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Content validity of patient-reported outcome measures for patients with chronic pain: considering the patient's perspective. Pain 2023; 164:252-257. [PMID: 35975878 DOI: 10.1097/j.pain.0000000000002714] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 05/31/2022] [Indexed: 02/06/2023]
Abstract
ABSTRACT Understanding chronic pain and disability requires a consideration of the lived experience of the patient. There is limited evaluation of the content validity of patient-reported outcome measures (PROMs) in chronic pain using a comprehensive biopsychosocial view of the patient's experience. To address this gap, this study aimed to evaluate the content validity of PROMs for patients with chronic pain. A literature review was performed to identify PROMs for patients with chronic pain. Concepts from PROMs were linked to the International Classification of Functioning, Disability, and Health (ICF); the ICF Core Set for Chronic Widespread Pain; and the International Classification of Diseases-11 Functioning Properties of Chronic Pain (FP). Concepts were compared with published "attributes'' of chronic pain. 62 PROMs (1336 items total) were identified and linked to 560 unique second-level ICF categories. The greatest number of items across PROMs were represented in the activities and participation category (44% of all total items), followed by body functions (41%), environmental factors (9%), personal factors (5%), and body structures (0.3%). There was a 41% to 78% match with the Core Set for Chronic Widespread Pain and the International Classification of Diseases-11 FP, respectively. 20% of items reflected the pain-experience attributes with the most items reflecting the concept of "control over pain." Content validity analysis suggests chronic widespread pain patient-reported outcome measures poorly address attributes of living with chronic pain that matter most to patients. Future development or refinement should consider a more comprehensive view of the patients' lived experience.
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2
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Labao HC. Correlates of coping among Filipino migrant workers in Malaysia with musculoskeletal pain. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2021. [DOI: 10.1080/21679169.2019.1669705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Hernan Cortez Labao
- Department of Physiotherapy, Faculty of Health and Life Sciences, INTI International University, Nilai, Malaysia
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3
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Bowen-Salter H, Kernot J, Baker A, Posselt M, Boshoff K. Self-reported outcome measures for adults with post-traumatic stress disorder: towards recommendations for clinical practice. AUSTRALIAN JOURNAL OF PSYCHOLOGY 2021. [DOI: 10.1080/00049530.2021.1893615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Holly Bowen-Salter
- International Centre for Allied Health Evidence (iCAHE), University of South Australia, Adelaide, Australia
- Allied Health and Human Performance, University of South Australia, Adelaide, Australia
- Military and Emergency Services Health Australia, The Hospital Research Foundation, Glenside, Australia
| | - Jocelyn Kernot
- Allied Health and Human Performance, University of South Australia, Adelaide, Australia
| | - Amy Baker
- Allied Health and Human Performance, University of South Australia, Adelaide, Australia
| | - Miriam Posselt
- Allied Health and Human Performance, University of South Australia, Adelaide, Australia
| | - Kobie Boshoff
- International Centre for Allied Health Evidence (iCAHE), University of South Australia, Adelaide, Australia
- Allied Health and Human Performance, University of South Australia, Adelaide, Australia
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Gordon SJ, Grimmer K, Bradley A, Direen T, Baker N, Marin T, Kelly MT, Gardner S, Steffens M, Burgess T, Hume C, Oliffe JL. Health assessments and screening tools for adults experiencing homelessness: a systematic review. BMC Public Health 2019; 19:994. [PMID: 31340786 PMCID: PMC6657068 DOI: 10.1186/s12889-019-7234-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Accepted: 06/25/2019] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Homelessness is increasing globally. It results in poorer physical and mental health than age matched people living in permanent housing. Better information on the health needs of people experiencing homelessness is needed to inform effective resourcing, planning and service delivery by government and care organisations. The aim of this review was to identify assessment tools that are valid, reliable and appropriate to measure the health status of people who are homeless. METHODS Data sources: A systematic literature search was conducted in PubMed (and Medline), PsychInfo, Scopus, CINAHL and ERIC from database inception until September 2018. Key words used were homeless, homelessness, homeless persons, vagrancy, health status, health, health issues, health assessment and health screening. The protocol was registered with PROSPERO. The National Health and Medical Research Council of Australia (NHMRC) hierarchy of evidence was applied; methodological quality of included articles was assessed using the McMaster critical appraisal tools and psychometric properties of the tools were appraised using the International Centre for Allied Health Evidence Ready Reckoner. RESULTS Diverse tools and measures (N = 71) were administered within, and across the reviewed studies (N = 37), with the main focus being on general health, oral health and nutrition. Eleven assessment tools in 13 studies had evidence of appropriate psychometric testing for the target population in domains of quality of life and health status, injury, substance use, mental health, psychological and cognitive function. Methodological quality of articles and tools were assessed as moderate to good. No validated tools were identified to assess oral health, chronic conditions, anthropometry, demography, nutrition, continence, functional decline and frailty, or vision and hearing. However, assessments of physical constructs (such as oral health, anthropometry, vision and hearing) could be applied to homeless people on a presumption of validity, because the constructs would be measured with clinical indicators in the same manner as people living in permanent dwellings. CONCLUSIONS This review highlighted the need to develop consistent and comprehensive health assessment tools validated with, and tailored for, adults experiencing homelessness.
