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优选自评问卷评估疼痛人群的韧性、乐观、疼痛耐受和社会支持:一项改良 Delphi 研究。

Preferred Self-Administered Questionnaires to Assess Resilience, Optimism, Pain Acceptance, and Social Support in People with Pain: A Modified Delphi Study.

机构信息

Menzies Health Institute Queensland, Griffith University, Brisbane & Gold Coast, Australia.

School of Health Sciences and Social Work, Griffith University, Brisbane & Gold Coast, Australia.

出版信息

Pain Med. 2022 Oct 29;23(11):1891-1901. doi: 10.1093/pm/pnac074.


DOI:10.1093/pm/pnac074
PMID:35532175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9629350/
Abstract

OBJECTIVES: The plethora of self-administered questionnaires to assess positive psychosocial factors complicates questionnaire selection. This study aimed to identify and reach consensus on the most suitable self-administered questionnaires to assess resilience, optimism, pain acceptance and social support in people with pain. DESIGN: A three-round modified Delphi study. PARTICIPANTS: Forty international experts. METHODS: In Round 1, the experts suggested questionnaires deemed appropriate to assess resilience, optimism, pain acceptance and/or social support. In Round 2, experts indicated whether they considered the suggested questionnaires to be suitable (Yes/No/Don't know) to assess these psychosocial factors, taking into consideration content, feasibility, personal experience and the measurement properties which we provided for each questionnaire. Questionnaires that were considered suitable by the majority of experts (≥60%) were retained for Round 3. In Round 3, the suitability of each questionnaire was rated on a 0-10 Likert scale. Consensus was reached if ≥75% of experts rated the questionnaire ≥7. RESULTS: From the 67 questionnaires suggested in Round 1, one questionnaire could be recommended per domain. For resilience: Pain Resilience Scale; for optimism: Revised Version of the Life Orientation Test; for pain acceptance: 8-item and Revised Versions of the Chronic Pain Acceptance Questionnaire; for social support: Emotional Support Item Bank of the PROMIS tool. Consensus for these questionnaires was also reached in a sensitivity analysis which excluded the ratings of experts involved in the development, translation and/or validation of relevant questionnaires. CONCLUSION: We advocate the use of these recommended questionnaires so data can be compared and pooled more easily.

摘要

目的:评估积极心理社会因素的自我管理问卷众多,这使得问卷选择变得复杂。本研究旨在确定并达成共识,即哪些自我管理问卷最适合评估疼痛患者的韧性、乐观、疼痛接受和社会支持。

设计:三轮改良 Delphi 研究。

参与者:40 名国际专家。

方法:在第一轮中,专家建议了一些被认为适合评估韧性、乐观、疼痛接受和/或社会支持的问卷。在第二轮中,专家根据内容、可行性、个人经验和我们提供的每个问卷的测量特性,考虑到这些心理社会因素,表明他们认为所建议的问卷是否适合(是/否/不知道)进行评估。被大多数专家(≥60%)认为合适的问卷保留到第三轮。在第三轮中,每个问卷的适宜性通过 0-10 级 Likert 量表进行评分。如果≥75%的专家给问卷打≥7 分,则达成共识。

结果:从第一轮提出的 67 份问卷中,每个领域都可以推荐一份问卷。用于评估韧性的问卷是:疼痛韧性量表;用于评估乐观的问卷是:修订版生活取向测试;用于评估疼痛接受的问卷是:8 项和修订版慢性疼痛接受问卷;用于评估社会支持的问卷是:PROMIS 工具的情感支持项目库。在排除了参与相关问卷开发、翻译和/或验证的专家的评分的敏感性分析中,这些问卷也达成了共识。

结论:我们提倡使用这些推荐的问卷,以便更轻松地比较和汇总数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f98/9629350/8e7831efd8a9/pnac074f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f98/9629350/627b160497f6/pnac074f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f98/9629350/8e7831efd8a9/pnac074f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f98/9629350/627b160497f6/pnac074f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f98/9629350/8e7831efd8a9/pnac074f2.jpg

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本文引用的文献

[1]
Identifying the Most Important Confounders When Assessing the Association Between Low-Grade Systemic Inflammation and Musculoskeletal Pain: A Modified Delphi Study.

Pain Med. 2021-11-26

[2]
Resilience, pain, and the brain: Relationships differ by sociodemographics.

J Neurosci Res. 2021-5

[3]
What are Delphi studies?

Evid Based Nurs. 2020-7

[4]
Multisystem Resiliency as a Predictor of Physical and Psychological Functioning in Older Adults With Chronic Low Back Pain.

Front Psychol. 2019-8-22

[5]
Preferred Self-Administered Questionnaires to Assess Depression, Anxiety and Somatization in People With Musculoskeletal Pain - A Modified Delphi Study.

J Pain. 2020

[6]
The REDCap consortium: Building an international community of software platform partners.

J Biomed Inform. 2019-5-9

[7]
Resilience factors may buffer cellular aging in individuals with and without chronic knee pain.

Mol Pain. 2019

[8]
Optimism and the Experience of Pain: A Systematic Review.

Behav Med. 2018-12-20

[9]
Preferred self-administered questionnaires to assess fear of movement, coping, self-efficacy, and catastrophizing in patients with musculoskeletal pain-A modified Delphi study.

Pain. 2019-3

[10]
Goal Adjustment and Well-Being: The Role of Optimism in Patients with Chronic Pain.

Ann Behav Med. 2019-6-4

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