A scoping review to explore the use of the Health Care Providers' Pain and Impairment Relationship Scale.

Autor: Muller RD; VA Connecticut Healthcare System, West Haven, Connecticut, USA.; Research Center, Parker University, Dallas, Texas, USA.; Yale School of Medicine, Yale University, New Haven, Connecticut, USA., Schielke A; VA Palo Alto Health Care System, Palo Alto, California, USA.; Palmer College of Chiropractic West Campus, San Jose, California, USA., Gliedt JA; Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Cooper J; Baylor Scott & White Health, Round Rock, Texas, USA., Martinez S; American Heart Association, Dallas, Texas, USA.; American College of Cardiology, Washington, District of Columbia, USA., Eklund A; Department of Environmental Medicine, Unit of Intervention and Implementation Research for Worker Health, Karolinska Intitutet, Stockholm, Sweden., Pohlman KA; Research Center, Parker University, Dallas, Texas, USA.
Jazyk: angličtina
Zdroj: PM & R : the journal of injury, function, and rehabilitation [PM R] 2024 Jul 03. Date of Electronic Publication: 2024 Jul 03.
DOI: 10.1002/pmrj.13186
Abstrakt: Objectives: Patients' interactions with health care providers influence back pain-related outcomes. The Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) is an instrument that assesses providers' attitudes and beliefs about patients with persistent back pain, with lower scores implying that persistent pain does not indicate disability or limitation of activities. This scoping review aims to explore the extent of research involving the HC-PAIRS.
Literature Survey: PubMed, Embase, and PEDro databases were searched from inception to April 2022.
Methods: Extracted HC-PAIRS scores were standardized to 15-item scores and categorized by profession, student or professional status, and pre/post-educational intervention to evaluate scores. Psychometric properties and educational interventions of the HC-PAIRS were described.
Results: After screening, 51 studies representing 10,416 participants were included. Student and professional scores were investigated in 24 and 29 studies, respectively. Twenty-one studies included educational interventions, with heterogenous follow-up. Psychometric properties of the HC-PAIRS were assessed in 10 studies and demonstrated acceptable reliability and validity. The overall baseline mean score among all participants was 55.34 (95% CI: 53.54-57.14) (students: 56.54 [56.54-60.87]; professionals: 51.67 [49.08-54.27]). Nurses (61.99 [55.66-68.31]) and non-health care professionals (65.30 [57.33-73.28]) had the highest overall baseline mean scores, whereas chiropractors (51.69 [33.73-69.66]), MDs/PAs (52.64 [47.27-58.00]), physical therapists (53.42 [50.67-56.17]), and exercise professionals (57.36 [49.39-65.33]) had lower scores.
Conclusions: The HC-PAIRS has been used across many disciplines in both students and professionals and demonstrated acceptable reliability and validity. Professionals commonly treating back pain had lower HC-PAIRS scores. Future research could benefit from standardization of interventions and timing of follow-up assessments.
(© 2024 The Authors. PM&R published by Wiley Periodicals LLC on behalf of American Academy of Physical Medicine and Rehabilitation.)
Databáze: MEDLINE
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