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The Chilean Spanish version of the Juvenile Arthritis Multidimensional Assessment Report (JAMAR)
Ximena Norambuena1, Alessandro Consolaro2,3, Francesca Bovis2
1Hospital Dr. Exequiel González Cortés, Servicio de Pediatria, Unidad de Inmuno-Reumatologia Pediatrica, Jose Miguel Carrera N° 3300, San Miguel, Santiago, Chile. ximenorambuena@hotmail.com.
Insights
The Chilean Spanish Juvenile Arthritis Multidimensional Assessment Report (JAMAR) is validated for assessing juvenile idiopathic arthritis (JIA) in children. This parent/patient-reported outcome measure shows good psychometric performance for clinical practice and research.
Area of Science:
- Pediatrics
- Rheumatology
- Health Outcomes
Background:
- Juvenile idiopathic arthritis (JIA) requires reliable assessment tools.
- The Juvenile Arthritis Multidimensional Assessment Report (JAMAR) is a parent/patient-reported outcome measure for JIA.
- Cross-cultural adaptation and validation are crucial for global applicability.
Purpose of the Study:
- To translate and validate the JAMAR into Chilean Spanish.
- To assess the psychometric properties of the Chilean Spanish JAMAR version.
- To determine its suitability for clinical practice and research in Chile.
Main Methods:
- Cross-cultural adaptation and validation of the parent and patient versions of the JAMAR.
- Reading comprehension testing in ten JIA patients/parents.
- Statistical validation including psychometric analyses (Likert assumptions, floor/ceiling effects, internal consistency, Cronbach's alpha, correlations, construct validity).
- Data collection from 49 JIA patients and 70 healthy children.
Main Results:
- The Chilean Spanish JAMAR demonstrated good reading comprehension.
- The JAMAR components effectively discriminated between JIA patients and healthy children.
- All JAMAR components exhibited favorable psychometric performance, including good internal consistency and construct validity.
Conclusions:
- The Chilean Spanish version of the JAMAR is a valid and reliable tool for assessing children with JIA.
- The JAMAR is suitable for routine clinical practice and clinical research involving Chilean pediatric populations.
- This validated tool supports improved disease status assessment in JIA patients in Chile.
Abstract:
The Juvenile Arthritis Multidimensional Assessment Report (JAMAR) is a new parent/patient reported outcome measure that enables a thorough assessment of the disease status in children with juvenile idiopathic arthritis (JIA). We report the results of the cross-cultural adaptation and validation of the parent and patient versions of the JAMAR in the Chilean Spanish language. The reading comprehension of the questionnaire was tested in ten JIA parents and patients. Each participating centre was asked to collect demographic, clinical data and the JAMAR in 100 consecutive JIA patients or all consecutive patients seen in a 6-month period and to administer the JAMAR to 100 healthy children and their parents. The statistical validation phase explored descriptive statistics and the psychometric issues of the JAMAR: the three Likert assumptions, floor/ceiling effects, internal consistency, Cronbach's alpha, interscale correlations, and construct validity (convergent and discriminant validity). A total of 49 JIA patients (12.2% systemic, 24.5% oligoarticular, 22.5% RF-negative polyarthritis, 40.8% other categories) and 70 healthy children, were enrolled. The JAMAR components discriminated well healthy subjects from JIA patients. All JAMAR components revealed good psychometric performances. In conclusion, the Chilean Spanish version of the JAMAR is a valid tool for the assessment of children with JIA and is suitable for use both in routine clinical practice and clinical research.
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