"user manual"
Contents
1. 10 7 11 2 11 8 12 3 12 9 13 4 13 9 14 5 15 1 15 8 16 5 17 2 18 0 18 9 19 9 21 0 22 1 23 4 25 0 Bathroom 0 0 2 5 4 2 5 2 6 1 6 8 7 4 7 9 8 4 8 8 9 2 9 6 9 9 10 3 10 7 11 0 11 4 11 8 12 2 12 6 13 1 13 6 14 2 14 9 15 6 16 5 17 4 18 4 19 6 Dress 0 0 2 7 4 5 5 8 6 8 7 7 8 5 9 3 10 1 10 9 11 8 12 6 13 5 14 4 15 3 16 2 17 1 18 0 18 9 19 8 20 6 21 4 22 2 22 9 23 6 24 3 25 0 25 6 26 4 Cook 0 0 3 3 5 5 7 0 8 2 9 2 10 2 11 0 11 9 12 7 13 4 14 2 14 9 15 6 16 3 17 0 17 7 18 3 19 0 19 6 20 3 20 9 21 5 22 2 22 8 23 5 24 1 24 8 25 5 Clean 0 0 2 8 4 8 6 2 7 2 8 2 9 0 9 7 10 3 10 9 11 5 12 0 12 5 13 0 13 5 14 0 14 5 15 1 15 7 16 3 17 0 17 7 18 6 19 5 20 7 22 1 24 1 27 0 Laundry Commun 0 0 2 6 4 4 5 6 6 6 7 3 8 1 8 7 9 4 10 0 10 5 11 1 11 7 12 3 12 9 13 5 14 1 14 7 15 4 16 1 16 9 17 7 18 5 19 5 20 6 22 0 24 1 27 0 17 0 0 1 0 1 7 2 3 2 8 3 2 3 7 4 2 4 9 5 6 6 4 7 4 8 4 9 6 10 9 12 3 13 8 157 18 0 Mobility O ON ADU SS UNEO N N N NN RV RV RV ba PR O A PPR k E 0 JO D P DM k OW WAN OU P Di M GO Mobility Rasch T 0 0 11 8 19 2 23 8 27 1 29 6 31 7 33 5 35 0 36 4 37 7 38 8 39 8 40 8 41 7 42 5 43 3 44 1 44 8 45 5 46 2 46 8 47 2 48 0 48 6 49 2 49 7 50 2 50 7 Bathing 0 0 3 4 5 8 7 4 8 7 9 8 10 8 11 8 12 6 13 3 14 0 142. 0 splint only what need to 7 Do small repairs e g Y 1 Y 1 hemming buttons 8 Cut cloth and or use Y 1 Y 1 scissors 9 Pick up pins needles Y ly magnet Y 0 Total Score Section A 11 Total Score Section B 3 14 APPENDIX 2 RASCH TRANSFORMATION TABLE FOR RHEUMATOID ARTHRITIS Domains 1 12 Self Care and Mobility Participation Components pages 17 24 Domains 13 amp 14 page 25 Key RAW summed domain component score from ordinal raw scores Rasch T Rasch transformed score Examples Eating domain if score 20 the Rasch transformed score 16 5 Self Care component H score 49 the Rasch transformed score 75 5 Bathing domain if score 27 the Rasch transformed score 23 4 Mobility Participation component If score 101 the Rasch transformed score 74 6 The Rasch Transformation Table is available in an Excel file from the lead author Note this table is for use in Rheumatoid Arthritis Please contact the lead author for tables for other conditions An updated version of this manual with these other tables will be available in future Self care O ON ADU SS DO MM FP O NJ NN NNNNNNe PA CO k A k k k KB ONDUBWNHR OHO WON Oh D P D M CO Self Care Rasch T 0 0 17 0 27 4 33 7 38 2 41 6 44 3 46 6 48 6 50 3 51 8 53 2 54 4 55 6 56 6 57 6 58 5 59 4 60 2 60 9 61 7 62 4 63 0 63 7 64 3 64 9 65 5 66 0 66 6 Eat 0 0 2 5 4 3 5 5 6 5 7 3 8 1 8 8 9 5 10 1
3. 6 50 75 8 50 58 9 51 76 2 51 59 2 52 76 5 52 59 5 53 76 9 53 59 8 54 77 2 54 60 1 55 77 6 55 60 3 18 Self Care 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 17 78 79 80 81 82 83 84 Self care Rasch T 77 9 78 2 78 6 78 9 79 2 79 6 79 9 80 2 80 5 80 8 81 1 81 4 81 7 82 0 82 3 82 7 83 0 83 2 83 5 83 8 84 1 84 4 84 7 85 0 85 3 85 6 85 9 86 1 86 4 19 Mobility Mobility 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 Rasch T 60 6 60 9 61 1 61 4 61 7 61 9 62 2 62 5 62 7 63 0 63 2 63 5 63 8 64 0 64 3 64 5 64 8 65 1 65 4 65 6 65 9 66 2 66 5 66 7 67 0 67 3 67 6 67 9 68 2 Self Self Care care Mobility Mobility RAW Rasch T RAW Rasch T 85 86 7 85 68 5 86 87 0 86 68 9 87 87 3 87 69 2 88 87 6 88 69 5 89 87 8 89 69 9 90 88 1 90 70 2 91 88 4 91 70 6 92 88 7 92 70 9 93 89 0 93 71 3 94 89 3 94 71 7 95 89 5 95 72 1 96 89 8 96 GE 97 90 1 97 72 9 98 90 4 98 73 3 99 90 7 99 73 7 100 90 9 100 74 2 101 91 2 101 74 6 102 91 5 102 75 1 103 91 8 103 75 6 104 92 1 104 76 1 105 92 3 105 76 6 106 92 6 106 77 1 107 92 9 107 77 7 108 93 2 108 78 3 109 93 5 109 78 9 110 93 8 110 79 4 111 94 0 111 80 1 112 94 3 112 80 7 113 94 6 113 81 3 114 94 9 114 82 0 20 Self Self Care care Mobility Mobility RAW Rasch T RAW Rasch T 115 95 2 115 82 7 116 95 5 116 83 4 1
