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

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 journal › Article › Academic › peer-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 language	English
Pages (from-to)	885-894
Number of pages	10
Journal	Journal of Occupational and Environmental Medicine
Volume	55
Issue number	8
Publication status	Published - Aug 2013
Externally published	Yes

Keywords

pain recovery
psychosocial screening
concerns and expectations

Cite this

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

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.",

keywords = "pain recovery, psychosocial screening, concerns and expectations, pijn herstel, psychosociale screening, zorgen en verwachtingen",

author = "Shaw, {William S} and Reme, {Silje Endresen} and Glenn Pransky and Woiszwillo, {Mary Jane} and Steenstra, {Ivan A} and Linton, {Steven J}",

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month = aug,

language = "English",

volume = "55",

pages = "885--894",

journal = "Journal of Occupational and Environmental Medicine",

issn = "1536-5948",

publisher = "Lippincott, Williams & Wilkins (LWW)",

number = "8",

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The pain recovery inventory of concerns and expectations: a psychosocial screening instrument to identify intervention needs among patients at elevated risk of back disability. / Shaw, William S; Reme, Silje Endresen; Pransky, Glenn et al.
In: Journal of Occupational and Environmental Medicine, Vol. 55, No. 8, 08.2013, p. 885-894.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - The pain recovery inventory of concerns and expectations

T2 - a psychosocial screening instrument to identify intervention needs among patients at elevated risk of back disability

AU - Shaw, William S

AU - Reme, Silje Endresen

AU - Pransky, Glenn

AU - Woiszwillo, Mary Jane

AU - Steenstra, Ivan A

AU - Linton, Steven J

PY - 2013/8

Y1 - 2013/8

N2 - 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.

AB - 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.

KW - pain recovery

KW - psychosocial screening

KW - concerns and expectations

KW - pijn herstel

KW - psychosociale screening

KW - zorgen en verwachtingen

M3 - Article

SN - 1536-5948

VL - 55

SP - 885

EP - 894

JO - Journal of Occupational and Environmental Medicine

JF - Journal of Occupational and Environmental Medicine

IS - 8

ER -

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

Abstract

Keywords

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