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Affiliation(s)
- S. J. Gordon
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia 5042
| | - K. Grimmer
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia 5042
- Division of Physiotherapy, Faculty of Medicine and Health Science, Stellenbosch Uni, Cape Town, South Africa
| | - A. Bradley
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia 5042
| | - T. Direen
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia 5042
| | - N. Baker
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia 5042
| | - T. Marin
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia 5042
| | - M. T. Kelly
- School of Nursing, University of British Columbia, Vancouver, Canada
| | - S. Gardner
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia 5000
| | - M. Steffens
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia 5000
| | - T. Burgess
- School of Public Health, University of Adelaide, Adelaide, South Australia 5000
| | - C. Hume
- School of Public Health, University of Adelaide, Adelaide, South Australia 5000
| | - J. L. Oliffe
- School of Nursing, University of British Columbia, Vancouver, Canada
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Gordon SJ, Grimmer KA, Baker N, Bell E, Coveney J, Jordaan JH, Lind C, Marin T, Murray J, Norton LH, Perimal-Lewis L, Sparrow K, Steffens MA, Thomas J, Kidd M. Feasibility of population screening tests to establish a healthy ageing trajectory. SAGE Open Med 2019; 7:2050312118822440. [PMID: 30728965 PMCID: PMC6350131 DOI: 10.1177/2050312118822440] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Accepted: 12/03/2018] [Indexed: 02/02/2023] Open
Abstract
Objectives: There are no agreed comprehensive tests for age-related changes to physical,
emotional, mental and social functioning. Research into declining function
focuses on those 75 years and older and little is known about age-related
changes in younger people. The aims of this project were (1) to ascertain a
comprehensive test battery that could underpin community-based health
screening programmes for people aged 40–75 years and pilot both (2)
community-based recruitment and (3) the utility, acceptability, response
burden and logistics. Methods: A total of 11 databases were searched using a broad range of relevant terms.
An identified comprehensive, recent, high-quality systematic review of
screening instruments for detection of early functional decline for
community-dwelling older people identified many relevant tools; however, not
all body systems were addressed. Therefore, lower hierarchy papers
identified in the rapid review were included and expert panel consultation
was conducted before the final test battery was agreed. Broad networks were
developed in one Australian city to aid pilot recruitment of
community-dwellers 40–75 years. Recruitment and testing processes were
validated using feasibility testing with 12 volunteers. Results: The test battery captured (1) online self-reports of demographics, health
status, sleep quality, distress, diet, physical activity, oral health,
frailty and continence; and (2) objective tests of anthropometry; mobility;
lung function; dexterity; flexibility, strength and stability; hearing;
balance; cognition and memory; foot sensation; and reaction time.
Recruitment and testing processes were found to be feasible. Conclusion: This screening approach may provide new knowledge on healthy ageing in
younger people.
