MDHAQ

Questionnaire Scoring

Scoring of the MDHAQ

The MDHAQ has scoring templates that allow a health professional to formerly depict a quantitative number for each scale within 15 seconds, directly on the questionnaire. The 10 activities of daily living can be quickly totaled without a calculator, computer or any other device (other than a human brain); the total is divided by 10 to reach a 0–3 score, with scores comparable to the HAQ.

1. a-j = FN = FUNCTION. Ten activities are scored 0-3, 0 = “without any difficulty,” 1 = “with some difficulty,” 2 = “with much difficulty,” and 3 = “unable to do.” The sum of a-j is totaled mentally by counting the number of 3s, 2s, 1s and 0s, for a raw score of 0-30. This raw 0-30 score is divided by 3 to provide a 0-10 score, using a scoring template in the “For Office Use Only” section at the right and is entered in the “FN” box.

2. k, l, m constitute a psychological status (PS) scale to Scoring of the RAPID3 query sleep, anxiety, and depression, information of considerable value to the clinician. The PS score generally is not scored formally; nonetheless, the simple total of the 3 items 0-9.9 can be calculated as a score, which is not entered in the right side box.

3. PN = PAIN VAS is presented as 21 circles, rather than as a traditional 10-cm line, to facilitate scoring without a ruler. An arithmetic scale of 0-10 in 0.5 unit increments is printed below the circles. The 0-10 score is entered in the “PN” box in the “For Office Use Only” section at the right.

4. PTJT = RADAI, the Rheumatoid Arthritis Disease Activity Index self-report joint count includes eight joints or joint groups, scored 0, 1, 2, or 3. The number of 0, 1, 2, and 3 responses for items a-p are scored 0-48. Neck and back (items q and r) are included as informative to the rheumatologist, but are not included in the total score. The raw 0-48 total is adjusted to 0-10, using the scoring template in the “For Office Use Only” section at the right, and entered in the “PTJT” box.

5. PTGL = PATIENT GLOBAL also is scored on a 21 circle VAS, and the 0-10 score is entered in the “PTGL” box in the “For Office Use Only” section at the right. (RADAI is positioned between the pain VAS and the global VAS in order to reduce the likelihood of identical scores for the two VAS).

6. MDGLOBAL = a physician/assessor estimate of global status on a scale of 0-10. The score may be entered in the “MDGLOBAL” box in the “For Office Use Only” section at the right of page 1. The score is entered in increments of 0.5 units, as with the PN and PTGL VAS, according to an “imaginary” VAS.

Scoring of the RAPID3

1. Ask the patient to complete questions 1, 2, and 3 while in the waiting room prior to his/her visit.

2. For question 1, add up the scores in questions A-J only (questions K-M have been found to be informative, but are not scored formally). Use the formula in the box on the right to calculate the formal score (0-10). For example, a patient whose answers total 19 would score a 6.3. Enter this score as an evaluation of the patient’s functional status (FN).

3. For question 2, enter the raw score (0-10) in the box on the right as an evaluation of the patient’s pain tolerance (PN).

4. For question 3, enter the raw score (0-10) in the box on the right as an evaluation of the patient’s global estimate (PTGE).

5. Add the total score (0-30) from questions 1, 2, and 3 and enter them as the patient’s RAPID 3 cumulative score. Use the final conversion table to simplify the patient’s weighed RAPID 3 score. For example, a patient who scores 11 on the cumulative RAPID 3 scale would score a weighed 3.7.

A patient who scores between 0–1.0 is defined as near remission (NR); 1.3–2.0 as low severity (LS); 2.3–4.0 as moderate severity (MS); and 4.3–10.0 as high severity (HS).


Time to Complete:

RAPID3 on an MDHAQ can be scored in about five seconds

The MDHAQ has scoring templates that allow a health professional to formerly depict a quantitative number for each scale within 15 seconds, directly on the questionnaire. The 10 activities of daily living can be quickly totaled without a calculator, computer or any other device (other than a human brain); the total is divided by 10 to reach a 0–3 score, with scores comparable to the HAQ. One can also divide the score by 3 to derive a 0–10 score, which will then be similar to scores for pain and global status.

Sources

  • Pincus, Theodore et. al. A Multi-Dimensional Health Assessment Questionnaire (MDHAQ) and Routine Assessment of Patient Index Data (RAPID3) Scores are Informative in Patients with All Rheumatic Diseases.  Rheum Dis Clin N Am 35 (2009) 819–827

  • Pincus, Theodore et. al. Flowsheets That Include MDHAQ Physical Function, Pain, Global, and RAPID3 Scores, Laboratory Tests, and Medications to Monitor Patients with al l Rheumatic Diseases: An Electronic Database for an Electronic Medical Record. Rheum Dis Clin N Am 35 (2009) 829–842


 

Questionnaire Information

Because The activities chosen for the MHAQ generally were the simplest among the two or three within each HAQ category, as the other activities were not performed by all patients.

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