From: Development of a self-administered early inflammatory arthritis detection tool
Elements and Questions | Delphi Round* | EIA Tool (X) | ||
---|---|---|---|---|
 | 1 (n = 60) | 2 (n = 59) | 3 (n = 169) |  |
Demographics | Â | Â | Â | Â |
1. In which month and year were you born? | 66.7 | - | - | -†|
2. What is your gender, male or female? | 75.0 | - | 54.4 | -†|
3. If female, have you been pregnant or given birth within the last year? | 63.3 | - | - | - |
4. Have you smoked or have you been exposed to smoke on a regular basis in your life?‡ | 55.0 | 54.2 | 26.6 | - |
5. Over the past year, have you had more than 10 lbs (5 kg) weight loss without trying? | - | 57.6 | - | - |
Articular Pain | Â | Â | Â | Â |
6. Do you have pain in your joints? | 91.7 | - | 91.1 | X |
7. Do you have pain in your wrists and hands? | 95.0 | - | 92.3 | X |
8. Do you have pain in the ball of your foot? | 71.7 | - | 65.7 | - |
9. Do you have pain in your neck, your back, your buttocks or the muscles in your legs? | 63.3 | - | - | - |
Articular Swelling | Â | Â | Â | Â |
10. Are your hands or wrists swollen? | 98.3 | - | 91.1 | X |
11. Are your rings still fitting?‡ | 56.7 | 44.1 | - | - |
12. Do you have trouble with your shoes fitting? | 43.3 | 20.3 | - | - |
Articular Stiffness | Â | Â | Â | Â |
13. Do you have trouble making a fist? | 93.3 | - | 85.2 | X |
14. Are your joints stiff in the morning? | 96.7 | - | 95.3 | X |
15. Do you have a feeling of back stiffness in the morning?‡ | 61.7 | 74.6 | 78.1 | - |
16. From the time you wake in the morning, how many minutes does it take for your joints to move more freely, less than 30 minutes or more than 30 minutes?‡ | 95.0 | - | 91.7 | X |
Distribution of Joint Involvement | Â | Â | Â | Â |
17. At any time have your lower limbs been affected, such as your groin knees, ankles, or feet? | 63.3 | - | - | - |
18. Are the same joints involved on both sides of your body? | - | 88.1 | 87.6 | X |
Characterization of symptom onset | Â | Â | Â | Â |
19. For how long have you had these symptoms, less than 1 year or more than 1 year?‡ | 86.7 | - | 79.3§ | -** |
20. Did your bone and joint problem come on suddenly?‡ | - | 76.3 | 80.5 | -** |
Nodules | Â | Â | Â | Â |
21. Have you developed any new lumps or bumps on your arms or legs? | 66.7 | - | - | - |
Function | Â | Â | Â | Â |
22. Have important activities in your life been affected because of bone or joint problems, such as having difficulty with personal care or having to make a change regarding leisure or work activities? | 80.0 | - | 87.6 | X |
Fatigue | Â | Â | Â | Â |
23. Do you find that you are getting tired earlier in the day than you used to? | 68.3 | - | - | - |
Laboratory Test and Diagnostic Imaging History | Â | Â | Â | Â |
24. Have you had a blood test for rheumatoid arthritis? | 75.0 | - | 63.3 | - |
25. Have you had x-rays of your hands or wrists? | 68.3 | - | - | - |
Diagnostic History | Â | Â | Â | Â |
26. Have you ever been told that you have rheumatoid arthritis? | 88.3 | - | 72.8§ | X |
27. Have you seen an arthritis specialist or rheumatologist in the past year? | 80.0 | - | 71.6 | - |
28. Have you been diagnosed with a rash called psoriasis? | 90.0 | - | 81.7 | X |
29. Have you had a recent viral or other infection or illness?‡ | - | 76.3 | 76.9 | - |
Family History | Â | Â | Â | Â |
30. Does anyone in your family have rheumatoid arthritis? | 91.7 | - | 93.5 | X |
31. Does anyone in your family have a rash called psoriasis? | 78.3 | - | 79.9 | - |
Treatment History | Â | Â | Â | Â |
32. Have you used anti-inflammatory drugs to manage your arthritis? | 80.0 | - | 79.3 | - |
33. Have you used disease-modifying anti-rheumatic drugs (DMARDS) to manage your arthritis? | 71.7 | - | 65.7 | - |
34. Have you used non-pharmacological (non-drug) methods to manage your arthritis? | 61.7 | 54.2 | - | - |
35. Do you take pills on a daily basis to make your pain or stiffness feel better? | - | 79.7 | 72.8 | - |