Skip to main content

Advertisement

Log in

Psychometric properties evaluation of the childhood health assessment questionnaire (CHAQ) in Moroccan juvenile idiopathic arthritis

  • Original Article
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

The objective of this study is to develop and validate a Moroccan version of the childhood health assessment questionnaire (CHAQ), a disability measure for children suffering from juvenile idiopathic arthritis. The CHAQ has been validated in a cross-sectional study in 60 JIA, classified into systemic (33%), polyarticular (38%), extended oligoarticular (6.4%), and persistent oligoarticular (21.6%) subtypes. The CHAQ was tested for reliability and construct validity by correlating the yield of the questionnaire with other disease activity parameters. Disability index was significantly different among the four JIA subtypes. CHAQ proved to be valid in clinically discriminating between healthy subjects and patients with different patterns of JIA. The convergent validity was demonstrated by strong correlations of the disability score with the JIA score set of variables. In conclusion, the Moroccan version of the CHAQ has good psychometric properties. This validated version of the Moroccan CHAQ should help to individual follow-up of children suffering from JIA.

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

Similar content being viewed by others

References

  1. Larbre JP, Perroux L, Duquesne A, Llorca G (1995) Évaluation des capacités fonctionnelles et de la qualité de vie dans l’arthrite chronique juvénile. Rev Rhum 62(Suppl 5):51–55

    Google Scholar 

  2. Singh G, Athreya BH, Fries JF, Goldsmith DP (1994) Measurement of health status in children with juvenile rheumatoid arthritis. Arthritis Rheum 37:1761–1769

    Article  CAS  PubMed  Google Scholar 

  3. Pouchot J, Larbre JP, Lemelle I, Sommelet D et al (2002) Validation of the French version of the Childhood Health Assessment Questionnaire (CHAQ) in juvenile idiopathic arthritis. Joint Bone Spine 69(5):468–481

    Article  PubMed  Google Scholar 

  4. Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46:1417–1432

    Article  CAS  PubMed  Google Scholar 

  5. Guyatt GH (1993) The philosophy of health-related quality of life translation. Qual Life Res 2:461–465

    Article  CAS  PubMed  Google Scholar 

  6. Beaton D, Bombardier C, Guillemin, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25:3186–3191

    Article  CAS  PubMed  Google Scholar 

  7. Guillemin F (1995) Cross cultural adaptation and validation of health status measures. Scand J Rheumatol 24:61–63

    Article  CAS  PubMed  Google Scholar 

  8. Petty RE, Southwood TR, Baum J, Bhettay E, Glass DN, Manners P et al (1998) Revision of the proposed classification criteria for juvenile idiopathic arthritis : Durban, 1997. J Rheumatol 25:1991–1994

    CAS  PubMed  Google Scholar 

  9. Ruperto N, Ravelli A, Pistorio A, Malattia C, Cavuto S, Paediatric Rheumatology International Trials Organisation (2001) Cross-cultural adaptation and psychometric evaluation of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ) in 32 countries. Review of the general methodology. Clin Exp Rheumatol 19(Suppl 23):S1–S9

    CAS  PubMed  Google Scholar 

  10. Goycochea-Robles MV, Garduno-Espinosa J, Vilchis-Guizar E, Ortiz-Alvarez O, Burgos-Vargas R (1997) Validation of a Spanish version of the Childhood Health Assessment Questionnaire. J Rheumatol 24:2242–2245

    CAS  PubMed  Google Scholar 

  11. Ruperto N, Ravelli A, Pistorio A, Malattia C, Paediatric Rheumatology International Trials Organisation (2001) The Italian version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S91–S95

    CAS  PubMed  Google Scholar 

  12. Melo-Gomes JA, Ruperto N, Canhao H, Fonseca JE, Quintal A, Salgado M, Santos MJ, Paediatric Rheumatology International Trials Organisation (2001) The Portuguese version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S126–S130

    CAS  PubMed  Google Scholar 

  13. Flato B, Sorskaar D, Vinje O, Lien G, Aasland A, Moum T et al (1998) Measuring disability in early juvenile rheumatoid arthritis : evaluation of a Norwegian version of the Childhood Health Assessment Questionnaire. J Rheumatol 25:1851–1858