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Affiliation(s)
- Susan J Gordon
- Clinical Teaching and Education Centre, College of Nursing and Health Sciences, Flinders University, Daw Park, SA, Australia
| | - Karen A Grimmer
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.,Division of Physiotherapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Nicky Baker
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Elaine Bell
- School of Nursing and Midwifery, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - John Coveney
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Johanna H Jordaan
- Clinical Skills and Simulation Unit, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
| | - Christopher Lind
- Discipline of Audiology, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Tania Marin
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Joanne Murray
- Discipline of Speech Pathology, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Lynda H Norton
- Discipline of Health and Exercise Sciences, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Lua Perimal-Lewis
- Flinders Digital Health Research Centre, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Karen Sparrow
- Discipline of Audiology, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Margie A Steffens
- Community Outreach Dental Program, Adelaide Dental School, The University of Adelaide, Adelaide, SA, Australia
| | - Jolene Thomas
- Discipline of Nutrition and Dietetics, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Michael Kidd
- Department of Family & Community Medicine, University of Toronto, Toronto, ON, Canada.,Southgate Institute for Health, Society and Equity, Flinders University, Adelaide, SA, Australia
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Milani D, Souza ACD, Hirayama MS, Alexandre NMC. [Obstacles to return to work: Translation and cross-cultural adaptation of the questionnaire to the Brazilian context]. CIENCIA & SAUDE COLETIVA 2018; 23:1387-1401. [PMID: 29768595 DOI: 10.1590/1413-81232018235.17152016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Accepted: 07/27/2016] [Indexed: 11/21/2022] Open
Abstract
The few existing questionnaires addressing return to work in Brazil are medical and/or psychological and do not examine work environment-related issues. The Obstacles to Return-to-Work Questionnaire (ORTWQ) is multidimensional, including biopsychosocial and environmental factors, and has proven useful in the return to work issue. The scope of this study is to describe the translation and cultural adaptation process of ORTWQ for use in the Brazilian context. It also discusses aspects related to work and the importance for health professionals to identify obstacles to return to work for occupational health vigilance. For the cultural adaptation process, there were five steps: translation, synthesis, back translation, evaluation by an expert committee and the pre-test process. Before the pre-test phase, the Content Validity Index was checked and was considered adequate when it was ≥ 0.8. The expression "increase working hours" was withdrawn from the questionnaire, since the partial returnto-work regime is rare in Brazil. The sample for the pre-test involved 40 individuals. The average time for completing ORTWQ was 14 minutes and the Brazilian version of ORTWQ proved to be adequate. Further studies should assess psychometric qualities of the questionnaire.
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Affiliation(s)
- Daniela Milani
- Faculdade de Enfermagem, Universidade Estadual de Campinas. Cidade Universitária Zeferino Vaz, Barão Geraldo. 13083-970 Campinas SP Brasil.
| | - Ana Claudia de Souza
- Faculdade de Enfermagem, Universidade Estadual de Campinas. Cidade Universitária Zeferino Vaz, Barão Geraldo. 13083-970 Campinas SP Brasil.
| | - Marcio Sussumu Hirayama
- Programa de Pós-Graduação em Saúde Coletiva, Departamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo SP Brasil
| | - Neusa Maria Costa Alexandre
- Faculdade de Enfermagem, Universidade Estadual de Campinas. Cidade Universitária Zeferino Vaz, Barão Geraldo. 13083-970 Campinas SP Brasil.
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7
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Johansen T, Lund T, Jensen C, Momsen AMH, Eftedal M, Øyeflaten I, Braathen TN, Stapelfeldt CM, Amick B, Labriola M. Cross-cultural adaptation of the Work Role Functioning Questionnaire 2.0 to Norwegian and Danish. Work 2018; 59:471-478. [PMID: 29733048 PMCID: PMC5929307 DOI: 10.3233/wor-182705] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND: A healthy and productive working life has attracted attention owing to future employment and demographic challenges. OBJECTIVE: The aim was to translate and adapt the Work Role Functioning Questionnaire (WRFQ) 2.0 to Norwegian and Danish. METHODS: The WRFQ is a self-administered tool developed to identify health-related work limitations. Standardised cross-cultural adaptation procedures were followed in both countries’ translation processes. Direct translation, synthesis, back translation and consolidation were carried out successfully. RESULTS: A pre-test among 78 employees who had returned to work after sickness absence found idiomatic issues requiring reformulation in the instructions, four items in the Norwegian version, and three items in the Danish version, respectively. In the final versions, seven items were adjusted in each country. Psychometric properties were analysed for the Norwegian sample (n = 40) and preliminary Cronbach’s alpha coefficients were satisfactory. A final consensus process was performed to achieve similar titles and introductions. CONCLUSIONS: The WRFQ 2.0 cross-cultural adaptation to Norwegian and Danish was performed and consensus was obtained. Future validation studies will examine validity, reliability, responsiveness and differential item response. The WRFQ can be used to elucidate both individual and work environmental factors leading to a more holistic approach in work rehabilitation.
