Validation of the French version of the Childhood Health Assessment Questionnaire (CHAQ) in juvenile idiopathic arthritis - 01/01/02
Jacques Pouchot 1 * , Jean-Paul Larbre 2 , Irène Lemelle 3 , Danièle Sommelet 3 , Eric Grouteau 4 , Louis David 2 , Agnès Duquesne 2 , Chantal Job Deslandre 5 , Isabelle Kone Paut 6 , Pascal Pillet 7 , Laurence Goumy 8 , Catherine Barbier 9 , Marie-Hélène Guyot 9 , Françoise Mazingue 9 , Sylvie Gandon Laloum 10 , Michel Fischbach 11 , Pierre Quartier 12 , Claude Guyot 13 , Sylvie Jean 14 , Edouard Legall 14 , Emmanuel Plouvier 15 , Michel Bost 16 , Lionel de Lumley 17 , Christian Brégeon 8 , Francis Guillemin 18 , Joël Coste 19 , Anne-Marie Prieur 12 for the Pediatric Rheumatology International Trials Organisation - PRINTO and the Qualité de Vie en Rhumatologie group*Correspondence and reprints
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Résumé |
Objectives. To translate, cross-culturally adapt, and validate the functional disability tool Childhood Health Assessment Questionnaire (CHAQ), a variant of the Health Assessment Questionnaire (HAQ), in children with juvenile idiopathic arthritis (JIA). Children and methods. The disability index is the mean of the scores on the eight domains of the CHAQ and can range from 0 (no disability) to 3 (maximum disability). The CHAQ was first translated into French and adapted, then validated in a multicenter cross-sectional study in 306 children with JIA (systemic onset, 23%; polyarticular onset, 22%; extended oligoarticular subtype, 25%; and persistent oligoarticular subtype, 30%). Results. Overall CHAQ scores discriminated between the four JIA subtypes (systemic: 1.1 ± 0.9; polyarticular: 0.8 ± 0.7, extended oligoarticular: 0.8 ± 0.7, and persistent oligoarticular: 0.4 ± 0.5 P < 0.0001 ). Reproducibility evaluated by test-retest at a 7-day interval was excellent (intraclass coefficient, 0.91), as was agreement between the Parent's and Children's versions of the questionnaire (intraclass coefficient, 0.89). Significant correlations were found between the overall CHAQ score and variables reflecting disease severity (joint counts, physician's and parent's global assessments, and erythrocyte sedimentation rate), indicating excellent convergent validity of the tool. Conclusions. The French version of the CHAQ displays good psychometric characteristics, although its sensitivity to change remains to be established. The French version of the CHAQ should prove useful in international studies and can be expected to be helpful for monitoring individual patients with JIA.
Mots clés : Childhood Health Assessment Questionnaire (CHAQ) ; cross-cultural adaptation and validation ; disability ; functional impairment ; juvenile idiopathic arthritis (JIA).
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Vol 69 - N° 5
P. 468-481 - octobre 2002 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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