Menzies Health Institute Queensland, Griffith University, Brisbane & Gold Coast, Australia.
School of Health Sciences and Social Work, Griffith University, Brisbane & Gold Coast, Australia.
Pain Med. 2022 Oct 29;23(11):1891-1901. doi: 10.1093/pm/pnac074.
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.
A three-round modified Delphi study.
Forty international experts.
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.
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.
We advocate the use of these recommended questionnaires so data can be compared and pooled more easily.
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。
三轮改良 Delphi 研究。
40 名国际专家。
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。
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。
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。
