Presentation of pain drawings in questionnaire surveys: influence on prevalence of neck and upper limb pain in the community
Presentation of pain drawings in questionnaire surveys: influence on prevalence of neck and upper limb pain in the community
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DOI：
10.1016/s0304-3959(03)00244-6
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发表时间：
2003-09-01
期刊：
影响因子：
7.4
通讯作者：
Sim, J
中科院分区：
文献类型：
--
作者：
Lacey, RJ;Lewis, M;Sim, J
Pain绘图可以显示为空白或预着色的Manikin。本研究旨在确定这两种表现对颈部和上肢疼痛（NULP）患病率估计的影响，以及它们与疼痛报告模式的关系。它包含一个空白人体模型和一个预着色的颈部和上肢人体模型筛选问题。对预着色人体模型做出积极回答的受访者被问及疼痛强度、影响、残疾和持续时间。其他测量包括一般健康状况（SF-12 v2）和人口统计学问题。调整后的应答率为53.5%。筛选问题的标准化1个月期间患病率为44.0%（粗患病率50.5%），空白人体模型为37.3%（粗患病率42.1%）。预着色人体模型与空白人体模型上相应区域的着色之间的一致率为88%（kappa = 0.76，95% CI = 0.74，0.78）。在603个不一致中，509个不包括对空白人体模型的阴影，但对预阴影人体模型的积极响应;他们报告疼痛强度较低，疼痛天数较少，与2030年报告的NULP相比，两个人体模型的首次发病时间更短，残疾程度更低（每种情况下P < 0.001）。邮寄问卷中的假人展示形式可以改变报告的疼痛患病率;在我们的研究中，差异为6.7%。此外，受访者只回答积极的预阴影人体模型形成一组经历不太严重的NULP和较少相关的残疾。(C)2003年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
Pain drawings can be presented as either a blank or a pre-shaded manikin. This Study sought to determine the effect of these two presentations on prevalence estimates of neck and upper limb pain (NULP), and their relationship to patterns of pain report.A postal questionnaire was sent to a stratified random sample of 10,000 adults. It contained a blank body manikin and a pre-shaded neck and upper limb manikin screening question. Respondents answering positively to the pre-shaded manikin were asked about pain intensity, affect, disability and duration. Other measures included general health status (SF-12v2) and demographic questions.Adjusted response rate was 53.5%. Age-standardized 1-month period prevalence was 44.0% (crude prevalence 50.5%) for the screening question and 37.3% (crude prevalence 42.1%) for the blank manikin. There was 88% agreement between the pre-shaded manikin and the shading of corresponding areas on the blank manikin (kappa = 0.76, 95% Cl = 0.74, 0.78). Of the 603 disagreements, 509 comprised no shading on the blank manikin but positive response to the pre-shaded manikin; they reported lower pain intensity, fewer days with pain, shorter time since initial onset and less disability than the 2030 reporting NULP on both manikins (P < 0.001 in each case).The form of manikin presentation in a postal questionnaire can shift the reported prevalence of pain; a difference of 6.7% in our study. Furthermore, respondents only answering positively to a pre-shaded manikin form a group experiencing less severe NULP and less associated disability. (C) 2003 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.