Content » Vol 42, Issue 7

Original report

Development and psychometric testing of the patient-reported measure of activity performance of the hand (MAP-Hand) in rheumatoid arthritis

Taran Paulsen, Margreth Grotle, Andrew Garratt, Ingvild Kjeken
DOI: 10.2340/16501977-0577


Objective: To develop and assess the reliability and validity of a patient-reported measure of hand activity performance for persons with rheumatoid arthritis (MAP-Hand).
Methods: The development of the measure included a literature review, semi-structured interviews with 60 patients with rheumatoid arthritis, and testing of face and content validity by video-observation and classification of the initial items according to standardized methods. Further testing followed 2 surveys of 176 and 134 patients with rheumatoid arthritis and included Rasch analysis and comparing MAP-Hand scores with other measures of symptoms and functional ability. Test-retest reliability was assessed in 35 stable patients with rheumatoid arthritis.
Results: Most of the initial 31 items had good face and content validity. Following Rasch analysis the measure was reduced to 18 items, which had good evidence for unidimensionality, a broad range of item difficulty, good person separation and ordered thresholds in a 4-point scale. The test-retest intraclass correlation coefficient was 0. 94 (95% confidence interval 0. 89, 0. 97), indicating high reliability. The results of validity testing generally followed the a priori hypotheses, with MAP-Hand scores having moderate to high correlations with scores for the other measures.
Conclusion: The MAP-Hand is an 18-item patient-reported measure of hand activity performance, which showed good evidence for reliability and validity in patients with rheumatoid arthritis.

Lay Abstract


Dr Masumeh Bagherzadeh Cham
Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation/Orthotics & Prosthetics, Iran University of Medical sciences, Tehran, Iran
ear Dr Taran Paulsen:

I am assistant professor from Neuromasuloskeletal research center, Iran University of medical sciences, Tehran, Iran.

I would like your permission to translate Measure of Activity Performance of the Hand (MAP-HAND) in Persian language for my research study. I would like to translate, use and print your questioner under the following conditions:

· I will use the questioner only for my research study.

· I will include the copyright statement on all copies of the questioner.

· I will send a copy of my completed research study to your attention upon completion of the study.

If these are acceptable terms and conditions, please indicate so by replying to me through

2018-12-12 04:45:49

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