Preferred self-administered questionnaires to assess fear of movement, coping, self-efficacy, and catastrophizing in patients with musculoskeletal pain—A modified Delphi study

Sleijser-Koehorst, Marije L. S.; Bijker, L.; Cuijpers, Pim; Scholten-Peeters, Gwendolyne G M; Coppieters, Michel W.

doi:10.1097/j.pain.0000000000001441

Cited by 37 publications

(45 citation statements)

References 20 publications

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“…68,69 We prefer to use the PCI and FABQ-DV as prognostic instruments for outcomes of pain intensity and functioning, perhaps accompanied by questionnaires on psychological functioning in relation to cognition and behavior in patients with chronic WAD. 89 This is consistent with the importance of transforming the existing model of chronic pain into the clinical management of patients with chronic pain 90 in accordance with the best evidence on the management of patients with chronic musculoskeletal pain, particularly patients with neck pain and low back pain. 91,92 Only a moderate-to-fair association was observed between the psychological questionnaires as selected process variables and "pain intensity" and "functioning" as outcome variables.…”

Section: Relationship Between Selected Process and Outcome Variablessupporting

confidence: 74%

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<p>Relationships Between Context, Process, and Outcome Indicators to Assess Quality of Physiotherapy Care in Patients with Whiplash-Associated Disorders: Applying Donabedian’s Model of Care</p>

Oostendorp

Elvers²,

Trijffel³

et al. 2020

PPA

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Background: Quality indicators (QIs) are measurable elements of practice performance and may relate to context, process, outcome and structure. A valid set of QIs have been developed, reflecting the clinical reasoning used in primary care physiotherapy for patients with whiplash-associated disorders (WAD). Donabedian's model postulates relationships between the constructs of quality of care, acting in a virtuous circle. Aim: To explore the relative strengths of the relationships between context, process, and outcome indicators in the assessment of primary care physiotherapy in patients with WAD. Materials and Methods: Data on WAD patients (N=810) were collected over a period of 16 years in primary care physiotherapy practices by means of patients records. This routinely collected dataset (RCD-WAD) was classified in context, process, and outcome variables and analyzed retrospectively. Clinically relevant variables were selected based on expert consensus. Associations were expressed, using zero-order, as Spearman rank correlation coefficients (criterion: r s >0.25 [minimum: fair]; α-value = 0.05). Results: In round 1, 62 of 85 (72.9%) variables were selected by an expert panel as relevant for clinical reasoning; in round 2, 34 of 62 (54.8%) (context variables 9 of 18 [50.0%]; process variables 18 of 34 [52.9]; outcome variables 8 of 10 [90.0%]) as highly relevant. Associations between the selected context and process variables ranged from 0.27 to 0.53 (p≤0.00), between selected context and outcome variables from 0.26 to 0.55 (p≤0.00), and between selected process and outcome variables from 0.29 to 0.59 (p≤0.00). Moderate associations (r s >0.50; p≤0.00) were found between "pain coping" and "fear avoidance" as process variables, and "pain intensity" and "functioning" as outcome variables. Conclusion: The identified associations between selected context, process, and outcome variables were fair to moderate. Ongoing work may clarify some of these associations and provide guidance to physiotherapists on how best to improve the quality of clinical reasoning in terms of relationships between context, process, and outcome in the management of patients with WAD.

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Section: Relationship Between Selected Process and Outcome Variablessupporting

confidence: 74%

“…Psychological variables (ie, fear avoidance, fear of movement, pain cognition, pain behavior and pain catastrophizing) should be considered as candidate outcome measures in patients with persistent pain after a WAD-related accident. 89…”

Section: Relationship Between Selected Process and Outcome Variablesmentioning

confidence: 99%

<p>Relationships Between Context, Process, and Outcome Indicators to Assess Quality of Physiotherapy Care in Patients with Whiplash-Associated Disorders: Applying Donabedian’s Model of Care</p>

