Singh et al developed the Childhood Health Assessment Questionnaire (CHAQ) to evaluate a patient with juvenile rheumatoid arthritis for physical disabilities. It was developed from the Health Assessment Questionnaire (HAQ) of Fries (see previous section). The authors are from Stanford University.
Measures, based activities during the past week:
(1) dressing and grooming
(2) arising
(3) eating
(4) walking
(5) hygiene
(6) reach
(7) grip
(8) activities
The parent or guardian is often the person being interviewed.
Ability to Perform (based on the effect of the juvenile rheumatoid arthritis) |
Points |
without any difficulty |
0 |
with some difficulty |
1 |
with much difficulty |
2 |
unable to do |
3 |
not applicable |
NA |
For each measure, the activity with the greatest number of points is selected.
total sum for all measures =
= SUM(maximum points for each measure)
disability index =
= (total sum) / 8
Interpretation:
• minimum disability index: 0
• maximum disability index: 3
Additional information includes:
The level of pain over the past week is indicated with a 10 cm VAS ranging from no pain (0) to very severe pain (10).
The level of how well the child is doing over the past week is indicated with a 10 cm VAS ranging from very well (0) to very poor (10).
The types of aids or devices used regularly in activities of daily living.
If the person has any measures scored as much difficulty or more, then indicate those measures requiring help from another person:
(1) dressing and grooming
(2) arising
(3) eating
(4) walking
(5) hygiene
(6) reach
(7) grip
(8) activities (errands and chores)
Purpose: To evaluate a pediatric patient with juvenile rheumatoid arthritis using the Childhood Health Assessment Questionnaire (CHAQ) of Singh et al.
Specialty: Sports Medicine & Rehabilitation, Immunology/Rheumatology
Objective: severity, prognosis, stage, response to therapy, disability and performance
ICD-10: M08,