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可重复性:修订版简短麦吉尔疼痛问卷第2版在肩部肌肉骨骼疼痛患者中使用的可靠性和一致性参数

Reproducibility: Reliability and Agreement Parameters of the Revised Short McGill Pain Questionnaire Version-2 for use in Patients with Musculoskeletal Shoulder Pain.

作者信息

Jumbo Samuel U, MacDermid Joy C, Packham Tara L, Athwal George S, Faber Kenneth J

机构信息

Faculty of Health and Rehabilitation Sciences, Elborn College, Western University, London, Ontario, Canada.

School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.

出版信息

Can J Pain. 2020 Dec 30;4(4):45-46. doi: 10.1080/24740527.2020.1712653.

DOI:10.1080/24740527.2020.1712653
PMID:33987519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7942798/
Abstract

: The Revised Short-Form McGill Pain Questionnaire Version-2 (SF-MPQ-2) is a multidimensional outcome measure designed to evaluate neuropathic and nonneuropathic pain. A recent systematic review found insufficient psychometric data with respect to musculoskeletal health conditions. : The aim of this study was to describe the reproducibility (reliability and agreement) and internal consistency of the SF-MPQ-2 for use among patients with musculoskeletal shoulder pain. : Eligible patients with shoulder pain from musculoskeletal (MSK) sources completed the SF-MPQ-2 at baseline ( = 195), and a subset did so again after 3 to 7 days ( = 48) if their response to the global rating of change scale remained unchanged. Cronbach's alpha (α) and intraclass correlation coefficient (ICC[2,1]) were calculated. Standard error of measurement (SEM), group and individual minimal detectable change (MDC90), and Bland-Altman plots were used to assess agreement. : Cronbach's α ranged from 0.83 to 0.95, suggesting very satisfactory internal consistency across the SF-MPQ-2 domains. Excellent ICC(2,1) scores were found in support of the total (0.95) and continuous (0.92) subscales; the remaining subscales displayed good ICC(2,1) scores (0.78-0.88). Bland-Altman analysis revealed no systematic bias between the test and retest scores (mean difference = 0.13 to 0.19). Though the best agreement coefficients were seen on the total scale (SEM = 0.5; MDC90 = 1.2, MDC90 = 0.3), they were acceptable for the SF-MPQ-2 subscales (SEM: range, 0.7-1; MDC90: range, 1.7-2.3; MDC90: range, 0.4-0.5). : The SF-MPQ-2 provides good to excellent test-retest reliability for multidimensional pain assessment among patients with musculoskeletal shoulder pain conditions.

摘要

修订版简明麦吉尔疼痛问卷第2版(SF - MPQ - 2)是一种多维结局测量工具,旨在评估神经性和非神经性疼痛。最近一项系统评价发现,关于肌肉骨骼健康状况的心理测量数据不足。本研究的目的是描述SF - MPQ - 2在肌肉骨骼性肩部疼痛患者中使用时的可重复性(信度和一致性)及内部一致性。符合条件的肌肉骨骼(MSK)源性肩部疼痛患者在基线时完成了SF - MPQ - 2(n = 195),如果他们对整体变化评分量表的反应保持不变,一部分患者在3至7天后再次完成该问卷(n = 48)。计算了克朗巴哈α系数(α)和组内相关系数(ICC[2,1])。使用测量标准误(SEM)、组和个体最小可检测变化(MDC90)以及布兰德 - 奥特曼图来评估一致性。克朗巴哈α系数范围为0.83至0.95,表明SF - MPQ - 2各领域的内部一致性非常令人满意。在总分量表(0.95)和连续性量表(0.92)中发现了优秀的ICC(2,1)分数;其余分量表显示出良好的ICC(2,1)分数(0.78 - 0.88)。布兰德 - 奥特曼分析显示,重测分数之间无系统偏差(平均差异 = 0.13至0.19)。虽然总分量表的一致性系数最佳(SEM = 0.5;MDC90 = 1.2,MDC90 = 0.3),但对于SF - MPQ - 2分量表来说也是可接受的(SEM:范围,0.7 - 1;MDC90:范围,1.7 - 2.3;MDC90:范围,0.4 - 0.5)。SF - MPQ - 2为肌肉骨骼性肩部疼痛患者的多维疼痛评估提供了良好至优秀的重测信度。

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