Development of a patient-reported outcome measure for the foot affected by rheumatoid arthritis

Guidelines for the Management of the Foot Health Problems Associated with Rheumatoid Arthritis

“…The use of foot health measurement tools, such the Foot Impact Scale (Helliwell et al, ) or the Salford Arthritis Foot Evaluation instrument (Walmsley, ), are considered as being a desirable adjunct to clinical practice in order to evaluate the impact of foot problems on the individual, but also to provide evidence for the level of effectiveness of interventions. Further to these measurement tools, the use of musculoskeletal ultrasound is considered a useful method of monitoring foot health, as well as its role in the assessment and diagnosis of specific foot and ankle pathology (Bowen, ).…”

Guidelines for the management of people with foot health problems related to rheumatoid arthritis: a survey of their use in podiatry practice

“…The questions were formulated from themes identified from analysis of the focus group data, with open response questions (qualitative data) [18] and fixed response questions (quantitative data) [n = 4], in order to provide the key features of the participants, such as age, gender and educational level.…”

Rheumatic Diseases

“…Specific tools for measuring the impact of foot pathology on foot pain, function and disability have been validated. However, only three are specific to people with RA-related foot problems (Foot Function Index -Budiman-Mak et al 1991;Foot Impact Scale -Helliwell et al 2005; Salford Arthritis Foot Evaluation Tool - Walmsley et al 2012) and a further one still requires further validation for part B of the Salford Arthritis Foot Evaluation Tool (Walmsley et al 2012).…”

“…The Salford Arthritis Foot Evaluation (SAFE) (Walmsley et al 2012) tool incorporates the development of items that have meaning to both the patient and clinician. It has a nomothetic scale (SAFE-Part A-19 items) that focuses on impairment, disability and footwear, and an idiographic scale (SAFE-Part B-42 items) that focuses on the impact, feelings and experiences of living with feet affected with RA.…”

“…Living with feet affected by RA often results in diverse and multidimensional implications for the patient. These are in relation to physical capacity, mental resilience and general wellbeing (Walmsley et al 2012) and in respect of how the physical changes in the feet affect overall body image (Williams and Graham 2012) creating restrictions for social activities through not being able to wear footwear of choice and style suitable to the occasion. The authors of two qualitative studies (Otter et al 2012;Wickman et al 2004) investigating women' s experience of wearing specialist therapeutic footwear concluded that, unlike any other intervention, specialist therapeutic footwear replaces something that is normally worn and is part of an individual' s body image.…”