Measurement properties of the Pain Self-Efficacy Questionnaire in populations with musculoskeletal disorders: a systematic review

Dubé, Marc-Olivier; Langevin, Pierre; Roy, Jean‐Sébastien

doi:10.1097/pr9.0000000000000972

Cited by 52 publications

(10 citation statements)

References 49 publications

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“…We determined -4 points as the non-inferiority margin. Four points are slightly below the smallest clinically important difference (5.5 to 8.5 points) reported in a recent systematic review on pain self-efficacy in patients with low back pain [ 49 ]. We assume non-inferiority of the hybrid rehabilitation if the lower boundary of the one-sided 95% confidence interval (CI) exceeds -4 points.…”

Section: Methodsmentioning

confidence: 71%

Non-inferiority of a hybrid outpatient rehabilitation: a randomized controlled trial (HIRE, DRKS00028770)

et al. 2023

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Background Physiotherapeutic telerehabilitation in various musculoskeletal and internal diseases, including back pain, might be comparable to face-to-face rehabilitation or better than non-rehabilitation. In Germany, a standardized back school for patients with chronic back pain is provided in outpatient rehabilitation centers. The effectiveness of this standardized back school was shown in a randomized controlled trial in face-to-face rehabilitation. This study examines non-inferiority of a hybrid rehabilitation applying a digital version of the standardized back school against a rehabilitation applying the face-to-face back school. Methods/design We recruit 320 patients in eight German outpatient rehabilitation centers. Patients are randomized equally to the intervention and control groups. Patients aged 18 to 65 years with back pain are included. Patients lacking a suitable private electronic device and German language skills are excluded. Both groups receive the standardized back school as part of the 3-week rehabilitation program. The control group receives the back school conventionally in face-to-face meetings within the outpatient rehabilitation center. The intervention group receives the back school online using a private electronic device. Besides the back school, the patients participate in rehabilitation programs according to the German rehabilitation guideline for patients with chronic back pain. Hence, the term “hybrid” rehabilitation for the intervention group is used. The back school consists of seven modules. We assess data at four time points: start of rehabilitation, end of rehabilitation, 3 months after the end of rehabilitation and, 12 months after the end of rehabilitation. The primary outcome is pain self-efficacy. Secondary outcomes are, amongst others, motivational self-efficacy, cognitive and behavioral pain management, and disorder and treatment knowledge. Guided interviews with patients, physicians, physiotherapists and other health experts supplement our study with qualitative data. Discussion/aim Our randomized controlled trial aims to demonstrate non-inferiority of the online back school, compared to conventional implementation of the back school. Trial registration German Clinical Trials Register (DRKS00028770, April 05, 2022).

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Section: Methodsmentioning

confidence: 71%

Non-inferiority of a hybrid outpatient rehabilitation: a randomized controlled trial (HIRE, DRKS00028770)

et al. 2023

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“…independently reviewed each included article that met the inclusion criteria. A standardized data extraction form, used in previous systematic reviews, 53–55 was adapted for extracting data from included studies. Information regarding the population of each study was extracted, including the number of participants, type of musculoskeletal condition, age, and sex.…”

Section: Methodsmentioning

confidence: 99%

Psychometric Properties of Patient-reported Outcome Measures to Assess Resilience in Individuals with Musculoskeletal Pain or Rheumatic Conditions

Rosa,

Dubé,

Roy

2023

The Clinical Journal of Pain

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Objectives: The objective of this systematic review was to provide a comprehensive overview of the measurement properties of patient-reported outcome measures (PROMs) used to assess resilience in individuals with musculoskeletal and rheumatic conditions. Methods: Four electronic databases (MEDLINE, CINAHL, PsycINFO, Web of Science) were searched. Studies assessing any measurement property in the target populations were included. Two reviewers independently screened all studies and assessed risk of bias using the COSMIN checklist. Thereafter, each measurement property of each PROM was classified as sufficient, insufficient, or inconsistent based on the COSMIN criteria for good measurement properties. Results: Four families of PROMs (Brief Resilient Coping Scale [BRCS]; Resilience Scale [RS-18]; Connor–Davidson Resilience Scale [CD-RISC-10 and CD-RISC-2]; and Pain Resilience Scale [PRS-14 and PRS-12]) were identified from the 9 included studies. Even if no PROM showed sufficient evidence for all measurement properties, the PRS and CD-RISC had the most properties evaluated and showed the best measurement properties; although responsiveness still needs to be assessed for both PROMs. Both PROMs showed good level of reliability (intraclass coefficient correlation 0.61 to 0.8) and good internal consistency (Cronbach’s alpha ≥0.70). Minimal detectable change values were 24.5% for PRS and between 4.7% and 29.8% for CD-RISC. Discussion: Although BRCS, RS-18, CD-RISC or PRS have been used to evaluated resilience in individuals with musculoskeletal and rheumatic conditions, the current evidence only supports the use of PRS or CD-RISC in this population. Further methodological studies are therefore needed and should prioritize the assessment of reliability and responsiveness.

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“…Internal consistency in this study was high (α=0.93). This scale is commonly used in studies of adults with chronic pain 38…”

Section: Methodsmentioning

confidence: 99%

Childhood Adversity Among Adults With Chronic Pain

Craner

Lake

Barr

et al. 2022

The Clinical Journal of Pain

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Objectives: Adverse childhood experiences (ACEs) have been linked to the development and impact of chronic pain in adulthood. The goal of this study was to investigate the prevalence of ACEs in a treatment-seeking sample of adults with chronic pain and the relationship between number and type(s) of ACEs and pain-related outcomes. Methods: Adults (N=1794) presenting for treatment at a multidisciplinary pain management center completed self-report measures of childhood adversity, pain, functioning, emotional distress, and adjustment to pain. Results: Participants endorsing ≥4 ACEs had significantly worse pain-related outcomes and lower quality of life compared with individuals reporting fewer ACEs. Having ≥3 ACEs was associated with higher anxiety and depression levels. Experiences of childhood neglect negatively affected mental health–related outcomes independent of the number of ACEs. Significant sex differences were found in the number and type of ACEs reported but not in the relationship between ACEs and outcome variables. Conclusion: Findings suggest that the number and the type of self-reported ACE(s) are associated with pain-related variables and psychosocial functioning in adults with chronic pain. The results highlight the importance of assessment of ACEs and trauma-informed care with patients with chronic pain.

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Measurement properties of the Pain Self-Efficacy Questionnaire in populations with musculoskeletal disorders: a systematic review

Abstract: The Pain Self-Efficacy Questionnaire has excellent validity, reliability, and responsiveness. Further high-quality studies are needed to determine responsiveness in populations other than chronic low back pain.

Cited by 52 publications

References 49 publications

Non-inferiority of a hybrid outpatient rehabilitation: a randomized controlled trial (HIRE, DRKS00028770)

Non-inferiority of a hybrid outpatient rehabilitation: a randomized controlled trial (HIRE, DRKS00028770)

Psychometric Properties of Patient-reported Outcome Measures to Assess Resilience in Individuals with Musculoskeletal Pain or Rheumatic Conditions

Childhood Adversity Among Adults With Chronic Pain

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