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Back related outcome assessment instruments.

Urs Müller1, Christoph Röder, Charles G Greenough

  • 1Institute for Evaluative Research in Orthopaedic Surgery, University of Bern, Stauffacherstrasse 78, 3014 Bern, Switzerland. urs.mueller@MEMcenter.unibe.ch

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|November 18, 2005
PubMed
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This review analyzes low back pain questionnaires, assessing their reliability and validity. It highlights the importance of content and scoring for accurate patient assessment.

Area of Science:

  • Rehabilitation Medicine
  • Clinical Assessment
  • Health Outcomes Research

Background:

  • Low back pain is a prevalent condition requiring effective assessment tools.
  • Self-administered questionnaires are widely used for evaluating low back pain outcomes.
  • Existing reviews often focus on psychometric properties, potentially overlooking other critical aspects.

Purpose of the Study:

  • To conduct a literature review of commonly used, condition-specific, self-administered assessment questionnaires for low back pain.
  • To analyze general, historical, reliability, responsiveness, minimum clinically important difference, external validity, floor/ceiling effects, and language availability.
  • To evaluate questionnaire content, question/answer wording, and score result variations, addressing score bias and construct validity.

Main Methods:

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  • Systematic literature review of condition-specific, self-administered low back pain assessment tools.
  • Analysis of psychometric properties including reliability, responsiveness, and validity.
  • Qualitative assessment of questionnaire content, question wording, and scoring methodologies.

Main Results:

  • Six widely used questionnaires were analyzed based on multiple criteria.
  • Beyond psychometric properties, questionnaire content, wording, and scoring methods significantly impact results.
  • Potential for score bias exists, affecting the practical construct validity of these instruments.

Conclusions:

  • A comprehensive evaluation of low back pain questionnaires requires consideration of both psychometric properties and content-based factors.
  • Careful attention to questionnaire wording and scoring is crucial for minimizing bias and enhancing construct validity.
  • Recommendations are provided to improve the practical application and validity of individual low back pain assessment questionnaires.