The Brief Illness Perceptions Questionnaire identifies 3 classes of people seeking rehabilitation for mechanical neck...

Illness representations pertain to the ways in which an individual constructs and understands the experience of a health condition. The Brief Illness Perceptions Questionnaire (BIPQ) comprises 9 items intended to capture the key components of the Illness Representations Model. The purpose of this paper was to explore the utility of the BIPQ for evaluating and classifying uncomplicated mechanical neck pain in the rehabilitation setting. A convenience sample of 198 subjects presenting to physiotherapy for neck pain problems were used in this study. In the first step, 183 subjects completed the BIPQ and a series of related cognitive measures. Latent class analysis (LCA) was used to explore the number of identifiable classes amongst the sample based on BIPQ response patterns. A regression equation was created to facilitate classification. In the second step, an independent sample of 15 subjects were classified using the equation established in step 1, and they were followed over a 3 month period. The LCA revealed 3 classes of subjects with optimal fit statistics: mildly affected, moderately affected, and severely affected. Inter-group comparisons of the secondary cognitive measures supported these labels. Classification accuracy of a regression equation was high (94.5%). Applying the equation to the independent longitudinal sample revealed that it functioned equally well and that the classes may have prognostic value. The BIPQ may be a useful clinical tool for classification of neck pain.