Table 2.
Report of Studies of Test-Retest Reliability for HAQ-DI and SF-36 PF in PsA with OMERACT Filter 2.1
Author, year | Study description | Results | Judgement | |||||
---|---|---|---|---|---|---|---|---|
Characteristics of sample | Characteristics of testing situation | Sample recruited and sample considered stable for analysis | Scores at baseline and retest | Statistic used | Results | Minimal detectable change (95%CI) SEM=SDbaseline x √ (1-ICC) MDC=1.96 × SEM × √2 | Interpretation of adequacy (+, +/−, −) | |
HAQ-DI | ||||||||
Study 1 Tillett 2019 |
140 consecutive patients with PsA fulfilled CASPAR, recruited for validation of composite measures | • 1 week apart • Assumed no change in condition |
• 31 patients (77% men) who required no medication change had data for test-retest reliability • Mean (SD) age 54 (11) years • Mean (SD) duration of PsA 5.7 (4.7) years |
Mean (SD) T1: 0.54 (0.62) T2: 0.52 (0.69) Mean (SD) difference = −0.02 (0.30), p=0.77 95% CI: −0.13 to 0.09 |
• ICC • Spearman’s rho (r) |
• ICC=0.90 (95% CI: 0.79–0.95) • r=0.94 (p<0.01) |
SEM=0.62 × √ (1–0.90) =0.20 MDC=1.96 × 0.20 × √2 = 0.54 |
(+) Good ICC and correlation between scores in a situation where changes in scores were not expected. Bland-Altman plot provided supportive evidence. |
Study 2 Leung 2016 |
• 98 consecutive patients with PsA fulfilled CASPAR recruited for validation of PsAQoL study • Mean (SD) duration of illness 5.5 (8.4) years |
• 2 weeks apart • Stability between timepoints assumed, given that PsA is a chronic illness and no change in medicine between T1 and T2 |
• 38 patients (44.7% men) who required no medication change had data for test-retest reliability • Mean (SD) age 53.9 (11.5) years |
Mean (SD) T1: 0.38 (0.55) T2: 0.35 (0.56) Mean difference=0 (SD=0.19), p=1.00 95% CI: −0.373 to 0.373 |
• ICC • Spearman’s rho (r) |
• ICC=0.94 (95% CI: 0.89–0.97) • r=0.83 (p<0.001) |
SEM=0.55 × √ (1–0.94) =0.13 MDC=1.96 × 0.13 × √2 = 0.36 |
(+) Excellent ICC and correlation between scores in a situation where changes in scores were not expected. Bland-Altman plot provided supportive evidence. |
SF-36 PF | ||||||||
Study 1 Tillett 2019 |
140 consecutive patients with PsA fulfilled CASPAR, recruited for validation of composite measures | • 1 week apart • Assumed no change in condition |
• 31 patients who required no medication change had data for test-retest reliability • Mean (SD) age 54 (11) years • Mean (SD) duration of PsA 5.7 (4.7) years |
Mean (SD) T1: 63.6 (29.6) T2: 66.7 (29.2) Mean (SD) difference = 3.10 (8.06), p = 0.05 95% CI: −0.04 to 6.17 |
• ICC • Spearman’s rho (r) |
ICC=0.96 (95% CI: 0.92 to 0.98) r=0.95 (p<0.01) |
SEM=29.6 × √ (1–0.96) = 5.92 MDC=1.96 × 5.92 × √2 = 8.37 |
(+) Excellent ICC and correlation between scores in a situation where changes in scores were not expected. Bland-Altman plot provided supportive evidence. |
(+) adequate performance; (+/−) equivocal performance; (−): inadequate performance.
CASPAR: Classification criteria for Psoriatic Arthritis; ICC: intraclass correlation coefficient; HAQ-DI: Health Assessment Questionnaire-Disability Index; MDC: minimally detectable change; OMERACT: Outcome Measures in Rheumatology; PsA: psoriatic arthritis; PsAQoL: Psoriatic Arthritis Quality of Life index; r: Spearman’s rho correlation; SEM: standardized error of mean; SD: standard deviation; SF-36 PF: Medical Outcome Survey Short-Form - 36 item physical functioning domain; T1: time point 1; T2: time point 2.