Evidence map›Paper›PMID 31541719›Full record

ArticleThe journal of pain

Psychometric Evaluation of the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) Tool: Factor Structure, Reliability, and Validity.

Katie A Butera, Steven Z George, Trevor A Lentz

Open access · greenAbstract read
In one paragraph

Article in The journal of pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.8field-weighted citation impact, top 7% of its field
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

23 citing papers in PubMed, 45 citations in OpenAlex.

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  6. Changes in Pain-Related Psychological Distress After Surgery in Patients with Musculoskeletal Injury.International journal of environmental research and public health · 2025
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  18. Injury-related psychological distress and the association with perceived running ability in injured runners.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2022
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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

3 authors at 2 institutions in 1 country.

Katie A ButeraDepartment of Physical Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida. Electronic address: Kbutera@ufl.edu.
Steven Z GeorgeDepartment of Orthopaedic Surgery and Duke Clinical Research Institute, Duke University, Durham, North Carolina. Electronic address: Steven.George@duke.edu.
Trevor A LentzDepartment of Orthopaedic Surgery and Duke Clinical Research Institute, Duke University, Durham, North Carolina. Electronic address: Trevor.Lentz@duke.edu.
Duke University · USUniversity of Florida · US

Funding

Biopsychosocial Influence on Shoulder PainR01AR055899 · NIAMS · UNIVERSITY OF FLORIDA · PI GEORGE, STEVEN Z · 2008 to 2020
$5.5M
Training In Rehabilitation and Neuromuscular PlasticityT32HD043730 · NICHD · UNIVERSITY OF FLORIDA · PI DAVID D FULLER · 2003 to 2026
$5.3M
NIAMS NIH HHS R01 AR055899NICHD NIH HHS T32 HD043730
6 · The paper itself

Abstract

Psychological characteristics consistently predict clinical outcomes for musculoskeletal pain conditions. The Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool assesses negative mood, fear-avoidance, and positive affect/coping. Psychometric testing of the tool is needed to guide clinical use. The purpose of this secondary analysis was to determine the OSPRO-YF factor structure (17- and 10-item versions) and test factor reliability and concurrent validity. Data from 2 musculoskeletal pain cohorts (n1 = 428; n2 = 440) were used. An exploratory factor analysis (EFA) identified the factor structure in the first cohort; a confirmatory factor analysis (CFA) validated the factor structure in the second cohort. EFA yielded 4 factors for the 17-item version (catastrophizing, positive coping, negative mood, fear-avoidance) and 3 factors for the 10-item version (negative coping, negative mood positive affect/coping). CFA indicated good fit for the10-item and 17-item models. Factors from both versions demonstrated moderate to good test-retest reliability. Regression results revealed that factors from both versions contributed significantly to variance in pain intensity, disability, and quality of life. Results indicate the OSPRO-YF is a reliable and valid multidimensional psychological assessment tool for individuals with musculoskeletal pain. Future studies are needed to establish the OSPRO-YF as a prognostic and treatment monitoring tool. PERSPECTIVE: This article presents the psychometric properties of the OSPRO-YF tool. Findings indicate the OSPRO-YF is a reliable and valid multidimensional psychological assessment tool for individuals with musculoskeletal pain. Implementation of the OSPRO-YF tool may better guide clinical decision making and may lead to improved musculoskeletal pain management strategies.

Indexed as

Adaptation, PsychologicalAdolescentAdultAffectAgedAvoidance LearningCatastrophizationClinical Decision-MakingCross-Sectional StudiesFactor Analysis, StatisticalFearFemaleHumansMaleMiddle AgedModels, Statisticalmultidimensional screeningmusculoskeletal painpainPain-related psychological characteristicspsychological assessmentpsychometric evaluationyellow flags

Identifiers

PMID31541719
PMCPMC7078059
OpenAlexW2973697658

What OpenQuestion holds

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Registered trials

None linked

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.