, Shea B, Tugwell P, Westhovens R, Saurez-Almazor M, Buchbinder R (1999) Sensitivity to change of generic quality of life instruments in patients with rheumatoid arthritis: preliminary findings in the generic health OMERACT study. OMERACT/ILAR Task Force on Generic Quality of Life. Life Outcome Measures in Rheumatology. International League of Associations for Rheumatology. J Rheum 26(1):217–221PubMedGoogle Scholar
  13. 13.
    Rasch G (1980) Probablistic models for some intelligence and attainment tests. University of Chicago Press, ChicagoGoogle Scholar
  14. 14.
    Andrich D (1988) Rasch models for measurement. Sage Publications, LondonGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • S. R. Cox
    • 1
  • L. McWilliams
    • 1
  • N. Massy-Westropp
    • 2
  • D. M. Meads
    • 3
  • S. P. McKenna
    • 3
  • S. Proudman
    • 1
  1. 1.Department of RheumatologyRoyal Adelaide HospitalAdelaideAustralia
  2. 2.School of Health SciencesUniversity of South AustraliaAdelaideAustralia
  3. 3.Galen Research ManchesterUK

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