    CAS  PubMed  Google Scholar 

  14. Anderson Gäre B, Fasth A, Wiklund I (1993) Measurement of functional status in juvenile chronic arthritis: evaluation of a Swedish version of the Childhood Health Assessment Questionnaire. Clin Exp Rheumatol 11:569–576

    Google Scholar 

  15. Ozdogan H, Ruperto N, Kasapcopur O, Paediatric Rheumatology International Trials Organisation (2001) The Turkish version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S158–S162

    CAS  PubMed  Google Scholar 

  16. Nugent J, Ruperto N, Grainger J, Machado C, Paediatric Rheumatology International Trials Organisation (2001) The British version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S163–S167

    CAS  PubMed  Google Scholar 

  17. Moroldo MB, de Cunto C, Hübscher O, Liberatore D, Palermo R, Russo R et al (1998) Cross-cultural adaptation and validation of an Argentine Spanish version of the Standford Childhood Health Assessment Questionnaire. Arthritis Care Res 11:382–390

    Article  CAS  PubMed  Google Scholar 

  18. García-García JJ, González-Pascual E, Pou-Fernández J et al (2000) Development of a Spanish (Castillian) version of the Childhood Health Assessment Questionnaire. Measurement of health status in children with juvenile chronic arthritis. Clin Exp Rheumatol 18(1):95–102

    PubMed  Google Scholar 

  19. Wulffraat N, van der Net JJ, Ruperto N, Kamphuis S (2001) The Dutch version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S111–S115

    CAS  PubMed  Google Scholar 

  20. Dolezalova P, Ruperto N, Nemcova D, Blichova M (2001) The Czech version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S45–S49

    CAS  PubMed  Google Scholar 

  21. Al-Mayouf SM (2004) Cross cultural adaptation and validation of the Arabic version of the CHAQ for measuring functional status in children with JIA. Clin Exp Rheumatol 22(2):267

    CAS  PubMed  Google Scholar 

  22. El Miedany YM, Youssef SS, el Gaafary M (2003) Cross cultural adaptation and validation of the Arabic version of the Childhood Health Assessment Questionnaire for measuring functional status in children with juvenile idiopathic arthritis. Clin Exp Rheumatol 21(3):387–393

    CAS  PubMed  Google Scholar 

  23. Paediatric Rheumatology International Trials Organisation (2001) The Argentinian version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S10–S14

    Google Scholar 

  24. Wulffraat N, van der Net JJ, Ruperto N, Kamphuis S (2001) The Dutch version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S111–S115

    CAS  PubMed  Google Scholar 

  25. Joos R, Ruperto N, Wouters C, Boven K, Raat H (2001) The Belgian-Flemish version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S20–S24

    CAS  PubMed  Google Scholar 

  26. Foeldvari I, Ruperto N, Dressler F, Hafner R, Kuster RM (2001) The German version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S71–S75

    CAS  PubMed  Google Scholar 

  27. Orban I, Ruperto N, Balogh Z (2001) The Hungarian version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S81–S85

    CAS  PubMed  Google Scholar 

  28. Nikishina I, Ruperto N, Kuzmina N, Shelepina T (2001) The Russian version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S131–S135

    CAS  PubMed  Google Scholar 

  29. Selvaag AM, Ruperto N, Asplin L, Rygg M (2001) The Norwegian version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S116–S120

    CAS  PubMed  Google Scholar 

  30. Hashkes P, Uziel Y, Press J, Brik R, Navon-Elkan P (2001) The Hebrew version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S86–S90

    CAS  PubMed  Google Scholar 

  31. Bae SC, Ruperto N, Lee JH, Uhm WS, Park YW (2001) The Korean version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 19(Suppl 23):S96–S100

    CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We are indebted to the parents and the schools in Rabat which allowed us to study their children, to Dr G. Singh developer of the CHAQ and the committee that prepared and reviewed the forward and backward translation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Samira Rostom.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rostom, S., Amine, B., Bensabbah, R. et al. Psychometric properties evaluation of the childhood health assessment questionnaire (CHAQ) in Moroccan juvenile idiopathic arthritis. Rheumatol Int 30, 879–885 (2010). https://doi.org/10.1007/s00296-009-1069-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-009-1069-2

Keywords

Navigation