4. 7 15 3 15 8 16 3 16 8 17 3 17 8 18 2 18 7 19 2 19 7 20 2 20 7 21 3 21 9 22 6 23 4 24 2 Indoor 0 0 2 9 4 9 6 3 7 4 8 4 9 3 10 1 10 9 11 6 12 2 12 9 13 4 14 0 14 5 15 1 15 6 16 1 16 6 17 1 17 6 18 2 18 8 19 4 20 0 20 7 21 5 22 3 23 2 Transfer 0 0 1 7 3 0 3 9 4 7 5 5 6 2 7 0 7 8 8 7 9 5 10 4 11 2 12 0 12 9 13 7 14 7 16 1 18 0 Outdoor 0 0 3 4 5 8 7 4 8 7 9 8 10 8 11 7 12 5 13 2 13 9 14 5 15 1 15 6 16 1 16 5 17 0 17 4 17 8 18 2 18 6 19 0 19 4 19 9 20 4 20 9 21 4 22 0 22 7 Garden 0 0 3 5 5 9 7 7 9 1 10 3 11 3 12 3 13 1 13 8 14 3 14 8 15 3 15 7 16 1 16 5 17 0 17 4 18 0 18 7 19 6 21 0 Self Self Care Care Mobility Mobility RAW Rasch T Eat Bathroom Dress Cook Clean Laundry Commun RAW Rasch T Bathing Indoor Transfers Outdoor Garden 29 67 1 27 1 20 9 27 1 26 2 29 51 2 25 2 24 2 23 4 30 67 6 30 0 22 2 28 0 27 0 30 51 7 26 3 25 2 24 2 31 68 1 23 8 29 1 27 7 31 52 1 27 8 26 3 25 1 32 68 6 25 4 30 7 28 5 32 52 6 29 9 27 5 26 1 33 69 0 27 2 33 0 29 2 33 53 0 33 0 28 9 27 1 34 69 5 29 3 30 0 34 53 4 30 5 28 3 35 69 9 32 1 30 9 35 53 9 32 8 29 6 36 70 4 36 0 31 8 36 54 2 36 0 31 0 37 70 8 32 7 37 54 6 32 9 38 71 2 33 8 38 55 0 35 4 39 71 6 35 0 39 55 4 39 0 40 72 1 36 5 40 55 7 41 72 5 38 8 41 56 1 42 72 9 42 0 42 56 4 43 73 2 43 56 8 44 73 6 44 57 1 45 74 0 45 57 4 46 74 4 46 57 7 47 74 8 47 58 0 48 75 1 48 58 3 49 75 5 49 58
5. been tested as an interview 4 Whois it for The EDAQ can be used in a wide range of rheumatological conditions see page 2 In psychometric testing over 80 of eligible patients with RA consented to take part most of whom then completed the EDAQ Of those unwilling to take part reasons were not wanting to take part in research too ill family members unwell too busy and a few did not like long questionnaires Clinically this suggests some two thirds of people with RA or more would be willing and able to complete the EDAQ The EDAQ is NOT for everyone Some people have insufficient reading ability concentration or desire to complete questionnaires We found 896 of people requested additional verbal instructions in how to complete the EDAQ over and above the written instructions already included within the EDAQ This group were more likely to have severe activity limitations and or poorer quality of life Following additional instructions this group were just as able to complete the EDAQ as those not receiving verbal instructions If people are clinically depressed and have more severe difficulties please consider its appropriateness for them as completion will heighten their awareness of difficulties Emphasise to them how it will assist them and you to collaboratively identify solutions 5 People with arthritis and occupational therapists views of the EDAQ In our study most 8396 people with RA considered the EDA
6. fridge door Y 0 0 14 Prepare and cook a Y 2 Y Gadgets help still y 1 snack and or a meal tired Total Score Section A 20 Total Score Section B 12 13 Please tick 7 to indicate your ability carrying out the activities listed below during the last two weeks Please fill in both sections How do you do it without using an aid gadget alternate method or help If you do not normally do the activity tick not applicable B How else do you do it with an aid gadget or alternate method Fill in the middle columns Leave B blank if you tick no or have help 8 LA DR How do you do it without an aid Do you Have PB If yes how else do you do it with an aid gadget or alternate e AR adget alternate method or help use an help method aid or Some Not Without Some Much Unable Score other one Please describe below which Without Some Much Unable Score Applicablefidifficulty difficulty difficulty to do method pra aid s or other method s you difficulty difficulty difficulty to do use Yes No 1 Do the hand washing Y 2 KE Use wash machine for Y 0 everything 2 Use a washing machine Y 0 Y 0 e g load and unload 3 Hang out washing Y 2 lv Use tumble drier for Y 0 everything Plug in and pull out a Y 2 lv Plug pulls Y 0 plug 5 Put up an ironing board Y 1 Viv Husband does 1 6 Iron Y 1 iv Little and often wear wrist Y
