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丹麦语版简明疼痛问卷简表的效度与信度

Validity and reliability of the Danish version of the Short Form Brief Pain Inventory.

作者信息

Gandløse Jacob S, Christensen Steffan Wittrup McPhee, Lambertsen Daniel Fast, Árnason Ólafur Engilbert, Vela Jonathan, Palsson Thorvaldur S

机构信息

. Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, 9000, Denmark; . Aalborg University, Department of Clinical Medicine, Aalborg, 9000, Denmark.

. Department of Health Science and Technology, Musculoskeletal Physiotherapy, Aalborg University, Aalborg, Denmark; . Department of Physiotherapy, University College of Northern Denmark, Aalborg, Denmark.

出版信息

Musculoskelet Sci Pract. 2025 Feb;75:103242. doi: 10.1016/j.msksp.2024.103242. Epub 2024 Dec 2.

DOI:10.1016/j.msksp.2024.103242
PMID:39637831
Abstract

BACKGROUND

Pain is impacted by bio-psycho-social factors and is closely related to disability and poor quality of life. Therefore, a patient-reported outcome measure (PROM) is needed to capture these aspects effectively. The Short Form Brief Pain Inventory (SF-BPI) serves this purpose as a tool for pain assessment. However, the Danish translation (SFBPI-DK) has not undergone validation.

OBJECTIVE

Assess the validity and reliability of SFBPI-DK.

METHODS

In patients with spine-related pain, construct validity was tested using Confirmatory Factor Analysis (CFA) and convergent validity through correlations with EuroQol 5-domain 5-level (EQ-5D-5L), EQ-5D-5L VAS, Work Ability Score (WAS), and Insomnia Severity Index (ISI-7). Internal consistency was assessed with Cronbach's alpha. In individuals with musculoskeletal pain, test-retest reliability and Minimal Detectable Change (MDC) were evaluated. Floor and ceiling effects were reported for both groups.

RESULTS

In patients with spine-related pain (n = 329), construct validity of the SFBPI-DK was confirmed through CFA of a modified 3-factor structure. Convergent validity showed "fair" to "moderate strong" associations with EQ-5D-5L, EQ-5D-5L VAS, WAS, and ISI-7. Internal consistency was satisfactory (Cronbach's alpha 0.89-0.91). In individuals with musculoskeletal pain (n = 119), good temporal stability was demonstrated with ICCs of 0.76-0.88. The MDC for the Severity score, Interference score, and the Physical- and Affective Interference subscores were 3.37, 2.41, 3.57, and 4.01, respectively.

CONCLUSION

The SFBPI-DK is a valid tool for assessing pain in patients with persistent spine-related pain and a reliable tool for individuals with persistent musculoskeletal pain among Danish-speaking populations.

摘要

背景

疼痛受生物 - 心理 - 社会因素影响,且与残疾和生活质量差密切相关。因此,需要一种患者报告结局测量工具(PROM)来有效捕捉这些方面。简短疼痛问卷简表(SF - BPI)作为一种疼痛评估工具可满足这一目的。然而,丹麦语翻译版(SFBPI - DK)尚未经过验证。

目的

评估SFBPI - DK的有效性和可靠性。

方法

在患有脊柱相关疼痛的患者中,使用验证性因子分析(CFA)测试结构效度,并通过与欧洲五维健康量表5级(EQ - 5D - 5L)、EQ - 5D - 5L视觉模拟量表(VAS)、工作能力得分(WAS)和失眠严重程度指数(ISI - 7)的相关性测试收敛效度。用克朗巴哈系数评估内部一致性。在患有肌肉骨骼疼痛的个体中,评估重测信度和最小可检测变化(MDC)。报告两组的地板效应和天花板效应。

结果

在患有脊柱相关疼痛的患者(n = 329)中,通过对改良的三因素结构进行CFA,证实了SFBPI - DK的结构效度。收敛效度显示与EQ - 5D - 5L、EQ - 5D - 5L VAS、WAS和ISI - 7之间存在“中等”到“中等强度”的关联。内部一致性令人满意(克朗巴哈系数0.89 - 0.91)。在患有肌肉骨骼疼痛的个体(n = 119)中,组内相关系数(ICC)为0.76 - 0.88,显示出良好的时间稳定性。严重程度得分、干扰得分以及身体和情感干扰子得分的MDC分别为3.37、2.41、3.57和4.01。

结论

SFBPI - DK是评估丹麦语人群中持续性脊柱相关疼痛患者疼痛的有效工具,也是评估持续性肌肉骨骼疼痛个体疼痛的可靠工具。

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