1 Parker Instituttet, Bispebjerg and Frederiksberg Hospital, The Capital Region of Denmark2 From the Institute of Population Health, University of Ottawa, Ottawa, Ontario, Canada; Université de Lorraine, Nancy, France; Maastricht University Medical Centre, Maastricht, Netherlands; The Parker Institute, Department of Rheumatology, Copenhagen University Hospital, Copenhagen, Denmark; Birmingham VA Medical Center and University of Alabama at Birmingham, Birmingham, Alabama, USA; University of Ottawa, Department of Medicine, Department of Epidemiology and Community Medicine Faculty of Medicine, Ottawa Hospital Research Institute, Clinical Epidemiology Program, Institute of Population Health, University of Ottawa, Ottawa, Ontario, Canada.3 unknown
an introduction to a novel OMERACT paradigm
The Outcome Measures in Rheumatology (OMERACT) Equity Special Interest Group (SIG) was established in 2008 to create a preliminary core set of outcome measures for clinical trials that can assess equity gaps in healthcare and the effectiveness of interventions to close or narrow gaps between advantaged and disadvantaged populations with musculoskeletal (MSK) conditions. At the OMERACT 11 meeting in 2012, the Equity SIG workshop focused on health assessment scales and their applicability for disadvantaged patients with MSK conditions. The intent was to determine whether the items and domains in 2 common questionnaires, the Health Assessment Questionnaire and the Medical Outcome Study Short Form-36 Survey, are appropriate for the activities and life experiences of certain disadvantaged populations, and whether completion of any of the scales would present a challenge to disadvantaged persons. To generate discussion, we considered the reading level of items in these questionnaires and whether they would be accessible to people with different levels of literacy. The group concluded that the choice of measurement instrument may contribute to "outcome measure-generated inequalities" because disadvantaged groups might have difficulty understanding some of the questions. The future work of the Equity SIG will explore the appropriateness of different measurement scales as they relate to inequities in arthritis as well as the risk of exacerbating disadvantages for patients with low literacy.
Journal of Rheumatology, 2014, Vol 41, Issue 1, p. 150-2
Health Literacy; Health Services Accessibility; Humans; Outcome Assessment (Health Care); Research; Rheumatic Diseases; Rheumatology; Socioeconomic Factors; Treatment Outcome