title: The Australian/Canadian osteoarthritis hand index in a community-dwelling population of older adults: reliability and validity.
abstract: OBJECTIVE
  To assess the acceptability and measurement properties of the Australian/Canadian Osteoarthritis Hand Index (AUSCAN) applied to a community-dwelling population of older adults with hand problems.
  
  
  METHODS
  Data were obtained from 2 related sources: 2,113 responders to a 2-stage cross-sectional postal survey who reported hand problems in the previous 12-months, and 55 participants with hand problems completing a clinical assessment. The AUSCAN subscales were assessed for data quality and scaling properties. Test-retest reliability was assessed in clinical participants reporting no change in their hand condition at 1 month. Construct and criterion validity were evaluated using other data from the survey and clinical assessment. Internal consistency of the subscales was tested using Cronbach's alpha and item-total correlations.
  
  
  RESULTS
  AUSCAN subscales had high completion rates in the survey (missing data: 2.3-2.7%). Subscale scores covered the possible range but were skewed towards lower pain, stiffness, and functional problems. Test-retest reliability estimates supported the use of the pain and stiffness subscales (rho > 0.7), with the estimate for stiffness being slightly lower (rho = 0.64). The subscales demonstrated both construct validity (significantly higher subscale scores in participants reporting a recent general practitioner consultation for their hand problems and high correlations with hand function performance measures) and criterion validity (high correlations with generic health measures and disease-specific measures).
  
  
  CONCLUSIONS
  The AUSCAN is a valid and reliable measure of hand problems in a community-dwelling population of older adults. The AUSCAN performs well both in terms of its internal reliability and its relationship with external constructs.
authors: Primary Care Musculoskeletal Research Centre, Keele University, Keele, North Staffordshire, UK. k.s.dziedzic@keele.ac.uk
authors: Krysia S
authors: KS
authors: Dziedzic
authors: Elaine
authors: E
authors: Thomas
authors: Helen
authors: H
authors: Myers
authors: Susan
authors: S
authors: Hill
authors: Elaine M
authors: EM
authors: Hay
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D002170:Canada; D003430:Cross-Sectional Studies; D005260:Female; D006225:Hand / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000175:diagnosis / Q000503:physiopathology*; D010146:Pain / Q000503:physiopathology; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards