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Pain belief screening instrument: Development and preliminary validation of a screening instrument for disabling persistent pain
Mälardalen University, School of Health, Care and Social Welfare. Uppsala Universitet, Sweden.ORCID iD: 0000-0002-1912-3110
Uppsala Universitet, Sweden.
Mälardalen University, School of Health, Care and Social Welfare. Uppsala Universitet, Sweden.ORCID iD: 0000-0002-5064-8820
2007 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 39, no 6, p. 461-466Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To develop and test the ability of a screening instrument to identify subgroups among primary healthcare patients with musculoskeletal pain. The Pain Belief Screening Instrument covers pain intensity, disability, self-efficacy, fear avoidance and catastrophizing. DESIGN: Cross-sectional, correlational and comparative study. SUBJECTS: Patients in primary healthcare (n1 = 215; n2 = 93) with a pain duration of 4 weeks or more were included. METHODS: Items for the Pain Belief Screening Instrument were derived from principal component analyses of: the Self-efficacy Scale, the Tampa Scale of Kinesiophobia and the Catastrophizing subscale in the Coping Strategies Questionnaire. Cluster solutions of scores on the screening instrument and the original instruments were cross-tabulated. The reliability of items in the Pain Belief Screening Instrument was examined. RESULTS: The screening instrument identified 2 groups: high- or low-risk profile for pain-related disability. Validity was in-between moderate and substantial (kappa = 0.61, p < 0.001). The reliability of each item in the Pain Belief Screening Instrument in relation to the corresponding item in the original instruments was moderate to high (rs 0.50-0.80, p < 0.01). CONCLUSION: The screening instrument fairly well replicated subgroups identified by the original instruments. The reliability of items in the screening instrument was acceptable. Further testing of predictive validity for a primary healthcare population is needed..

Place, publisher, year, edition, pages
2007. Vol. 39, no 6, p. 461-466
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Medical and Health Sciences
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URN: urn:nbn:se:mdh:diva-5055DOI: 10.2340/16501977-0072ISI: 000248226400005PubMedID: 17624480Scopus ID: 2-s2.0-34447571781OAI: oai:DiVA.org:mdh-5055DiVA, id: diva2:159855
Available from: 2009-02-10 Created: 2009-02-10 Last updated: 2017-12-14Bibliographically approved

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Sandborgh, MariaDenison, Eva

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