7. layouts a The same layout as the Swedish EDAQ i e without the central columns asking people to tick if they use Alternate methods aids and or Help b Revised layout with these central columns Participants preferred the grid layout The latter format with central columns reduced the amount of missing data from participants In testing in RA we found 4 of the possible domain scores could not be calculated due to missing data People with severe activity limitations and poorer quality of life were more likely to be those with some missing scores In clinical practice when the person returns with the questionnaire please always check that all items are completed Please assist the person to complete any missing items This will ensure you can fully score the EDAQ 9 Analysing EDAQ data As EDAQ data is ordinal non parametric tests are used to identify differences in scores for example between Sections A and B without and with ergonomic solutions and help before to after treatment or between groups In research if required data in Part 2 can be transformed into interval data using the Rasch Transformation Table for RA Appendix 2 allowing use of parametric tests when applicable Rasch Transformation Tables for use with other conditions will be available from the lead author during 2014 Rasch transformation of an individual s domain score is only valid when their domain data are complete Similarly Rasch transformation of
8. 17 95 8 117 84 1 118 96 1 118 84 9 119 96 3 119 85 7 120 96 6 120 86 5 121 96 9 121 87 3 122 97 2 122 88 1 123 97 5 123 89 0 124 97 8 124 89 9 125 98 1 125 90 8 126 98 4 126 91 8 127 98 7 127 92 8 128 99 1 128 93 8 129 99 4 129 94 9 130 99 7 130 96 0 131 100 0 131 97 2 132 100 3 132 98 4 133 100 6 133 99 6 134 101 0 134 101 0 135 101 3 135 102 4 136 101 6 136 103 9 137 101 9 137 105 5 138 102 3 138 107 2 139 102 6 139 109 0 140 102 9 140 111 0 141 103 3 141 113 3 142 103 6 142 115 9 143 104 0 143 118 9 21 Self Care Self care Mobility Mobility RAW Rasch T RAW Rasch T 144 104 3 144 122 6 145 104 7 145 127 6 146 105 0 146 135 2 147 105 4 147 147 0 148 105 7 149 106 1 150 106 5 151 106 8 152 107 2 153 107 6 154 108 0 155 108 4 156 108 7 157 109 1 158 109 6 159 110 0 160 110 4 161 110 8 162 111 2 163 111 6 164 112 0 165 112 5 166 112 9 167 113 4 168 113 8 169 114 3 170 114 7 171 115 2 172 115 7 173 116 2 22 Self Care 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 Self care Rasch T 116 8 117 3 117 8 118 4 119 0 119 6 120 2 120 9 121 5 122 2 122 9 123 7 124 5 125 3 126 2 127 1 128 1 129 1 130 2 131 3 132 5 133 9 135 3 136 7 138 3 140 0 141 9 143 9 146 0 148 4 23 Self Care Self care RAW Rasch T 204 150 9 205 153 8 206 156 9 207 160 5 208 164 6 209 169 5
9. 210 175 5 211 183 5 212 195 3 213 213 0 24 NI c se ox c c al c c vi CN ec st i XO E Cl CN CN CN CN A N 25
10. Nutt University of Salford and Katie Hackett University of Newcastle for assistance with data collection and management Robin Waxman Mike Horton and Vikki Lane Psychometrics Laboratory University of Leeds for assistance with Rasch analysis and EDAQ layout The Evaluation of Daily Activity Questionnaire EDAQ and the EDAQ Manual v1 and any future versions are both available under a Creative Commons license Attribution NonCommercial NoDerivs CC BY NC ND and can be copied for clinical research and educational purposes No part of the EDAQ or EDAQ manual can be modified without prior permission of the lead author For commercial use electronic or hard copy or queries contact the lead author a hammond salford ac uk or profalisonhammond btinternet com Obtaining the EDAQ and the EDAQ Manual The two forms of the Evaluation of Daily Activity Questionnaire EDAQ i e including Parts 1 and 2 or Parts 1 2 and 3 and the EDAQ Manual vi and future updated versions including Rasch Transformation tables for other musculoskeletal conditions are available for download at http usir salford ac uk view authors index H htm Search for Hammond and look under Monographs Publications related to the EDAQ are located under Articles Table of Contents 1 Introduction 2 EDAQ content 3 Time taken to complete the EDAQ 4 Who is it for 5 People with arthritis and occupational therapists views of the EDAQ 6 Clinical Use 7 R
