A brief screening tool for knee pain in primary care. 1. Validity and reliability

Jinks, Clare; Lewis, Martyn; Ong, Bio Nio; Croft, P

doi:10.1093/rheumatology/40.5.528

Cited by 60 publications

(57 citation statements)

References 22 publications

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“…Pain occurrence, number and location of pain sites Our measure of the occurrence of self-reported pain was based on a single question and an associated body manikin, a method used frequently in self-reported health surveys [32][33][34]. Participants were asked, ''In the past four weeks have you had any pain that has lasted for one day or longer in any part of your body?''…”

Section: Health Survey Questionnairementioning

confidence: 99%

Patterns of pain and mobility limitation in older people: cross-sectional findings from a population survey of 18,497 adults aged 50 years and over

et al. 2008

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Mobility limitation is the most common disability in the general population, and pain is a frequent symptom at older ages. We have investigated the association of different patterns of pain and mobility limitation in a large sample of older adults. A cross-sectional postal survey of all adults aged 50 years and over registered with eight general practices in North Staffordshire, UK, resulted in 18,497 respondents (adjusted response=70.8%). Information on demographics, recent pain and the self-reported level of mobility limitation was collected. Associations between pain and mobility limitation were assessed using a partial proportional odds model, taking into account age, gender and socio-economic status. Limitation in walking 100 yards was reported by 29% of respondents. Limitation increased sharply with age, and was higher in the female and lower socio-economic groups. Persons reporting pain were significantly more likely to report limitation. The relationship between mobility limitation and pain was stronger in the youngest age group, but proportionally more people in the oldest age groups have mobility limitation associated with pain. Lower limb and multiple pains present a potential target for the prevention of mobility limitation up to the oldest age groups.

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Section: Health Survey Questionnairementioning

confidence: 99%

Patterns of pain and mobility limitation in older people: cross-sectional findings from a population survey of 18,497 adults aged 50 years and over

et al. 2008

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“…In self-report health surveys, they are often included as a simple screening instrument to assess the location of pain or to estimate the prevalence of pain in certain body areas. [1][2][3] Subjects are usually asked to shade their pain within the outlines of front and back views of a blank body manikin. The presence or absence of pain is assessed by placing a transparent template, divided into a number of defined body areas, over the completed pain drawing, and observing any shading within these areas.…”

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confidence: 99%

“…Previous studies have found good test-retest reliability of completion of pain drawings by subjects in different settings. [2][3][4][5][6] Completed pain drawings can also be used to determine the presence of widespread pain according to a predetermined definition. 7 In population surveys, scoring of completed pain drawings is often performed manually by a data entry clerk, although for a large survey, it would not be cost-effective (either in time or burden on staff) to use a single rater.…”

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confidence: 99%

Interrater Reliability of Scoring of Pain Drawings in a Self-Report Health Survey

Lacey

Lewis

Jordan

et al. 2005

Spine

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Study Design. Study of interrater reliability. Objective. To assess the interrater reliability of data from pain drawings scored by multiple raters and the consistency of the subsequent classification of cases of widespread pain.Summary of Background Data. In large health surveys, pain drawings used to capture self-reported pain, and to classify cases of widespread pain, are often scored by several raters. The reliability of multiple rater scoring of pain drawings has not been investigated.Methods. As part of a postal survey sent to adults 50 years and older, subjects were asked to shade their pain on a blank body manikin. The first 50 pain drawings in which respondents had shaded pain were selected for this study. Eight nonclinical staff were trained to score pain drawings using transparent templates divided into 50 body areas. Interrater reliability was assessed by comparing the scoring of "pain" or "no pain" for all 50 areas of each pain drawing.Results. Complete scoring agreement among all raters was observed for at least 78% of pain drawings across all body areas (kappa Ͼ 0.60). The raters had complete agreement in 42 of 50 areas in 90% or more of pain drawings. From the raters' scoring of pain areas, there was complete agreement on the presence or absence of widespread pain for 49 of 50 pain drawings (98% agreement, Kappa ϭ 0.98).Conclusions. This study shows that multiple raters, with training and guidelines, can reliably score pain drawings, and high consistency in the subsequent classification of cases of widespread pain can be obtained from such data.

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“…A previously validated questionnaire for OA patients enquiring about their use of services and self-management [the modified Knee Pain Screening Tool (KNEST) 169 ], with a selection of items that measure care related to NICE guidance topics. ii.…”

Section: Process Measures Of Implementation Of the Mosaics Model-of-carementioning

confidence: 99%

“…A range of secondary outcomes were collected: the proportion of treatment responders using the internationally agreed OMERACT clinical responder criteria 200,201 that combine data on pain and function from the WOMAC 228 with patient's global assessment of change (recorded using a 6-point Likert scale); physical activity levels (PASE, which assesses physical activity levels over a 1-week period combining physical activity from several domains including household, occupational and leisure); 169 self-reported BMI (calculated from self-reported height and weight); exercise adherence (attendance at treatment sessions, self-reported adherence to prescribed exercise programme); use of local physical activity facilities in the previous 7 days (single item); a modified version of a measure of treatment acceptability and credibility; 234,235 ). Resource use and EQ-5D-3L data were used in the cost-utility analysis (further details are provided in Health economic analysis).…”

Section: Secondary Outcomesmentioning

confidence: 99%

Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials

Hay

Dziedzic

Foster

et al. 2018

Programme Grants Appl Res

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This report should be referenced as follows:Hay E, Dziedzic K, Foster N, Peat G, van der Windt D, Bartlam B, et al. Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials. Programme Grants Appl Res 2018;6(4). Programme Grants for Applied ResearchISSN 2050-4322 (Print) ISSN 2050-4330 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0407-10386. The contractual start date was in July 2008. The final report began editorial review in March 2015 and was accepted for publication in May 2016. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publicatio...

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A brief screening tool for knee pain in primary care. 1. Validity and reliability

Abstract: The KNEST appears to be a reliable and valid composite tool for the study of population needs and outcomes of care for people aged over 55 yr with knee pain.

Cited by 60 publications

References 22 publications

Patterns of pain and mobility limitation in older people: cross-sectional findings from a population survey of 18,497 adults aged 50 years and over

Patterns of pain and mobility limitation in older people: cross-sectional findings from a population survey of 18,497 adults aged 50 years and over

Interrater Reliability of Scoring of Pain Drawings in a Self-Report Health Survey

Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials

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