The Reliability and Validity of a Korean Translation of the ASAS Health Index and Environmental Factors in Korean Patients with Axial Spondyloarthritis

Choi, Jung Ho; Kim, Tae Jong; Shin, Kyusoon; Choi, Chan Bum; Kim, Ji Hyun; Kim, So Hyun; Kim, Nah Ihm; Ahn, Min Joo; Jung, Hyun Ju; Lee, Jun Young; Park, Dong Jin; Park, Yong Wook; Lee, Shin Seok; Kim, So Yeon

doi:10.3346/jkms.2014.29.3.334

Cited by 11 publications

(8 citation statements)

References 11 publications

(14 reference statements)

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“…In addition, we identified the frequency of each item on the ASAS HI questionnaire in Korean patients with axSpA. Similar to previous studies, we found correlations between ASAS HI and existing axSpA disease parameters including BASDAI, ASDAS, and BASFI [3,4,18]. Finally, for the first time, predictors of ASAS HI were identified in patients with axSpA and subgroups of patients with AS and nr-axSpA.…”

Section: Discussionsupporting

confidence: 81%

“…A total of 17 dichotomous items pertaining to pain, emotional functioning, sexual functioning, mobility, self-care, and even community life were ultimately selected [1]. ASAS HI was validated internationally in 23 countries including patients with axial and peripheral SpA and has been translated into 18 languages, including Korean [3,4]. The ASAS HI questionnaire is easy to complete by choosing either “I agree” or “I do not agree”, and it has high internal consistency [4].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Assessment of Spondyloarthritis International Society (ASAS) Health Index in Axial Spondyloarthritis and Comparison of ASAS Health Index between Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis: Data from the Catholic Axial Spondyloarthritis COhort (CASCO)

Min

Lee

Park

et al. 2019

JCM

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The Assessment of Spondyloarthritis International Society (ASAS) health index (HI) is a novel tool for approaching disability, health, and functioning in spondyloarthritis (SpA). In the present study we compared ASAS HI between patients with ankylosing spondylitis (AS) and those with nonradiographic axial SpA (nr-axSpA). In addition, we identified predictors of ASAS HI. We designed this cross-sectional study using data from the Catholic Axial Spondyloarthritis COhort (CASCO), a prospective cohort from a single tertiary hospital. We compared baseline characteristics, including ASAS HI, between AS and nr-axSpA, and determined the frequency of each item constituting the ASAS HI. We used linear regression analysis to identify factors associated with ASAS HI. Total of 357 patients with axSpA—261 with AS and 96 with nr-axSpA—were included in analysis. AS patients were older and had higher ASAS HI than nr-axSpA. Among ASAS HI items, pain (item No. 1) and energy/drive (item No. 5) were the most common areas for which axSpA patients experienced discomfort. ASAS HI correlated with other SpA-related parameters such as BASDAI, ASDAS, and BASFI. Multivariable regression analysis of the axSpA group showed that high NSAID intake and mSASSS were positively associated with ASAS HI, whereas higher economic status and alcohol consumption were negatively associated with ASAS HI. Results were consistent in the AS group on subgroup analysis, whereas alcohol consumption was the only factor significantly associated with ASAS HI in the nr-axSpA group. In the present cohort study, patients with AS had poorer health status (higher ASAS HI) than those with nr-axSpA. Items proposed by AS patients (items No. 1 and 5) were the most frequently checked areas as axSpA patients feel discomfort, and this support that ASAS HI could practically assess actual discomfort of axSpA patient. ASAS HI was well correlated with known disease parameters, including activity, function, and quality of life; therefore, ASAS HI could be used in the future to represent the health status of SpA in a systematic way. Spinal structural damage (higher mSASSS), high NSAID intake, alcohol consumption, and economic status were predictors of ASAS HI in patients with axSpA, especially those with AS.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Predictors of Assessment of Spondyloarthritis International Society (ASAS) Health Index in Axial Spondyloarthritis and Comparison of ASAS Health Index between Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis: Data from the Catholic Axial Spondyloarthritis COhort (CASCO)

Min

Lee

Park

et al. 2019

JCM

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“…The psychometric properties of this Spanish-language version of the ASAS-HI were consistent with the results found in the original study [ 6 ], and also with the study of the validity of the Korean-language translation [ 17 ]. Similarly, an Italian study also have confirmed the reliability, feasibility and validity of the ASAS-HI [ 18 ].…”

Section: Hisupporting

confidence: 87%

Validation and reliability of translation of the ASAS Health Index in a Colombian Spanish-speaking population with spondyloarthritis

et al. 2018

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Objective To validate a Spanish-language translation of the ASAS Heath-Index (ASAS-HI) testing its reliability, construct validity and responsiveness in Colombian-patients with spondyloarthritis. Methods Translation was done following a forward-backward procedure. Patients fulfilling the ASAS criteria for either axial or peripheral-SpA participated. Test-retest reliability was assessed by intraclass correlation coefficient (ICC) in patients without treatment changes. In patients who required a therapeutic intervention, responsiveness was assessed using the standardized response mean (SRM). Construct validity was evaluated by Spearman correlation. Internal consistency (Cronbachs-α) and discriminative ability of the ASAS-HI were assessed. Results Fifty patients were included: 54% male, mean (SD) age 44.8(13.1), symptom duration 15.8(9.7) years, BASDAI 4.6(2.2), BASFI 4.7(2.5), ASDAS-CRP 2.2(1.0). AxSpA was established in 44 patients (AS=30, nr-axSpA=14) and pSpA in 6. The score of the ASAS-HI was 8.2(5.1). The test-retest reliability was good with an ICC of 0.84. SRM was 2.58 (1.75-3.37) in 10 patients with any intervention and 2.94 (2.13-4.24) for 7 patients starting TNF-blockers. Construct validity showed a good correlation between ASAS-HI and pain, BASDAI, BASFI, and ASDAS (r≥0.60). A high internal consistency was found with a Cronbachs-α of 0.91. ASAS-HI discriminated well between patients with different stages of disease activity (BASDAI and ASDAS). Those with higher disease activity had higher ASAS-HI scores. Conclusion The Spanish-language translation of the ASAS-HI has proven to be psychometrically valid for Colombian-patients with SpA. This version is available to evaluate the state of health and functioning in these patients and can be used in clinical practice.

