Interdisciplinary Persistent Pain Centre, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia; Occupational Therapy Department and the Orthopaedic Physiotherapy Screening Clinic, Royal Brisbane and Women's Hospital, Brisbane, Australia; Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Disabil Health J. 2017 Oct;10(4):621-626. doi: 10.1016/j.dhjo.2017.01.001. Epub 2017 Jan 6.
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.
To investigate the test-retest agreement and reliability of patient ratings of activity and participation according to the LBP-CS.
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.
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.
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.
国际功能、残疾和健康分类（ICF）下腰痛核心集（LBP-CS）已被提议作为一种工具，以促进对慢性腰痛（CLBP）相关残疾的描述和测量。患者对 ICF 类别的评分可能是一种实用且有效的方法，可获取患者对活动受限和参与受限的意见。
调查根据 LBP-CS 对患者活动和参与能力的评分的重测信度和可靠性。
这是一项在澳大利亚两家公立医院接受治疗的 31 名病情稳定的慢性腰痛患者中开展的横断面重复测量问卷调查研究。参与者两次填写 LBP-CS 自我报告清单（LBP-CS-SRC）（两次评估的平均时间间隔为 12.5（SD=4.5）天）。LBP-CS-SRC 允许患者根据 LBP-CS 的活动和参与类别对其功能进行自我评分，并能衍生出活动受限和参与受限的量表。
患者对个别 LBP-CS 类别的评分通常具有良好到极好的重测信度（完全一致百分比：74.19-100.00%）和可靠性（kappa：0.53-1.00）。LBP-CS-SRC 活动（ICC=0.94）和参与（ICC=0.90）量表的重测信度系数均为极好。活动和参与量表的最小可检测变化值分别为 8.11 和 15.26。
这项研究首次表明，患者可以使用 LBP-CS 提供可靠的功能评分。LBP-CS-SRC 具有可接受的可靠性和精确性，能够支持在康复实践和研究中了解患者对残疾的看法。
