Assessment of Low Back Pain: Reliability and Minimal Detectable Change of the Brief Pain Inventory.

Importance: The Brief Pain Inventory (BPI) is one of the most widely used measures to assess pain and related impacts among patients with low back pain (LBP). However, its test–retest reliability and minimal detectable change (MDC) have rarely been examined in patients with LBP, interfering with its...

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Publicado en:American Journal of Occupational Therapy Vol. 76; no. 3; pp. 1 - 9
Autores principales: Song, Chen-Yi, Chen, Chia-Hsin, Chen, Tien-Wen, Chiang, Hsin-Yu, Hsieh, Ching-Lin
Formato: equations & formulas research tables/charts Journal Article
Publicado: American Occupational Therapy Association May/Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2022
      vid: 76
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2022.044420
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        atl: Assessment of Low Back Pain: Reliability and Minimal Detectable Change of the Brief Pain Inventory.
      aug:
        au:
          Song, Chen-Yi
          Chen, Chia-Hsin
          Chen, Tien-Wen
          Chiang, Hsin-Yu
          Hsieh, Ching-Lin
        affil: Chen-Yi Song, PT, PhD, is Associate Professor, Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
      sug:
        subj:
          Low Back Pain
          Instrument Validation
          Questionnaires Evaluation
          Test-Retest Reliability
          Brief Pain Inventory Evaluation
          Pain Measurement
          Human
          Validation Studies
          Taiwan
          Physical Medicine
          Descriptive Statistics
          Intraclass Correlation Coefficient
          Young Adult
          Adult
          Middle Age
          Aged
          Data Analysis Software
          Chi Square Test
          Confidence Intervals
          Repeated Measures
          Pearson's Correlation Coefficient
          Male
          Female
          T-Tests
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Importance: The Brief Pain Inventory (BPI) is one of the most widely used measures to assess pain and related impacts among patients with low back pain (LBP). However, its test–retest reliability and minimal detectable change (MDC) have rarely been examined in patients with LBP, interfering with its utility. Objective: To investigate the test–retest reliability and MDC of the BPI among patients with LBP. Design: Repeated assessments design with a 1-wk interval. Setting: Department of Physical Medicine and Rehabilitation in a hospital in Taiwan. Participants: Fifty-four patients with stable LBP conditions. Outcomes and Measures: The BPI has two subscales—Intensity and Interference—that assess pain intensity and pain interference, respectively. Their test–retest reliability was examined using the intraclass correlation coefficient (ICC), and MDCs were calculated. Results: The ICCs of the Intensity and Interference subscales were.62 and.76, respectively. The MDC values for the two subscales were 2.57 and 2.34, respectively. For the four Intensity items, the average-pain score had a higher ICC (.60) than scores on the other items (worst, least, and current pain, which had ICCs of about.40). Conclusions and Relevance: The results suggest that although the BPI is a commonly used measure of pain intensity and pain interference among patients with LBP, caution should be exercised in interpreting the Intensity subscale score and its item scores. What This Article Adds: The BPI is widely used to assess pain and related impacts on daily occupation and functioning among patients with LBP. This study provides information regarding its test–retest reliability. Moreover, the MDC values provide clinicians and researchers with the thresholds for determining real improvement (beyond random measurement error). Although the Brief Pain Inventory is a commonly used pain intensity and pain interference measure for patients with low back pain, this study suggests that caution should be exercised in interpreting the Intensity subscale score and its item scores.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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