Evidence map›Paper›PMID 26149617›Full record

ArticleJournal of occupational rehabilitation2016

Development and Validation of a Pain Behavior Assessment in Patients with Chronic Low Back Pain.

Katharina Meyer, Andreas Klipstein, Peter Oesch, Beatrice Jansen, Jan Kool, Karin Niedermann

Abstract readValidation Study
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In one paragraph

Article in Journal of occupational rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Psychometric properties of chronic low back pain diagnostic classification systems: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Katharina MeyerPhysiotherapy and Occupational Therapy, University Hospital Zurich, U OST 153, Gloriastr. 25, 8091, Zurich, Switzerland. Katharina.Meyer@usz.ch.
Andreas KlipsteinDepartment of Rheumatology, University Hospital Zurich, Zurich, Switzerland. klipstein@aeh.ch.
Peter OeschResearch Department and Department of Rheumatology, Rehabilitation Centre Valens, 7317, Valens, Switzerland. peter.oesch@kliniken-valens.ch.
Beatrice JansenDepartment of Work Rehabilitation, Rehaklinik Bellikon, Suva Care, 5454, Bellikon, Switzerland. beatrice.jansen@rehabellikon.ch.
Jan KoolResearch Department and Department of Rheumatology, Rehabilitation Centre Valens, 7317, Valens, Switzerland. jan.kool@kliniken-valens.ch.
Karin NiedermannZurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, 8400, Winterthur, Switzerland. nika@zhaw.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHigh levels of pain behavior adversely affect the success of multidisciplinary rehabilitation of patients with chronic nonspecific low back pain (CNSLBP). Functional capacity evaluation (FCE) assessment should detect high levels of pain behavior to prevent the inclusion of unsuitable patients to functional rehabilitation programs. The aim of this study was to develop a Pain Behavior Assessment (PBA) and to evaluate its construct validity.

methodsThe PBA was developed by experts in the field and is literature-based. Inclusion criteria for participants of the validation study were: CNSLBP, age 20-60 years, referral for fitness-for-work evaluation. The PBA was applied by physiotherapists during FCE. Rasch analysis was performed to evaluate the construct validity of the PBA. Internal consistency was indicated by the person separation index (PSI), which corresponds to Cronbach's alpha.

results145 male (72.5%) and 55 female patients were included. Rasch analysis removed 11 items due to misfit and redundancy, resulting in a final PBA of 41 items. Item mean fit residual was -0.33 (SD 1.06) and total item Chi square 100.39 (df = 82, p = 0.08). The PSI value was 0.83. DIF analysis for age and gender revealed no bias.

conclusionsThe PBA is a valid assessment tool to describe pain behavior in CNSLBP patients. The high PSI-value justifies the use of the PBA in individuals. The PBA may help to screen patients for high levels of pain behavior.

Indexed as

AdultChronic PainCross-Sectional StudiesFemaleHumansLow Back PainMaleMiddle AgedPain MeasurementReturn to WorkChronic painLow back painPain measurementReproducibility of resultsReturn to work

Identifiers

PMID26149617

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.