Self-reported disability according to the International Classification of Functioning, Disability and Health Low Back Pain Core Set: Test-retest agreement and reliability

被引:13
作者
Bagraith, Karl S. [1 ,2 ,3 ,4 ]
Strong, Jenny [4 ]
Meredith, Pamela J. [4 ]
McPhail, Steven M. [5 ,6 ,7 ]
机构
[1] Gold Coast Hosp & Hlth Serv, Interdisciplinary Persistent Pain Ctr, Gold Coast, Qld, Australia
[2] Royal Brisbane & Womens Hosp, Occupat Therapy Dept, Brisbane, Qld, Australia
[3] Royal Brisbane & Womens Hosp, Orthopaed Physiotherapy Screening Clin, Brisbane, Qld, Australia
[4] Univ Queensland, Sch Hlth & Rehabil Sci, Occupat Therapy, Brisbane, Qld, Australia
[5] Metro South Hosp & Hlth Serv, Ctr Functioning & Hlth Res, Brisbane, Qld, Australia
[6] Queensland Univ Technol, Inst Hlth & Biomed Innovat, Brisbane, Qld, Australia
[7] Queensland Univ Technol, Sch Publ Hlth & Social Work, Brisbane, Qld, Australia
基金
英国医学研究理事会;
关键词
International Classification of Functioning; Disability and Health; Core sets; Low back pain; Reliability; Agreement; PSYCHOMETRIC PROPERTIES; CLINICAL-PRACTICE; ICF; VALIDITY; CATEGORIES; PEOPLE; SCALE;
D O I
10.1016/j.dhjo.2017.01.001
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The International Classification of Functioning, Disability and Health (ICF) Low Back Pain Core Set (LBP-CS) has been proposed as a tool to facilitate the description and measurement of chronic low back pain (CLBP) related disability. Patient ratings of ICF categories may serve as a practical and effective method for acquiring patient input on activity limitations and participation restrictions. Objective: To investigate the test-retest agreement and reliability of patient ratings of activity and participation according to the LBP-CS. Methods: A cross-sectional repeated-measures questionnaire study was undertaken with thirty-one medically stable adults with CLBP who presented for treatment at two public Australian hospitals. Participants completed the LBP-CS Self-Report Checklist (LBP-CS-SRC) on two occasions (mean = 12.5 (SD = 4.5) days between administrations). The LBP-CS-SRC permits patients to self-rate their functioning according to the LBP-CS activity and participation categories and enables the derivation of activity limitation and participation restriction scales. Results: Patient ratings of individual LBP-CS categories generally exhibited good - excellent test-retest agreement (percentage exact agreement: 74.19-100.00%) and reliability (kappa: 0.53-1.00). The test-retest reliability coefficients of the LBP-CS-SRC activity (ICC = 0.94) and participation (ICC = 0.90) scales were excellent. The minimum detectable change values for the activity and participation scales were 8.11 and 15.26, respectively. Conclusions: This study is the first to demonstrate that patients can provide reliable ratings of functioning using the LBP-CS. The LBP-CS-SRC was shown to be acceptably reliable and precise to support understanding of patients' perspectives on disability in rehabilitation practice and research. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:621 / 626
页数:6
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