Development of the joint protection behavior assessment

Hammond, A; Lincoln, N

Abstract

Objective

To develop an observational assessment of the use of joint protection (JP) methods by people with rheumatoid arthritis (RA).
Methods

Subjects with and without RA were videotaped performing a kitchen activity to identify the range of JP and non-JP methods used. Behavior codes were developed for these. Seven rheumatology occupational therapists reviewed and scored behaviors as correct, partially correct, or incorrect JP methods. Test–retest and interrater agreement studies were conducted.
Results

The Joint Protection Behavior Assessment (JPBA) demonstrated good content validity (κ = 0.46 to 1.00), test–retest reliability (P < 0.0001), and interobserver agreement (κ = 0.68 to 0.88). Construct validity was supported by significant correlations with hand impairment and function variables.
Conclusion

The JPBA is a reliable and valid assessment of the use of JP methods by people with mild to moderate hand and upper limb joint involvement, which can be used to evaluate the effectiveness of JP education programs.

Citation

Hammond, A., & Lincoln, N. (1999). Development of the joint protection behavior assessment. Arthritis and Rheumatism, 12(3), 200. https://doi.org/10.1002/1529-0131%28199906%2912%3A3%3C200%3A%3AAID-ART7%3E3.0.CO%3B2-Z

• Journal Article Type: Article
• Publication Date: Jan 1, 1999
• Deposit Date: Oct 29, 2010
• Journal: Arthritis & Rheumatism
• Print ISSN: 0004-3591
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 12
• Issue: 3
• Pages: 200
• DOI: https://doi.org/10.1002/1529-0131%28199906%2912%3A3%3C200%3A%3AAID-ART7%3E3.0.CO%3B2-Z
• Publisher URL: http://dx.doi.org/10.1002/1529-0131(199906)12:3<200::AID-ART7>3.0.CO;2-Z