The pain recovery inventory of concerns and expectations: a psychosocial screening instrument to identify intervention needs among patients at elevated risk of back disability

William S Shaw, Silje Endresen Reme, Glenn Pransky, Mary Jane Woiszwillo, Ivan A Steenstra, Steven J Linton

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To reduce a full psychosocial test battery to a brief screening questionnaire to triage return-to-work strategies among patients with low back pain (LBP).

Methods: Workers (N = 496) with acute, work-related LBP completed multiple psychosocial measures at intake, then a 3-month follow-up of pain, function, and work status. A sensitivity analysis was conducted to reduce the number of items while maintaining scale reliability, preserving associations with outcomes, and maintaining separation between patient subgroups.

Results: The pool of items was trimmed from 129 to 46 items, describing elements of emotional distress, pain beliefs, organizational support, and activity limitation. A confirmatory cluster analysis replicated previous findings of three risk subgroups: distressed, avoidant, and lacking employer support.

Conclusions: The reduced measure is a reliable and valid screening measure that can be used to identify early intervention needs among working adults with LBP.
Original languageEnglish
Pages (from-to)885-894
Number of pages10
JournalJournal of occupational and environmental medicine
Volume55
Issue number8
Publication statusPublished - Aug 2013
Externally publishedYes

Keywords

  • pain recovery
  • psychosocial screening
  • concerns and expectations

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