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Affiliation(s)
- Thomas Johansen
- National Advisory Unit on Occupational Rehabilitation, Rauland, Norway
| | - Thomas Lund
- Centre for Social Medicine, Frederiksberg & Bispebjerg Hospital, Copenhagen, Denmark.,Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Chris Jensen
- National Advisory Unit on Occupational Rehabilitation, Rauland, Norway.,Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway
| | | | - Monica Eftedal
- National Advisory Unit on Occupational Rehabilitation, Rauland, Norway
| | - Irene Øyeflaten
- National Advisory Unit on Occupational Rehabilitation, Rauland, Norway.,Uni Research Health, Bergen, Norway
| | | | - Christina M Stapelfeldt
- DEFACTUM, Social and Health Services and Labour Market, Central Denmark Region, Aarhus, Denmark.,Department of Public Health, Section of Clinical Social Medicine and Rehabilitation, Aarhus University, Aarhus, Denmark
| | - Ben Amick
- Institute for Work and Health, Toronto, ON, Canada.,Florida International University, Miami, FL, USA
| | - Merete Labriola
- DEFACTUM, Social and Health Services and Labour Market, Central Denmark Region, Aarhus, Denmark.,Department of Public Health, Section of Clinical Social Medicine and Rehabilitation, Aarhus University, Aarhus, Denmark
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8
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Response scale selection in adult pain measures: results from a literature review. J Patient Rep Outcomes 2018; 2:40. [PMID: 30238085 PMCID: PMC6127068 DOI: 10.1186/s41687-018-0053-6] [Citation(s) in RCA: 61] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Accepted: 05/20/2018] [Indexed: 11/22/2022] Open
Abstract
Background The purpose of this literature review was to examine the existing patient-reported outcome measurement literature to understand the empirical evidence supporting response scale selection in pain measurement for the adult population. Methods The search strategy involved a comprehensive, structured, literature review with multiple search objectives and search terms. Results The searched yielded 6918 abstracts which were reviewed against study criteria for eligibility across the adult pain objective. The review included 42 review articles, consensus guidelines, expert opinion pieces, and primary research articles providing insights into optimal response scale selection for pain assessment in the adult population. Based on the extensive and varied literature on pain assessments, the adult pain studies typically use simple response scales with single-item measures of pain—a numeric rating scale, visual analog scale, or verbal rating scale. Across 42 review articles, consensus guidelines, expert opinion pieces, and primary research articles, the NRS response scale was most often recommended in these guidance documents. When reviewing the empirical basis for these recommendations, we found that the NRS had slightly superior measurement properties (e.g., reliability, validity, responsiveness) across a wide variety of contexts of use as compared to other response scales. Conclusions Both empirical studies and review articles provide evidence that the 11-point NRS is likely the optimal response scale to evaluate pain among adult patients without cognitive impairment.
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van Esdonk MJ, Lindeman I, Okkerse P, de Kam ML, Groeneveld GJ, Stevens J. Population Pharmacokinetic/Pharmacodynamic Analysis of Nociceptive Pain Models Following an Oral Pregabalin Dose Administration to Healthy Subjects. CPT-PHARMACOMETRICS & SYSTEMS PHARMACOLOGY 2018; 7:573-580. [PMID: 30043517 PMCID: PMC6157667 DOI: 10.1002/psp4.12318] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Accepted: 05/23/2018] [Indexed: 12/18/2022]
Abstract
A battery of pain models can be used in clinical trials to investigate the efficacy and to establish the concentration‐effect relationship of novel analgesics. This study quantified the pharmacokinetics (PK) of pregabalin after a single oral dose of 300 mg and the pharmacodynamics (PD) on the pain tolerance threshold (PTT) of the cold pressor, electrical stimulation, the pressure pain model, and on the pain detection threshold of a contact heat pain model. The PK were best described using a one‐compartment model with lag time, linear absorption, and linear elimination. The PTT of the cold pressor showed a negative linear decrease over time without pregabalin. A linear drug effect was identified on the PTT of the cold pressor test and an on/off effect for the electrical stimulation PTT. No PK/PD relationship could be identified on the pressure pain and heat pain test. Citation:
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Affiliation(s)
- Michiel J van Esdonk
- Centre for Human Drug Research, Leiden, The Netherlands.,Division of Systems Biomedicine and Pharmacology, Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands
| | - Ian Lindeman
- Centre for Human Drug Research, Leiden, The Netherlands
| | | | | | | | - Jasper Stevens
- Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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10
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Reneman MF, Brandsema KPD, Schrier E, Dijkstra PU, Krabbe PFM. Patients First: Toward a Patient-Centered Instrument to Measure Impact of Chronic Pain. Phys Ther 2018; 98:616-625. [PMID: 29939365 PMCID: PMC6181955 DOI: 10.1093/ptj/pzy040] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Accepted: 05/22/2018] [Indexed: 11/14/2022]
Abstract
BACKGROUND Numerous instruments are available to measure the impact of chronic pain, yet most have been developed with little or no patient involvement. This study seeks to start bridging that gap by determining which health aspects or attributes (to be included in a future instrument) are considered most important by people with chronic pain. OBJECTIVE The goal of this study was to reveal which attributes reflecting impact of chronic pain are considered most important by people with chronic pain and to analyze differences in importance according to gender, age categories, diagnostic subgroups, and pain intensity categories. DESIGN This study used a sequential explanatory mixed-methods design: literature search, focus group meetings, and online survey. METHODS First, a literature search was performed to identify the attributes in existing instruments. In 68 instruments meeting inclusion criteria, 155 unique attributes were identified, 85 of which remained after applying the exclusion criteria. Second, 2 focus group meetings, with 6 and 4 patients, respectively, were held to verify that no attributes had been missed. Three attributes were subsequently added. Third, individuals with chronic pain were then sent an online survey through several patient organizations. RESULTS A total of 939 patients were asked to select the 8 attributes they deemed most important, which resulted in the following list: fatigue, social life, cramped muscles, sleeping, housekeeping, concentration, not being understood, and control over pain. The importance assigned to these 8 attributes varied slightly according to age, gender, and diagnostic subgroup. LIMITATIONS Participation rate could not be established because of the online survey. CONCLUSIONS Attributes reflecting impact of chronic pain deemed most important by patients are revealed. Importance of impact differs according to subgroups. The "patients-first" methodology used here revealed attributes that were not comprehensively covered in currently available instruments for measuring the impact of chronic pain.
