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

Détails

ID Serval
serval:BIB_81231253124C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Development and validation of a questionnaire categorizing behavioral strategies in patients with chronic low back pain.
Périodique
Joint, bone, spine
Auteur(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
Statut éditorial
Publié
Date de publication
12/2017
Peer-reviewed
Oui
Volume
84
Numéro
6
Pages
725-731
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study ; Observational Study ; Validation Studies
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
07/03/2017 21:33
Dernière modification de la notice
06/08/2018 18:27
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