11. Q helpful or very helpful for discussing everyday problems with an OT Most 8796 replied it had about the right amount of activities Comments from people with RA included It was very thorough and would be good for outlining level of difficulty and needs It s easy once you read the instructions carefully The EDAQ covered everything Yes it was good that it includes what help and assistance the person requires included in it Comments from Rheumatology OTs were Ifs more patient oriented It takes out the time of having to actually go through it all with them A lot of our patients say the time they spent with OT was fleeting filling this out would be very thorough You identify the talking points straight away which helps focus it the treatment plan a lot more Using the EDAQ can save therapists time in assessing allowing more time for providing solutions This can help improve efficiency of and satisfaction with OT services 6 Clinical use The occupational therapist introduces the assessment to the person For example The EDAQ Evaluation of Daily Activity Questionnaire helps us understand about your abilities and problems doing your daily activities You may have noticed using aids everyday gadgets equipment or even different ways of doing things such as using two hands reduces some of these problems Sharing your problems and solutions with us helps us to help you Please complete t
12. University of Salford MANCHESTER Evaluation of Daily Activity Questionnaire User Manual v1 Copyright A Hammond A Tennant S Tyson U Nordenskiold 2014 The Evaluation of Daily Activity Questionnaire EDAQ User Manual Version 1 University of Salford University of Leeds University of Manchester University of Gothenburg The English version of the EDAQ is adapted from the Swedish EDAQ developed by Ulla Nordenskiold PhD Sahlgrenska Academy University of Gothenburg Sweden Acknowledgements The English EDAQ was initially developed and tested in RA The EDAQ and most of the work to develop this manual were funded by Arthritis Research UK grant 18497 Subsequently the EDAQ was then tested in other musculoskeletal conditions and this work along with further development of this manual was supported by the United Kingdom Occupational Therapy Research Foundation The authors would like to thank Ruth Hawkins National Rheumatoid Arthritis Society NRAS member members of the Bolton and Derby NRAS groups Dr Lynne Goodacre North West NIHR Research Design Service Dr Gunnel Sandqvist Dr Ragnhild Cederlund Lund University Sweden Dr Ingrid Thyberg Linkoping University Sweden and members of the North West College of OT Specialist Section Rheumatology for advice and feedback on EDAQ content during the English EDAQ development Rachel Gill Rachel Shuttleworth Dr Yeliz Prior Rob Peet and Kate Woodward
13. activities for the 2010 s Rheumatology occupational therapists also contributed to identifying which activities should be included The EDAQ can be used for clinical audit and research purposes For all uses it is completed by the person in their own time usually at home They can take breaks or do this over a couple of days if they wish This allows reflection on abilities and what they want help with as well as avoiding tiredness whilst filling it in By completing it at home less time is spent during therapy appointments identifying problems allowing more time to focus on solutions The EDAQ facilitates collaboration between the person with arthritis musculoskeletal conditions and the therapist The EDAQ was originally designed as an Occupational Therapy assessment for clinical and research purposes However it can also be used to evaluate Physiotherapy clinical practice and research as it includes both activity and mobility limitations It can also be used to evaluate the effects of multidisciplinary rehabilitation and self management education and to evaluate pharmacological interventions if a more detailed activity mobility assessment is required The EDAQ has been tested for reliability and validity in e Rheumatoid Arthritis e Osteoarthritis e Ankylosing Spondylitis e Systemic Lupus Erythematosus e Systemic Sclerosis e Chronic Pain conditions including back pain neck pain chronic widespread pain fibromyalgia e C
