The Bournemouth questionnaire: A short-form comprehensive outcome measure. I. Psychometric properties in back pain patients

The Bournemouth questionnaire: A short-form comprehensive outcome measure. I. Psychometric properties in back pain patients
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DOI:
10.1016/s0161-4754(99)70001-1
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发表时间:
1999-10-01
影响因子:
1.3
通讯作者:
Breen, AC
Breen, AC
中科院分区:
医学4区
文献类型:
--
作者:
Bolton, JE;Breen, AC

文献摘要

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目的:开发和测试一个简短的形式全面的结果措施,背部pain.Design:前瞻性纵向研究3个连续队列的背部pains.Setting:角度欧洲学院的脊椎按摩门诊诊所和几个领域的psychopractic practices.Method:域判断重要的背部疼痛模型和响应临床变化从文献中确定。在11点数字评分量表上对项目进行评分。该仪器进行了心理测试,通过使用这些测试相关的评估measurement.Results:七个维度的背部疼痛模型包括在问卷中。建立了表面效度,该仪器被证明具有较高的内部一致性(Cronbach的α = 0.9)和良好的重测信度(ICC = 0.95)。保留所有项目的基础上,他们有助于总评分(项目校正的总评分相关性)和仪器的临床变化的反应(项目变化校正的总变化评分相关性)。该工具表现出可接受的结构和纵向结构效度与既定的外部措施。该仪器的效果大小是高(1.29),并与已建立的measures.Conclusion:一个可靠的,有效的,和响应仪器已开发用于背痛患者。这是实际的使用在调查的疗效和有效性的背部疼痛治疗。
Objective: Develop and test a short-form comprehensive outcome measure for back pain.Design: Prospective longitudinal study of 3 consecutive cohorts of back pain patients.Setting: Angle-European College of Chiropractic outpatient clinic and several field chiropractic practices.Method: Domains judged important in the back pain model and responsive to clinical change were identified from the literature. Items were scored on an 11-point numerical rating scale. The instrument was psychometrically tested by use of those tests relevant to an evaluative measure.Results: Seven dimensions of the back pain model were included in the questionnaire. Having established face validity, the instrument was shown to demonstrate high internal consistency (Cronbach's alpha = 0.9) and good test retest reliability (ICC = 0.95). All items were retained on the basis that they contributed to the overall score (item-corrected total score correlations) and to the instrument's responsiveness to clinical change (item change-corrected total change score correlations). The instrument demonstrated acceptable construct and longitudinal construct validity with established external measures. The effect size of the instrument was high (1.29) and comparable with established measures.Conclusion: A reliable, valid, and responsive instrument has been developed for use in back pain patients. It is practical for use in investigations of both the efficacy and effectiveness of back pain treatments.