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Affiliation(s)
- Michiel F Reneman
- Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, PO Box 30002, 9750 RA Haren, the Netherlands
- Address all correspondence to Dr Reneman at:
| | - Kees P D Brandsema
- Faculty of Behavioral, Management, and Social Sciences, University of Twente, Enschede, the Netherlands
| | - Ernst Schrier
- Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen
| | - Pieter U Dijkstra
- Department of Rehabilitation Medicine and Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen
| | - Paul F M Krabbe
- Department of Epidemiology, University of Groningen, University Medical Center Groningen
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11
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McLinton S, McLinton SS, van der Linden M. Psychosocial Factors Impacting Workplace Injury Rehabilitation: Evaluation of a Concise Screening Tool. JOURNAL OF OCCUPATIONAL REHABILITATION 2018; 28:121-129. [PMID: 28353015 DOI: 10.1007/s10926-017-9701-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Purpose To determine whether the delayed recovery often observed in simple musculoskeletal injuries occurring at work is related to poor workplace and home social support. Method A four question psychosocial screening tool called the "How are you coping gauge?" (HCG) was developed. This tool was implemented as part of the initial assessment for all new musculoskeletal workplace injuries. Participants were excluded if they did not meet the strict criteria used to classify a musculoskeletal injury as simple. The HCG score was then compared to the participant's number of days until return to full capacity (DTFC). It was hypothesised that those workers indicating a poorer level of workplace and home support would take longer time to return to full capacity. Results A sample of 254 participants (316 excluded) were included in analysis. Significant correlation (p < 0.001) was observed between HCG scores for self-reported work and home support and DTFC thereby confirming the hypothesis. Path analysis found workplace support to be a significant moderate-to-strong predictor of DTFC (-0.46). Conclusion A correlation was observed between delayed workplace injury recovery and poor perceived workplace social support. The HCG may be an effective tool for identifying these factors in musculoskeletal workplace injuries of a minor pathophysiological nature. There may be merit in tailoring injury rehabilitation towards addressing psychosocial factors early in the injury recovery process to assist with a more expedient return to full work capacity following simple acute musculoskeletal injury.
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Affiliation(s)
- Sareen McLinton
- Corporate Health Group, 69 Henley Beach Road, Mile End, PO Box 562, Torrensville, SA, 5031, Australia.
| | - Sarven Savia McLinton
- Asia Pacific Centre for Work Health and Safety, University of South Australia, IPC-MAG-11, UniSA Magill Campus, Lorne Avenue, Magill, SA, 5072, Australia
| | - Martin van der Linden
- Corporate Health Group, 69 Henley Beach Road, Mile End, PO Box 562, Torrensville, SA, 5031, Australia
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12
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McNeil D, Kennedy S, Randall C, Addicks S, Wright C, Hursey K, Vaglienti R. Fear of Pain Questionnaire-9: Brief assessment of pain-related fear and anxiety. Eur J Pain 2018; 22:39-48. [PMID: 28758306 PMCID: PMC5730485 DOI: 10.1002/ejp.1074] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/31/2017] [Indexed: 11/17/2022]
Abstract
BACKGROUND Fear and anxiety are important considerations in both acute and chronic pain. Effectively and efficiently measuring fear and anxiety associated with pain in healthcare settings is critical for identifying vulnerable patients. The length and administration time of current measures of pain-related fear and anxiety inhibit their routine use, as screening tools and otherwise, suggesting the need for a shorter, more efficient instrument. METHODS A 9-item shortened version of the Fear of Pain Questionnaire - III (FPQ-III), the Fear of Pain Questionnaire-9 (FPQ-9), was developed based upon statistical analyses of archival data from 275 outpatients with chronic pain and 275 undergraduates. Additionally, new data were collected from 100 outpatients with chronic pain and 190 undergraduates to directly compare the standard and short forms. Exploratory and confirmatory factor analyses, and other psychometric analyses, were conducted to examine and establish the FPQ-9 as a reliable and valid instrument. RESULTS The original three-factor structure of the FPQ-III was retained in the shortened version; a confirmatory factor analysis produced good model fit (RMSEA = 0.00, CFI = 1.00, TLI = 1.00, SRMR = 0.03). Results suggested a high degree of correlation between the original FPQ-III and the new FPQ-9 (r = 0.77, p < 0.001). Measures of internal consistency for FPQ-9 subscales were high; correlations with other pain and anxiety instruments suggested concurrent, convergent and divergent validity. CONCLUSIONS The FPQ-9 is a psychometrically sound alternative to longer instruments assessing fear and anxiety associated with pain, for use in both clinical and research situations that only allow brief screening. SIGNIFICANCE The FPQ-9 has considerable potential for dissemination and utility for routine, brief screening, given its length (completion time ~2 min; scoring time ~1 min), reading level and psychometric properties.