14. an individual s component score is only valid when their domain total scores within the component are complete You cannot impute missing data and then Rasch transform domain scores for analysis for that individual An SPSS EDAQ data entry file and SPSS coding scoring instructions are available from the lead author 10 Availability of the EDAQ The two forms of the EDAQ i e including Parts 1 and 2 or Parts 1 2 and 3 and the EDAQ Manual v1 and updated manual s including Rasch Transformation tables for other musculoskeletal conditions are available for download at http usir salford ac uk view authors index H html Search for Hammond Monographs Publications related to the EDAQ are located under Articles NB Normally the EDAQ Parts 1 and 2 only are used in clinical practice and research The EDAQ is available under a Creative Commons license Attribution NonCommercial NoDerivs CC BY NC ND The EDAQ cannot be altered without prior permission of the authors Please contact the lead author if you e Need an electronic copy in Word for clinical research or other uses or for commercial use For the latter there may be a charge to use the EDAQ depending on the project and funder e want to psychometrically test the EDAQ for other conditions or in other languages as we can advise you on this process If you do so the resulting version of the EDAQ must be made available using a Creative Commons license e have any queries abo
15. esearch Use 8 Scoring the EDAQ 9 Analysing EDAQ data 10 Availability of the EDAQ References Appendix 1 Examples of Scoring the EDAQ Appendix 2 Rasch Transformation Table for Rheumatoid Arthritis o a O Oo wo 11 15 1 Introduction The Evaluation of Daily Activity Questionnaire EDAQ is a self report assessment It evaluates in detail a person s daily activity abilities with and without using ergonomic solutions ie using alternate movements and positions planning activity simplification pacing assistive devices gadgets and equipment or help It includes items related to the International Classification of Functioning Disability and Health ICF body functions activity participation and environment World Health Organisation 2001 The EDAQ was originally developed and tested in the mid 1990 s with women with rheumatoid arthritis RA in Sweden Nordenskiold et al 1996 1998 where it is used clinically and for clinical and epidemiological research Cederlund et al 2001 2007 Sandqvist et al 2004 Thyberg et al 2004 2005 We have translated the EDAQ into English using standard methods Beaton et al 2000 People with a range of arthritis and musculoskeletal conditions in the UK contributed to its cross cultural adaptation by identifying problematic activities and they decided which activities to include and omit This ensured content is relevant and important to people with arthritis as well as including relevant
16. he EDAQ in your own time at home Take a break or two if you want The first part asks how arthritis affects you for example about pain and fatigue The second part asks about your ability doing daily activities in detail Open up questionnaire to show example on page 7 Here is an example of how it s filled in Every question is answered twice In Section A tick how you manage every activity on your own without using any different methods such as using two hands gadgets or help Remember if you now can t do an activity because of your arthritis tick unable to do Only tick not applicable if you normally have never