Is It Time to Replace the Oswestry Index With PROMIS Physical Function Computer Adaptive Test?
| Autor: | David Ring, Mark Queralt, Léon Rijk, Lee Moroz, George W. Tipton, Devender Singh, John Stokes, Joost T.P. Kortlever, Michael M. Farris, Enrique Pena |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male 030506 rehabilitation Patient-Reported Outcomes Measurement Information System medicine.medical_specialty Adolescent Psychometrics medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Physical function 03 medical and health sciences Disability Evaluation Young Adult 0302 clinical medicine Sex Factors Adaptation Psychological medicine Back pain Humans Patient Reported Outcome Measures Aged Pain Measurement Aged 80 and over Rehabilitation business.industry Computers Age Factors Reproducibility of Results Middle Aged Physical Functional Performance Low back pain Self Efficacy Patient Health Questionnaire Cross-Sectional Studies Socioeconomic Factors Physical therapy Pain catastrophizing Female Computerized adaptive testing medicine.symptom 0305 other medical science business Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | Archives of physical medicine and rehabilitation. 101(9) |
| ISSN: | 1532-821X |
| Popis: | To address the relative influence of psychological factors on variation in Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) Computer Adaptive Test (CAT) and Oswestry Low Back Pain Disability Index (ODI) scores.Cross-sectional.We enrolled patients with low back pain, presenting to clinicians specializing in the treatment of spine conditions in a large urban area.New and return English-speaking patients (N=116).The PF CAT and ODI.Patients completed the Pain Catastrophizing Scale short form, Patient Health Questionnaire short form (PHQ-2), Pain Self-Efficacy Questionnaire short form (PSEQ-2), PROMIS PF CAT and ODI on a secure tablet.The 95% CI for the amount of variation in PROMIS PF CAT scores (95% CI, 0.06-0.31) accounted for by psychological measures overlapped with the 95% CI for the amount of variation in ODI scores (CI, 0.26-0.53). PROMIS PF CAT had a strong correlation with ODI (r=-0.69; P.001). Greater PROMIS PF CAT scores were independently associated with fewer symptoms of depression (β=-1.6; 95% CI, -2.7 to -0.58; P=.003). Higher ODI scores were independently associated with more catastrophic thinking (β=1.2; 95% CI, 0.60-1.88; P.001) and less self-efficacy (β=-2.4; 95% CI, -3.2 to -1.5; P.001). PSEQ-2 accounted for the largest proportion of variation in ODI. PHQ-2 accounted for the largest proportion of variation in PROMIS PF CAT. Psychological measures explained more variation in ODI (semipartial RThe ODI and PROMIS PF CAT are comparably sensitive to psychological factors in patients with persistent lower back pain. Given that the PROMIS PF CAT is more efficient to administer, clinicians might consider using PROMIS PF CAT when assessing physical limitations in patients with persistent lower back pain. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|