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Affiliation(s)
- D.W. McNeil
- Department of PsychologyWest Virginia UniversityMorgantownWVUSA
- Department of Dental Practice & Rural HealthWest Virginia University School of DentistryMorgantownWVUSA
| | - S.G. Kennedy
- Department of PsychologyWest Virginia UniversityMorgantownWVUSA
| | - C.L. Randall
- Department of PsychologyWest Virginia UniversityMorgantownWVUSA
| | - S.H. Addicks
- Department of PsychologyWest Virginia UniversityMorgantownWVUSA
| | - C.D. Wright
- Department of PsychologyWest Virginia UniversityMorgantownWVUSA
| | - K.G. Hursey
- Aachenor Psychology Consulting of West VirginiaMorgantownWVUSA
| | - R. Vaglienti
- Department of NeurosurgeryWest Virginia University School of MedicineMorgantownWVUSA
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13
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Ziemer KS, Korkmaz G. Using text to predict psychological and physical health: A comparison of human raters and computerized text analysis. COMPUTERS IN HUMAN BEHAVIOR 2017. [DOI: 10.1016/j.chb.2017.06.038] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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14
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Ziemer KS, Fuhrmann A, Hoffman MA. Effectiveness of a Positive Writing Intervention for Chronic Pain: A Randomized Trial. ACTA ACUST UNITED AC 2017. [DOI: 10.1080/24708593.2017.1307893] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Affiliation(s)
- Kathryn Schaefer Ziemer
- The Department of Counseling, Special Education and Higher Education, University of Maryland, College Park, MD, USA
| | - Amy Fuhrmann
- The Department of Counseling, Special Education and Higher Education, University of Maryland, College Park, MD, USA
| | - Mary Ann Hoffman
- The Department of Counseling, Special Education and Higher Education, University of Maryland, College Park, MD, USA
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Cisneros LN, Gómez M, Alvarez C, Millán A, De Caso J, Soria L. Comparison of outcome of tibial plafond fractures managed by hybrid external fixation versus two-stage management with final plate fixation. Indian J Orthop 2016; 50:123-30. [PMID: 27053800 PMCID: PMC4800953 DOI: 10.4103/0019-5413.177577] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Tibial platfond fractures are usually associated with massive swelling of the foot and ankle, as well as with open wounds. This swelling may cause significant decrease of the blood flow, so the state of the soft tissue is determinant for the surgical indication and the type of implant. This retrospective study compares the union times in cases of tibial plafond fractures managed with a hybrid external fixation as a definitive procedure versus those managed with a two stage strategy with final plate fixation. MATERIALS AND METHODS A retrospective study in a polytrauma referral hospital was performed between 2005 and 2011. Patients with a tibial plafond fracture, managed with a hybrid external fixation as a definitive procedure or managed with a two stage strategy with the final plate fixation were included in the study. Postoperative radiographs were evaluated by two senior surgeons. Fracture healing was defined as callus bridging of one cortex, seen on both lateral and anteroposterior X-ray. The clinical outcome was evaluated by means of 11 points Numerical Rating Scale for pain and The American Orthopedic Foot and Ankle Society ankle score, assessed at the last followup visit. Thirteen patients had been managed with a hybrid external fixation and 18 with a two-stage strategy with the final plate fixation. There were 14 males and 17 females with a mean age of 48 years (range 19-82 years). The mean followup was 24 months (range 24-70 months). RESULTS The mean time from surgery to weight bearing was 7 ± 6.36 days for the hybrid fixation group and 57.43 ± 15.46 days for the plate fixation group (P < 0.0001); and the mean time from fracture to radiological union was 133.82 ± 37.83) and 152.8 ± 72.33 days respectively (P = 0.560). CONCLUSION Besides the differences between groups regarding the baseline characteristics of patients, the results of this study suggest that in cases of tibial plafond fractures, the management with a hybrid external fixation as a definitive procedure might involve a faster union than a two-stage management with final plate fixation.
