Patient-Rated Wrist/Hand Evaluation – PRWHE
A 15-item self-report questionnaire designed to measure wrist and hand pain and disability in activities of daily living.
Scale Development & Technical Details
Scale Overview
The Patient-Rated Wrist/Hand Evaluation – PRWHE was developed by MacDermid J (Original); Videler AJ, Schreuders TAR (Dutch version) (1998). It is designed to measure Wrist and hand pain and disability. The scale is intended for use with Adults with wrist and hand injuries or conditions.
Scale Structure
This instrument consists of 15 items organized into 3 factors/subscales: Pain, Function – Specific Activities, Function – Usual Activities.
| Factor / Subscale | Items | N |
|---|---|---|
| Pain | 1,2,3,4,5 | 5 |
| Function – Specific Activities | 6,7,8,9,10 | 5 |
| Function – Usual Activities | 11,12,13,14,15 | 5 |
Response Format
Respondents rate each item using a custom response format.
Response anchors: 0 = No pain / No difficulty, 1 = 1, 2 = 2, 3 = 3, 4 = 4, 5 = Moderate, 6 = 6, 7 = 7, 8 = 8, 9 = 9, 10 = Worst pain imaginable / Unable to do.
Scoring
Items are scored by subscale, with each subscale sum representing a distinct dimension.
Total scores range from 0 to 100. Interpretation guidelines:
- Minimal disability: 0 – 20
- Mild disability: 21 – 40
- Moderate disability: 41 – 60
- Severe disability: 61 – 100
Psychometric Properties
Internal Consistency: The scale has demonstrated good to excellent internal consistency with reported Cronbach’s alpha values of High test-retest reliability (ICC > 0.90).
Administration
The scale is self-administered and typically takes approximately 5 minutes to complete. It can be administered individually or in group settings. No special training is required for administration.