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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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The patient enablement instrument for back pain: reliability, content validity, construct validity and

A Molgaard Nielsen1, J Hartvigsen2,3, A Kongsted2,3

  • 1Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark. amnielsen@health.sdu.dk.

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Summary

A new tool, the Patient Enablement Instrument for Back Pain (PEI-BP), effectively measures self-management in non-specific low back pain patients. This valid and reliable instrument aids in assessing patient enablement during care.

Keywords:
Low back painOutcome assessmentPrimary careReliabilityValidity

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Area of Science:

  • Rehabilitation Medicine
  • Clinical Measurement
  • Health Psychology

Background:

  • No existing outcome measures assess self-management for non-specific low back pain (LBP).
  • The Patient Enablement Instrument for Back Pain (PEI-BP) was developed, inspired by the Patient Enablement Instrument.
  • The study aimed to evaluate the PEI-BP's measurement properties.

Purpose of the Study:

  • To describe the development of the PEI-BP.
  • To investigate the content validity, construct validity, internal consistency, test-retest reliability, measurement error, responsiveness, and floor/ceiling effects of the PEI-BP.

Main Methods:

  • The PEI-BP uses a 6-item, 0-10 Numeric Rating Scale.
  • Measurement properties were assessed using COSMIN standards across three primary care LBP cohorts.
  • Comparisons were made with established measures for disability, beliefs, fear avoidance, and mental health.

Main Results:

  • The PEI-BP demonstrated acceptable content validity, construct validity, reliability, and responsiveness.
  • The Smallest Detectable Change was 10.1 points.
  • A potential ceiling effect was noted at baseline due to high scores.

Conclusions:

  • The PEI-BP is a valid and reliable tool for measuring enablement in non-specific LBP patients.
  • Further validation in more severe LBP populations is recommended.