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Affiliation(s)
- Luis Natera Cisneros
- Department of Orthopaedics and Traumatology, Hospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, 08026 Barcelona, Spain,Department of Orthopaedics and Traumatology, Hospital General de Catalunya, Street Pedro i Pons 1, 08190, Sant Cugat del Vallés, Spain,Address for correspondence: Dr. Luis Natera Cisneros, Hospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, Street Sant Quintí 89, 08026 Barcelona, Spain. E-mail:
| | - Mireia Gómez
- Department of Orthopaedics and Traumatology, Hospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, 08026 Barcelona, Spain
| | - Carlos Alvarez
- Department of Orthopaedics and Traumatology, Cima Clinic, Passeig Manuel Girona 29, 08034 Barcelona, Spain
| | - Angélica Millán
- Department of Orthopaedics and Traumatology, Hospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, 08026 Barcelona, Spain
| | - Julio De Caso
- Department of Orthopaedics and Traumatology, Hospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, 08026 Barcelona, Spain
| | - Laura Soria
- Department of Orthopaedics and Traumatology, Hospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, 08026 Barcelona, Spain
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Anderson MA, Akshintala V, Albers KM, Amann ST, Belfer I, Brand R, Chari S, Cote G, Davis BM, Frulloni L, Gelrud A, Guda N, Humar A, Liddle RA, Slivka A, Gupta RS, Szigethy E, Talluri J, Wassef W, Wilcox CM, Windsor J, Yadav D, Whitcomb DC. Mechanism, assessment and management of pain in chronic pancreatitis: Recommendations of a multidisciplinary study group. Pancreatology 2016; 16:83-94. [PMID: 26620965 PMCID: PMC4761301 DOI: 10.1016/j.pan.2015.10.015] [Citation(s) in RCA: 53] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2015] [Revised: 10/29/2015] [Accepted: 10/31/2015] [Indexed: 12/11/2022]
Abstract
DESCRIPTION Pain in patients with chronic pancreatitis (CP) remains the primary clinical complaint and source of poor quality of life. However, clear guidance on evaluation and treatment is lacking. METHODS Pancreatic Pain working groups reviewed information on pain mechanisms, clinical pain assessment and pain treatment in CP. Levels of evidence were assigned using the Oxford system, and consensus was based on GRADE. A consensus meeting was held during PancreasFest 2012 with substantial post-meeting discussion, debate, and manuscript refinement. RESULTS Twelve discussion questions and proposed guidance statements were presented. Conference participates concluded: Disease Mechanism: Pain etiology is multifactorial, but data are lacking to effectively link symptoms with pathologic feature and molecular subtypes. Assessment of Pain: Pain should be assessed at each clinical visit, but evidence to support an optimal approach to assessing pain character, frequency and severity is lacking. MANAGEMENT There was general agreement on the roles for endoscopic and surgical therapies, but less agreement on optimal patient selection for medical, psychological, endoscopic, surgical and other therapies. CONCLUSIONS Progress is occurring in pain biology and treatment options, but pain in patients with CP remains a major problem that is inadequately understood, measured and managed. The growing body of information needs to be translated into more effective clinical care.
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Affiliation(s)
| | | | - Kathryn M Albers
- Department of Neurobiology, University of Pittsburgh, Pittsburgh, PA, USA
| | | | - Inna Belfer
- Department of Anesthesiology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Randall Brand
- Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - Suresh Chari
- Department of Medicine, Mayo Clinic, Rochester, MN, USA
| | - Greg Cote
- Department of Medicine, Medical University of South Carolina, Charleston, SC, USA
| | - Brian M Davis
- Department of Neurobiology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Luca Frulloni
- Department of Medicine, University of Verona, Verona, Italy
| | - Andres Gelrud
- Department of Medicine, University of Chicago, Chicago, IL, USA
| | - Nalini Guda
- Department of Gastroenterology, Aurora St. Luke's Medical Center, Milwaukee, WI, USA
| | - Abhinav Humar
- Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | | | - Adam Slivka
- Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | | | - Eva Szigethy
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | - Jyothsna Talluri
- Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - Wahid Wassef
- Department of Medicine, University of Massachusetts, Worcester, MA, USA
| | - C Mel Wilcox
- Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - John Windsor
- Department of Surgery, University of Auckland, Auckland, New Zealand
| | - Dhiraj Yadav
- Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - David C Whitcomb
- Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA; Department of Cell Biology & Molecular Physiology, University of Pittsburgh, Pittsburgh, PA, USA; Department of Human Genetics, University of Pittsburgh, Pittsburgh, PA, USA.