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“…В настоящем исследовании показано, что индекс здоровья ASAS связан с активностью заболевания и функциональным статусом пациентов со СпА, что согласуется с данными других исследователей и подтверждает валидность опросника [20][21][22]. В ходе исследования мы продемонстрировали взаимосвязи между значениями ASAS HI и параметрами КЖ больных по SF-36.…”

Section: Discussionunclassified

“…Это, скорее всего, объясняется вспомогательным характером ASAS EF Items Set, дополняющим ASAS HI. Аналогичные данные получены при валидации индекса в других странах [15,[20][21][22].…”

Section: Discussionunclassified

Validation of the Russian-language version of the ASAS Health Index

Акулова

Ребров

Эрдес³

et al. 2019

Naučno-praktičeskaâ revmatologiâ

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The Assessment of Spondyloarthritis International Society (ASAS) Health Index (HI) is a comprehensive tool for quantifying the health of patients with axial (ax) spondyloarthritis (SpA), including ankylosing spondylitis (AS). ASAS HI was developed on the basis of the International Classification of Functioning, Disability, and Health (ICF). The questionnaire contains 17 questions, each of which is associated with a specific ICF pool (pain, emotions, sleep, sexual function, ambulation, self-care, and communication).Objective: to study the psychometric properties of the Russian-language version of ASAS HI.Subjects and methods. Examinations were made in 245 patients older than 18 years with axSpA or peripheral SpA, who met the ASAS criteria. The main psychometric properties of a questionnaire, such as validity, reliability (reproducibility), and sensitivity, were evaluated. SpA activity was assessed using the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and the Ankylosing Spondylitis Disease Activity Score (ASDAS); the functional status of the patients was estimated by the Bath Ankylosing Spondylitis Functional Index (BASFI), and their spinal mobility was evaluated by the Bath Ankylosing Spondylitis Metrology Index (BASMI). The short-form 36 (SF-36) health questionnaire and the 5-dimensional EQ-5D version (EuroQoL) were used to assess quality of life in SpA patients. Patient satisfaction with their health status was estimated using the patient acceptable symptom state (PASS) index.Results and discussion. The median age of the patients enrolled in the investigation was 39.5 [28.00; 48.00] years; disease duration – 102.5 [23.0; 196.5] months; there were 64.58% of men were and 78% of HLA-B27 positive patients. The median scores were for: BASDAI, 5.40 [3.20; 6.80]; ASDAS, 3.19 [2.55; 4.15]; BASFI, 5.60 [2.60; 7.50]; BASMI, 4.20 [3.00; 6.60]; ASAS HI, 9.00 [7.00; 12.00]; ASAS EF Items Set, 4.00 [3.00; 7.00]. There were statistically significant relationships between ASAS HI scores and C-reactive protein levels (Spearman correlation coefficient r=0.56), BASDAI (r=0.62), BASFI (r=0.67), ASDAS (r=0.38), BASMI (r=0.46), and patient's global assessment on a visual analogue scale (VAS) (r=0.49; p<0.05 for all measures). The ASAS EF Items Set scores correlated with the main clinical characteristics of the patients. There were statistically significant relationships between the ASAS HI/EF Items Set scores and the latter of eight SF-36 scales and the EQ-5D ques tionnaire. Statistically significant differences in ASAS HI scores were found in patients with positive and negative PASS indices (the median value of ASAS HI was 6.89 [3.00; 10.00] and 9.20 [7.00; 12.00], respectively; p=0.000086). Cronbach's internal consistency for ASAS HI was 0.988. There were statistically significant differences in ASAS HI scores before and after treatment (9 [7; 12] and 6 [3; 10], respectively; p=0.00025).Conclusion. This study confirmed validity, reproducibility, and sensitivity to changes of the Russian-language version of ASAS HI for patients in the Russian Federation.

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The Reliability and Validity of a Korean Translation of the ASAS Health Index and Environmental Factors in Korean Patients with Axial Spondyloarthritis

Cited by 11 publications

References 11 publications

Predictors of Assessment of Spondyloarthritis International Society (ASAS) Health Index in Axial Spondyloarthritis and Comparison of ASAS Health Index between Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis: Data from the Catholic Axial Spondyloarthritis COhort (CASCO)

Predictors of Assessment of Spondyloarthritis International Society (ASAS) Health Index in Axial Spondyloarthritis and Comparison of ASAS Health Index between Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis: Data from the Catholic Axial Spondyloarthritis COhort (CASCO)

Validation and reliability of translation of the ASAS Health Index in a Colombian Spanish-speaking population with spondyloarthritis

Validation of the Russian-language version of the ASAS Health Index

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