Further methodological development of the Test Instrument for Profile of Physical Ability (TIPPA) designed for patients with long-term musculoskeletal pain
“…The SMET questionnaire multidisciplinary/multifactorial structure strengthens the validity through its three perspectives on the workplace: physically, environmentally, and psychosocially.Practical instruments, such as the Test Instrument for Profile of Physical Ability (TIPPA) [34] and PLIBEL (a method assigned for the identification of ergonomic hazards) (PLIBEL) [35] are often used in OHS, but these instruments do not have a multidisciplinary/multifactorial perspective. Evaluation regarding content validity in TIPPA and PLIBEL has been used as a complement during the planning of the SMET validation.…”
Section: Discussionmentioning
confidence: 99%
“…Content validity in TIPPA has been conducted with an expert panel approach similar to our validation of the SMET questionnaire [34]. Validation of PLIBEL was conducted through an extensive search in the scientific literature, which strengthens the content validity [28].…”
METHOD:Communicative and pragmatic validity were tested through the development of the questionnaire using action theory and presented in a descriptive portrayal. The Content Validity Index (CVI) was used to test content validity for each item as well as for the questionnaire as a whole.
CONCLUSION:The SMET questionnaire has very good content validity. The pervasive work with the SMET questionnaire also shows good pragmatic and communicative validity.
“…The SMET questionnaire multidisciplinary/multifactorial structure strengthens the validity through its three perspectives on the workplace: physically, environmentally, and psychosocially.Practical instruments, such as the Test Instrument for Profile of Physical Ability (TIPPA) [34] and PLIBEL (a method assigned for the identification of ergonomic hazards) (PLIBEL) [35] are often used in OHS, but these instruments do not have a multidisciplinary/multifactorial perspective. Evaluation regarding content validity in TIPPA and PLIBEL has been used as a complement during the planning of the SMET validation.…”
Section: Discussionmentioning
confidence: 99%
“…Content validity in TIPPA has been conducted with an expert panel approach similar to our validation of the SMET questionnaire [34]. Validation of PLIBEL was conducted through an extensive search in the scientific literature, which strengthens the content validity [28].…”
METHOD:Communicative and pragmatic validity were tested through the development of the questionnaire using action theory and presented in a descriptive portrayal. The Content Validity Index (CVI) was used to test content validity for each item as well as for the questionnaire as a whole.
CONCLUSION:The SMET questionnaire has very good content validity. The pervasive work with the SMET questionnaire also shows good pragmatic and communicative validity.
“…Table 2 presents the extracted data for the assessment of the clinical criteria. Only three observation methods met all clinical criteria: 1) the Behavioral Avoidance Test-Back Pain (BAT-Back) [ 27 ], 2) the Pain Behavior Scale (PaBS) [ 36 ], and 3) the Test Instrument for Profile of Physical Ability (TIPPA) [ 37 ].…”
Background
Cognitive-affective factors influence the perception of pain and disability. These factors can lead to pain behaviors (PB) that can persist and become maladaptive. These maladaptive PB will further increase the risk of chronicity or persistence of symptoms and disability. Thus, clinicians must be prepared to recognize maladaptive PB in a clinical context. To date, in the context of assessment in a rehabilitation setting, PB in clinical settings are poorly documented. The main objective of this study was to identify direct observation methods and critically appraise them in order to propose recommendations for practice. As a secondary objective, we explored and extracted the different observable PB that patients could exhibit and that clinicians could observe.
Methods
We conducted a comprehensive review on four databases with a generic search strategy in order to obtain the largest range of PB. For the first objective, a two-step critical appraisal used clinical criteria (from qualitative studies on barriers to implement routine measures) and psychometric criteria (from Brink and Louw critical appraisal tool) to determine which observation methods could be recommended for clinical practice. For the second objective, we extracted PB found in the literature to list potential PB that patients could exhibit, and clinicians could observe.
Results
From the 3362 retrieved studies, 47 met the inclusion criteria for the first objective. The clinical criteria allowed us to select three observation methods. After the psychometric step, two observation methods were retained and recommended for clinical practice: the Behavioral Avoidance Test-Back Pain (BAT-Back) and the Pain Behaviour Scale (PaBS). For the second objective, 107 studies met the inclusion criteria. The extraction of the PB allowed us to list a large range of PB and classify the data in 7 categories of PB.
Conclusion
Our results allowed us to recommend two observation methods for clinical practice. However, these methods have limitations and are validated only in chronic low back pain populations. With the extraction of PB presented in the literature, we contribute to better prepare clinicians to recognize PB in all patients who are experiencing pain.
TIPPA could be a useful measure for the assessment of physical ability. However, additional condition-specific items/measures are required to obtain full coverage of core aspects of functioning and disability in a comprehensive work-ability assessment for patients with long-term musculoskeletal pain.
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