Development and validation of a questionnaire categorizing behavioral strategies in patients with chronic low back pain.

Details

Serval ID
serval:BIB_81231253124C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Development and validation of a questionnaire categorizing behavioral strategies in patients with chronic low back pain.
Journal
Joint, bone, spine
Author(s)
Bailly F., Foltz V., Rozenberg S., Norberg M., Glemarec J., Pouplin S., Banneville B., Demoulin C., Gaud-Listrat V., Fautrel B., Gossec L.
ISSN
1778-7254 (Electronic)
ISSN-L
1297-319X
Publication state
Published
Issued date
12/2017
Peer-reviewed
Oui
Volume
84
Number
6
Pages
725-731
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Observational Study ; Validation Studies
Publication Status: ppublish
Abstract
The identification of helpful or unhelpful behavioral strategies for coping with pain would assist in optimizing the management of patients with chronic low back pain (CLBP). The objective was to develop and validate a questionnaire for categorizing behavioral strategies in patients with nonspecific CLBP.
(1) Development of a preliminary questionnaire based on a qualitative study in 25 patients with CLBP; (2) Item reduction and questionnaire validation by a multicenter international prospective study in patients with CLBP, with multiple correspondence analysis to identify behavioral profiles, whose characteristics and internal and external validities were assessed; 12-month study of treatments in 58 patients; (3) Evaluation of reproducibility in 30 patients.
(1) The preliminary questionnaire had 87 items in eight pain-coping domains. (2) Three behavioral profiles were identified: effective coping, emotional distress, and kinesiophobia. The questionnaire was reduced to 21 items in seven domains. Cronbach's α indicated moderate internal consistency (0.47-0.66). External validity versus anxiety, depression, and coping strategies was good. As expected, functional restoration program was used more often by patients with kinesiophobia than by those with effective coping (50% vs. 25%, P<0.05). (3) Reproducibility was good (κ=0.70).
This new, simple questionnaire allows the identification of three behavioral profiles, thus guiding the development of personalized management programs for NCLBP.
Keywords
Adult, Aged, Chronic Pain/physiopathology, Chronic Pain/therapy, Cohort Studies, Disability Evaluation, Female, Health Behavior/physiology, Humans, Low Back Pain/diagnosis, Low Back Pain/psychology, Low Back Pain/therapy, Male, Middle Aged, Pain Management/methods, Prognosis, Prospective Studies, Psychometrics, Risk Factors, Sick Role, Surveys and Questionnaires, Treatment Outcome, Adjustment strategy, Behavior, Coping, Low back pain, Management, Pain management, Questionnaire
Pubmed
Web of science
Create date
07/03/2017 20:33
Last modification date
20/08/2019 14:41
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