Hurdle

The Health Assessment Questionnaire (HAQ)

screening

Digital administration of The Health Assessment Questionnaire (HAQ) to collect structured patient inputs for validated score calculation and clinical follow-up.

The Health Assessment Questionnaire (HAQ)

Clinical intent

The HAQ was developed as a comprehensive measure of outcome in patients with a wide variety of rheumatic diseases, including rheumatoid arthritis, osteoarthritis, juvenile rheumatoid arthritis, lupus, scleroderma, ankylosing spondylitis, fibromyalgia, and psoriatic arthritis. It has also been applied to patients with HIV/AIDS and in studies of normal aging. It should be considered a generic rather than a disease-specific instrument. Its focus is on self-reported patient-oriented outcome measures, rather than process measures.

References

[1] Ramey Dr, Fries JF, Singh G. in B. Spilker Quality of Life and Pharmacoleconomics in Clinical Trials, 2nd ed, The Health Assessment Questionnaire 1995 -- Status and Review. Philadelphia: Lippincott-Raven Pub., 1996, p 227 – 237.

[2] Fries JF, Spitz P, Kraines G, Holman H. Measurement of Patient Outcome in Arthritis, Arthritis and Rheumatism, 1980, 23:137-145.

[3] Wolfe F. A brief clinical health assessment instrument: CLINHAQ. Arthritis Rheum. 1989; 32 (suppl): S9

[4] Wolfe F. Data collection and utilization: a methodology for clinical practice and clinical research. In: Wolfe F, Pincus T, Dekker M, eds. Rheumatoid arthritis: pathogenesis, assessment, outcome and treatment. New York: Marcel Dekker, 1994: 463-514.

Pathway

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Form preview

Interactive preview of the questionnaire. Not for clinical use. Responses are not stored.

The Health Assessment Questionnaire (HAQ) Questionnaire
Please complete this questionnaire. Your responses help your clinical team assess your symptoms and monitor progress over time.
Over the past week, were you able to dress yourself, including tying shoelaces and doing buttons?
Over the past week, were you able to shampoo your hair?
Over the past week, were you able to stand up from an armless chair?
Over the past week, were you able to get in and out of bed?
Over the past week, were you able to cut your meat?
Over the past week, were you able to lift a full cup or glass to your mouth?
Over the past week, were you able to open a new milk carton?
Over the past week, were you able to walk outdoors on flat ground?
Over the past week, were you able to climb up five steps?
Please check any AIDS OR DEVICES that you usually use for any of these activities (dressing and grooming, arising, eating, walking):
Please check any categories for which you need HELP FROM ANOTHER PERSON
Over the past week, were you able to wash and dry your entire body?
Over the past week, were you able to take a tub bath?
Over the past week, were you able to get on and off the toilet?
Over the past week, were you able to reach and get a 5-lb object (such as a bag of sugar) from just above your head?
Over the past week, were you able to bend down and pick up clothing from the floor?
Over the past week, were you able to open car doors?
Over the past week, were you able to get open jars which have been previously opened?
Over the past week, were you able to turn faucets on and off?
Over the past week, were you able to run errands and shop?
Over the past week, were you able to get in and out of a car?
Over the past week, were you able to do chores such as vacuuming, yard work?
Please check any AIDS OR DEVICES that you usually use for any of these activities (hygiene, reach, grip, activities):
Please check any categories for which you need HELP FROM ANOTHER PERSON