Oostendorp

Elvers²,

Trijffel³

et al. 2020

PPA

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“… 11 12 27 Recent research has identified several suitable questionnaires for evaluating psychosocial factor, such as kinesiophobia, fear-avoidance, coping and distress in people with musculoskeletal pain, and also PROMIS measures are beneficial to use. 28 29 30 31 32 …”

Section: Discussionmentioning

confidence: 99%

Baseline Patient Characteristics Commonly Captured Before Surgery Do Not Accurately Predict Long-Term Outcomes of Lumbar Microdiscectomy Followed by Physiotherapy

Willems

Coppieters

Rooker

et al. 2020

Spine

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“…The scale has high test–retest reliability and construct validity 30. The PSEQ is a preferred questionnaire to assess pain self-efficacy 29…”

Section: Methods and Analysismentioning

confidence: 99%

“…The PCS has adequate test–retest reliability 33 34. The PCS is a preferred questionnaire to assess pain catastrophising 29…”

Section: Methods and Analysismentioning

confidence: 99%

Identifying psychosocial characteristics that predict outcome to the UPLIFT programme for people with persistent back pain: protocol for a prospective cohort study

et al. 2019

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IntroductionPrognostic screening of people with low back pain (LBP) improves utilisation of primary healthcare resources. Whether this also applies to secondary healthcare remains unclear. Therefore, this study aims to develop prognostic models to determine at baseline which patients with persistent LBP are likely to have a good and poor outcome to a 5-week programme of combined education and exercise (‘UPLIFT’) delivered in a secondary healthcare setting.Methods and analysisA prospective cohort study of 246 people with persistent LBP will be conducted in a secondary healthcare outpatient setting. Patients will be recruited from a physiotherapy-led neurosurgical screening clinic. Demographic data, medical history and psychosocial characteristics will be recorded at baseline. Fear avoidance beliefs, pain self-efficacy, LBP treatment beliefs, pain catastrophising, perceived injustice, depression, anxiety and stress, disability level, pain intensity and interference, health status and social connectedness will be considered as potential prognostic variables, which will be assessed using self-reported questionnaires. Participants will attend the UPLIFT programme, consisting of weekly 90 min group sessions that combine interactive education sessions and a graded exercise programme. The outcome measure to identify good and poor outcome is the Global Rating of Change scale, assessed at completion of the UPLIFT programme and at 6 months follow-up. Multiple imputation analyses will be performed for missing values. Prognostic models will be developed using multivariable logistic regression analyses, with bootstrapping techniques for internal validation. We will calculate the explained variance of the models and the area under the receiver operating characteristic curve. Furthermore, we will determine whether participation in the UPLIFT programme is associated with changes in psychosocial characteristics.Ethics and disseminationGold Coast Health Service Human Research Ethics Committee (HREC/18/QGC/41) and the Griffith University Human Research Ethics Committee (GU Ref No: 2018/408) approved the study. Dissemination of findings will occur via peer-reviewed publications and conference presentations.Trial registration numberACTRN12618001525279.

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Preferred self-administered questionnaires to assess fear of movement, coping, self-efficacy, and catastrophizing in patients with musculoskeletal pain—A modified Delphi study

Abstract: Supplemental Digital Content is Available in the Text. Through a Delphi study, consensus was reached regarding recommended self-administered questionnaires to assess fear of movement, coping, self-efficacy, and catastrophizing in patients with musculoskeletal pain.

Cited by 37 publications

References 20 publications

<p>Relationships Between Context, Process, and Outcome Indicators to Assess Quality of Physiotherapy Care in Patients with Whiplash-Associated Disorders: Applying Donabedian’s Model of Care</p>

<p>Relationships Between Context, Process, and Outcome Indicators to Assess Quality of Physiotherapy Care in Patients with Whiplash-Associated Disorders: Applying Donabedian’s Model of Care</p>

Baseline Patient Characteristics Commonly Captured Before Surgery Do Not Accurately Predict Long-Term Outcomes of Lumbar Microdiscectomy Followed by Physiotherapy

Identifying psychosocial characteristics that predict outcome to the UPLIFT programme for people with persistent back pain: protocol for a prospective cohort study

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