The Impact Triad (Severity, Importance, Self-management) as a Method of Enhancing Measurement of Personal Life Impact of Rheumatic Diseases

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Figure 1.
The impact triad.
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Figure 2.
Bristol RA fatigue profiles. NRS: numerical rating scales.

Table 1.

Description of instruments.

Instrument	Full Title	Major Features
AIMS-2	Arthritis Impact Measurement Scales 2	45 items covering 9 domains: mobility, physical activity, dexterity, household activities, activities of daily living, anxiety, depression, social activity, pain
BRAF-MDQ	Bristol RA Fatigue Multidimensional Questionnaire	20 items covering 4 domains: physical fatigue, living with fatigue, cognition fatigue, emotional fatigue
MACTAR	McMaster Toronto Arthritis Patient Preference Disability Questionnaire	Functional index, including change in 5 impaired activities selected by each patient in a baseline interview
PI-HAQ	Personal Impact Health Assessment Questionnaire	Measures individual values for 20 activities of daily living in the HAQ, to provide impact scores of disability
RAID	RA Impact of Disease score	Composite of 7 numerical rating scales (pain, functional capacity, fatigue, physical and emotional well-being, quality of sleep, coping)
RAPP-PI	RA Patient Priorities in Pharmaceutical Interventions	Set of 8 priorities (pain, activities of daily living, joint damage, mobility, life enjoyment, independence, fatigue, and valued activities)
RASE	RA Self-Efficacy questionnaire	28 items measuring beliefs in the ability to use specific types of self-management for specific purposes
SEIQOL	Schedule for the Evaluation of Individual Quality of Life	Interview-based questionnaire, eliciting 5 areas most important in determining quality of life and assessing satisfaction in each