done that activity Then tick in the middle columns if you use a gadget or other method or if you have help doing it If you tick No or Help you don t need to do Section B If you do tick Yes fill in Section B Here are some examples Explain some of the examples on page 7 to check the person knows what to do Please bring it with you to our next appointment During the appointment when reviewing Part 2 only those activities causing difficulty need be discussed to find solutions 7 Research Use The majority of people in our studies were able to complete the EDAQ without having any additional verbal instructions We recommend that if recruiting with the person present ask them to read the instructions and example provided and then ask if they need verbal instructions if recruiting via telephone mail onl
17. heumatoid arthritis correlates with reduced grip force regardless of sex The Swedish TIRA Project Arthritis Care and Research 53 6 886 896 World Health Organisation WHO 2001 International Classification of Functioning Disability and Health http www who int classifications icf en Downloaded 12 12 13 APPENDIX 1 EXAMPLE OF SCORING THE EDAQ Please tick 7 to indicate your ability carrying out the activities listed below during the last two weeks Please fill in both sections How do you do it without using an aid gadget alternate method or help If you do not normally do the activity tick not applicable B How else do you do it with an aid gadget or alternate method Fill in the middle columns Leave B blank if you tick no or have help elo A How do you do it without an aid gadget Do you use Have B If yes how else do you do it with an aid gadget or alternate alternate method or help an aid or help method other Some Not Without Some Much Unable Score method one Please describe below which Without Some Much Unable Score Applicable difficulty difficulty difficulty to do does it Jaid s or other method s you difficulty difficulty difficulty to do Yes No for me fuse 1 Stand while working in y 2 ly Perch stool Y 0 he kitchen 2 Set the table carry Y 2 Y 2 plates cups etc 3 Peel e chop Y 2 E Easy Peeler bigger Y 0 egetables knife U
18. hronic upper limb conditions including carpal tunnel de Quervain s shoulder conditions e Primary Sjogren s Syndrome Abstracts of research related to the EDAQ in RA can be found in Hammond et al 2010a b 2011 2012a b Full articles are in preparation review The relevance of EDAQ content to people with musculoskeletal conditions has been evaluated Hammond et al 2010 and reliability and validity abstracts articles are also in preparation Please contact the lead author for further information about ongoing publications in the above conditions 2 EDAQ Content The EDAQ includes three parts Part 1 evaluates common effects of arthritis 10 numeric rating scales evaluate mood pain when resting pain when moving stiffness limitations in joint movement fatigue worry sleep problems and satisfaction with life Part 2 evaluates 138 daily activities Section A asks ability without using ergonomic methods ie alternative methods joint protection such as using different movement patterns and positioning pacing planning task simplification assistive devices aids and gadgets or help Section B asks ability with ergonomic methods and to describe the method used There are 14 domains Eating Drinking In the Bathroom Personal Care Getting Dressed Undressed Bathing Showering gv moo m Cooking Moving Around Indoors Cleaning the House o N D Laundry Clothes Care 9 Moving and Transfers 10 Communicat
