The patient enablement instrument for backpain: reliability, content validity, constructvalidity and responsiveness

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Molgaard Nielsen, ADepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark (författare)

The patient enablement instrument for backpain : reliability, content validity, constructvalidity and responsiveness

Artikel/kapitelEngelska2021

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2021-04-09
BioMed Central,2021
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LIBRIS-ID:oai:DiVA.org:liu-174930
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-174930URI
https://doi.org/10.1186/s12955-021-01758-0DOI

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Sammanfattning på:engelska

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Funding: Danish Foundation for Chiropractic Research and Post Graduate Education, Denmark - Danish Foundation for Chiropractic Research and Post Graduate Education
BackgroundCurrently, there are no outcome measures assessing the ability of people with non-specific low back pain to self-manage their illness. Inspired by the ‘Patient Enablement Instrument’, we developed the Patient Enablement Instrument for Back Pain (PEI-BP). The aim of this study was to describe the development of the Patient Enablement Instrument for Back Pain (PEI-BP) and investigate content validity, construct validity, internal consistency, test–retest reliability, measurement error, responsiveness and floor and ceiling effects.MethodsThe PEI-BP consists of 6 items that are rated on a 0–10 Numeric Rating Scale. Measurement properties were evaluated using the COSMIN taxonomy and were based on three cohorts from primary care with low back pain: The content validity cohort (N = 14) which participated in semi-structured interviews, the GLA:D® Back cohort (N = 272) and the test–retest cohort (N = 37) which both completed self-reported questionnaires. For construct validity and responsiveness, enablement was compared to disability (Oswestry Disability Index), back pain beliefs (Brief Illness Perception Questionnaire), fear avoidance (Fear-Avoidance Beliefs Questionnaire—physical activity), mental health (SF-36), educational level and number of previous episodes of low back pain.ResultsThe PEI-BP was found to have acceptable content validity, construct validity, reliability (internal consistency, test–retest reliability and measurement error) and responsiveness. The Smallest Detectable Change was 10.1 points illustrating that a patient would have to change more than 1/6 of the scale range for it to be a true change. A skewed distribution towards the high scores were found at baseline indicating a potentially problematic ceiling effect in the current population.ConclusionsThe PEI-BP can be considered a valid and reliable tool to measure enablement on people seeking care for non-specific LBP. Further testing of the PEI-BP in populations with more severe LBP is recommended.

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Hartvigsen, JDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark; Chiropractic Knowledge Hub, Campusvej 55, 5230, Odense M, Denmark (författare)
Kongsted, ADepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark; Chiropractic Knowledge Hub, Campusvej 55, 5230, Odense M, Denmark (författare)
Öberg, Birgitta,1951-Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten(Swepub:liu)birob80 (författare)
Enthoven, Paul,1955-Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten(Swepub:liu)pauen91 (författare)
Abbott, Allan,1978-Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Ortopedkliniken i Linköping(Swepub:liu)allab56 (författare)
Lauridsen, H.HDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark (författare)
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark; Chiropractic Knowledge Hub, Campusvej 55, 5230, Odense M, Denmark (creator_code:org_t)

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Ingår i:Health and Quality of Life Outcomes: BioMed Central191477-7525

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