J Korean Med Sci.  2014 Mar;29(3):334-337. 10.3346/jkms.2014.29.3.334.

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

Affiliations
  • 1Department of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, Korea. ktj1562@chonnam.ac.kr
  • 2Division of Rheumatology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.
  • 3Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.
  • 4Advertising and Marketing Division, MBC PLUS MEDIA, Seoul, Korea.
  • 5Chonnam National University Medical School, Gwangju, Korea.

Abstract

The objective of this study was to develop a Korean version of the Assessment of Spondyloarthritis International Society-Health Index/Environmental Factor (ASAS HI/EF) and to evaluate its reliability and validity in Korean patients with axial spondyloarthritis (SpA). A total of 43 patients participated. Translation and cross-cultural adaptation of the ASAS HI/EF was performed according to international standardized guidelines. We also evaluated validity by calculating correlation coefficients between the ASAS-HI/EF score and the clinical parameters. Test-retest reliability was excellent. The correlations among the mean ASAS-HI score and all tools of assessment for SpA were significant. When it came to construct validity, the ASAS HI score was correlated with nocturnal back pain, spinal pain, patients's global assessment score, the Bath ankylosing spondylitis disease activity index (BASDAI), Bath ankylosing spondylitis functional index (BASFI), Bath ankylosing spondylitis metrology index (BASMI) and EuroQoL visual analogue scale (EQ VAS) (r = 0.353, 0.585, 0.598, 0.637, 0.690, 0.430, and -0.534). The ASAS EF score was also correlated with the patient's global assessment's score, BASDAI, BASFI, BASMI, and EQ VAS score (r = 0.375, 0.490, 0.684, 0.485, and -0.554). The Korean version of the ASAS HI/EF can be used in the clinical field to assess and evaluate the state of health of Korean axial SpA patients.

Keyword

Spondylitis, Ankylosing; Spondylarthropathies; Validation Studies

MeSH Terms

Adult
Asian Continental Ancestry Group
Female
Guidelines as Topic
Humans
Interviews as Topic
Male
Middle Aged
Questionnaires
Reproducibility of Results
Republic of Korea
*Severity of Illness Index
Spondylitis, Ankylosing/*diagnosis/physiopathology
Translations

Cited by  2 articles

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J Rheum Dis. 2014;21(4):187-191.    doi: 10.4078/jrd.2014.21.4.187.

The effectiveness of tumor necrosis factor-α blocker therapy in patients with axial spondyloarthritis who failed conventional treatment: a comparative study focused on improvement in ASAS Health Index
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