19. ion 11 Moving Around Outside Shopping 12 Gardening Household Maintenance 13 Caring 14 Hobbies Leisure and Social Activities The last three domains were developed and added to the English EDAQ following feedback from people with arthritis that these should be included Part 3 Optional asks about opinions and use of common assistive devices This part is not essential and has not been psychometrically tested Finally five questions ask about use of orthoses which assistive devices are valued most attitudes to using assistive devices actions taken to self manage arthritis and the most important thing the person wishes to continue to do Two forms of the EDAQ are available with and without Part 3 Normally only parts 1 and 2 are used unless information about assistive device use is essential 3 Time taken to complete the EDAQ This will vary with e Number of difficult activities as the person records alternate methods assistive devices gadgets used e Pain e Fatigue e Hand function e Concentration During testing of the full EDAQ i e parts 1 2 and 3 the time taken varied from 18 to 78 minutes median 40 IQR 28 59 minutes To complete the revised EDAQ ie just parts 1 and 2 takes most people about 25 to 30 minutes Consequently people should take the EDAQ home to complete in their own time This allows reflection on abilities and avoids them feeling pressurised to complete it quickly It has not
20. mple in Appendix 1 Domains can each be scored individually as each domain is reliable and valid Additionally total domain scores can be combined into two components 1 SELF CARE Score Domains 14243454 748410 2 MOBILITY PARTICIPATION Score Domains 4 6 9 11 12 Domains 13 and 14 are not included as there are often higher numbers of not applicable responses in both the Caring due to few or no childcare responsibilities in many older respondents and Hobbies domains due to greater variation in personal interests Part 3 data is investigated descriptively Dealing with missing scores Missing scores mean a total Section A domain score cannot be calculated for any given domain for that person It is not statistically appropriate to use mean scores as an alternative Please make every effort to ensure the EDAQ is completed correctly To avoid the problem of missing data Clinical practice ensure missing items are completed during your assessment review Research if possible telephone participants to obtain missing data or return a copy of the pages with the missing items to the participant and request these are completed and returned as it is very important to obtain all their information Alternatively you can use multiple imputation and then conduct statistical analysis of summed domain scores During EDAQ development we tested several appearances for the EDAQ ticking a grid squares or circles We also tested two
21. on of Daily Activity Questionnaire EDAQ in Rheumatoid Arthritis psychometric testing Annals of the Rheumatic Diseases 71 Suppl 3 753 Hammond A Gill R Tyson S Tennant A Nordenskiold U 2012b Development of the Evaluation of Daily Activity Questionnaire EDAQ in Musculoskeletal conditions Phase 1 Rheumatology 51 Suppl 3 57 Hammond A and Tyson S 2012 Activity Limitations Experienced by People with Rheumatoid Arthritis On Biologic Medications and Their Use of Ergonomic Methods Arthritis amp Rheumatism 64 10 Supplement S1030 Nordenskiold U Grimby G Hedberg M et al 1996 The structure of an instrument for assessing the effect of assistive devices and altered working methods in women with rheumatoid arthritis Arthritis Care and Research 9 21 30 Nordenskiold U Grimby G Dahlin Ivanoff S 1998 Questionnaire to evaluate the effects of assistive devices and altered working methods in women with rheumatoid arthritis Clinical Rheumatology 17 6 16 Sandqvist G Eklund MA Akesson A Nordenskiold U 2004 ADL activities and hand function in women with scleroderma Scandinavian Journal of Rheumatology 33 102 7 Thyberg I Hass UAM Nordenskiold U Skogh T 2004 Survey of the use and effect of assistive devices in patients with early rheumatoid arthritis a two year follow up of women and men Arthritis Care and Research 51 3 413 421 Thyberg I Hass UAM Nordenskiold U Gerdle B Skogh T 2005 Activity limitation in r
22. se frozen Cam a full pan to Y 1 Y 1 rom the cooker 5 Drain water from a Y 2 Y 2 saucepan e g egetables pasta 6 Remove heavy items Y 2 lv Wear splint keep v 1 en from heavy items low down 7 Baking eg Cakes Y 0 0 bread pastry 8 Take things in out of Y 2 Y 2 oven 12 Please tick y to indicate your ability carrying out the activities listed below during the last two weeks Please fill in both sections A How do you do it without using an aid gadget alternate method or help If you do not normally do the activity tick not applicable B How else do you do it with an aid gadget or alternate method Fill in the middle columns Leave B blank if you tick no or have help elo A How do you do it without an aid gadget Do you use Have Ip If yes how else do you do it with an aid gadget or alternate SG alternate method or help an aid or help method other Some Not Without Some Much UnablelScore method M Please describe below which Without Some Much Unable Score Applicable difficulty difficulty difficulty to do does it faid s or other method s you difficulty difficulty difficulty to do Yes No for me use 9 Wash up Y 2 Y Dishwasher Y 0 10 Put crockery pans Y 1 Y 1 etc into kitchen cupboards 11 Use a kettle e g fill Y 2 Y 2 pour 12 Turn cooker knobs Y 0 0 13 Open
23. ut using the EDAQ or e have any feedback about using the EDAQ in clinical practice and research e a hammond salford ac uk or profalisonhammond btinternet com References Beaton DE et al 2000 Guidelines for the process of cross cultural adaptation of self report measures Spine 25 24 3186 3191 Cederlund R Nordenskiold U Lundborg G 2001 Hand arm vibration exposure influences performance of daily activities Disability and Rehabilitation 23 13 570 577 Cederlund R Iwarsson S Lundborg G 2007 Quality of life in Swedish workers exposed to hand arm vibration syndrome Occupational Therapy International 14 3 156 169 Hammond A Gill R Nordenskiold U Thyberg I Cederlund R Tyson S Tennant A Sandqvist G Hawkins R 2010a The development of a prototype UK Evaluation of Daily Activity Questionnaire linguistic and cross cultural validation Ann Rheum Dis 69 Suppl3 734 Hammond A Gill R Tyson S Nordenskiold U Tennant A 2010b Development of the UK Evaluation of Daily Activity Questionnaire Phase 2 cognitive debriefing abstract Arthritis Rheum 62 Suppl 10 2063 DOI 10 1002 art 29828 Hammond A Tennant A Tyson S Nordenskiold U Gill R 2011 Development of the United Kingdom Evaluation of Daily Activities Questionnaire in Rheumatoid Arthritis using Rasch Analysis Arthritis amp Rheumatism 63 10 Supplement S1000 2555 Hammond A Tyson A Tennant A Nordenskiold U Greenhill Y 2012a Development of the Evaluati
24. y provide a contact telephone number so that people can ask for help if they require this 8 Scoring the EDAQ Total scores for each domain separately for sections A and B are created by summating item scores within the domain giving an indication of the person s overall ability in that domain both without and with ergonomic solutions Rasch analysis has confirmed it is appropriate to produce summated scores from the ordinal data produced in the EDAQ Part 2 Part 1 each numeric rating scale is scored separately by recording the number circled Part 2 Section A If an item is scored as e Not applicable 0 e No difficulty 0 some difficulty 1 much difficulty 2 unable to do 3 Add the scores of each item in a domain to provide the total Section A domain score Part 2 Section B If an item is scored as e f ticked Yes to use of alternate methods and aids and completed section B score as No difficulty 0 some difficulty 1 much difficulty 2 unable to do 3 e f ticked either No to using aid other method Help or Section B is not completed the section B score is the same as in section A Section B scores are calculated by adding both i section B domain item scores using ergonomic solutions and ii if none are used then that item s A score is added as performance was unchanged Differences between total section A and B domain scores denote the impact of ergonomic solutions See the scoring exa
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