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Pattison N, Brown MR, Gubbay A, Peacock J, Ross JR, Chapman S, Sauzet O, Williams J. Towards a pain free hospital: an in-depth qualitative analysis of the pain experiences of head and neck cancer patients undergoing radiotherapy. Br J Pain 2015; 10:29-37. [PMID: 27551409 DOI: 10.1177/2049463715599995] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Treatment for head and neck cancer can frequently be a painful experience with implications for patients in terms of quality of life, nutrition and ultimately treatment outcomes. Pain may arise for a number of reasons in this patient group including the influence of localised tissue damage from radiotherapy, the effects of chemotherapeutic agents as well as the disease process itself. Early identification of cancer pain, through screening and early analgesic and pain management are thought to be the most appropriate approaches to the problem. AIM To explore in-depth, patients' views of the experience of pain related to radiotherapy for head and neck cancer, within the context of a randomised controlled trial (RCT) of pain screening and intervention. SAMPLE A purposive sample of head and neck cancer patients undergoing radiotherapy who were participating in a separate RCT of a proactive pain screening intervention. METHODS A qualitative design using one-off, face-to-face, in-depth interviews. Data were inductively analysed for themes using thematic analysis. Data were collected from September 2012 to January 2013. FINDINGS Eight participants were interviewed. Several issues around pain management arose and the influence of various factors became apparent. Four dominant themes emerged: facets of radiotherapy pain in head and neck cancer, facilitators and barriers to pain management, pain services and finally interdisciplinary working. CONCLUSION The specific issues faced by head and neck cancer patients undergoing radiotherapy highlight the need for pain relieving interventions delivered by pain specialists, in tandem with the development of robust self-management strategies. An integrated approach to care is optimal, comprising pain screening at each outpatient encounter, and review by specialists as necessary.
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Affiliation(s)
| | - Matthew Rd Brown
- Pain Management Team, The Royal Marsden Hospital, London, UK; The Institute of Cancer Research, London, UK
| | | | - Janet Peacock
- Division of Health & Social Care Research, King's College London, London, UK
| | - Joy R Ross
- The Royal Marsden and Royal Brompton Palliative Care Service, The Royal Marsden NHS Foundation Trust, London, UK
| | - Suzanne Chapman
- Pain Management Team, The Royal Marsden Hospital, London, UK
| | - Odile Sauzet
- Epidemiology & International Public Health, Bielefeld School of Public Health, Bielefeld University, Bielefeld, Germany
| | - John Williams
- Pain Management Team, The Royal Marsden Hospital, London, UK
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Gray H, Adefolarin AT, Howe TE. A systematic review of instruments for the assessment of work-related psychosocial factors (Blue Flags) in individuals with non-specific low back pain. ACTA ACUST UNITED AC 2011; 16:531-43. [PMID: 21576032 DOI: 10.1016/j.math.2011.04.001] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2011] [Revised: 03/27/2011] [Accepted: 04/11/2011] [Indexed: 12/26/2022]
Abstract
In individuals with low back pain (LBP) psychosocial factors can act as obstacles to return to work. A coloured Flags Framework has been conceptualised, in which Blue Flags represent work-related psychosocial issues. This systematic review was conducted to appraise available instruments for the assessment of Blue Flags in working age adults with non-specific LBP. The Ovid versions of MEDLINE, EMBASE, PsycINFO, AMED and CINAHL databases were searched from inception until the first week of March 2010; additionally, experts and study authors were contacted. Two authors independently selected studies, extracted data and assessed methodological quality. Eight studies (recruiting 5630 participants) met the review inclusion criteria, reporting six instruments: the Back Disability Risk Questionnaire (BDRQ); Occupational Role Questionnaire (ORQ); Obstacles to Return to Work Questionnaire (ORTWQ); Psychosocial Aspects of Work Questionnaire (PAWQ); Vermont Disability Prediction Questionnaire (VDPQ); and Modified Work Adaptation, Partnership, Growth, Affection and Resolve. Limited psychometric testing had been performed on the instruments, and solely by the original developers. None of the instruments, in their current stage of development, can be recommended as Blue Flags assessment instruments. The ORTWQ was the only instrument that showed adequate psychometric properties but was not considered clinically feasible in its present format. Future research should focus on further psychometric development of the ORTWQ.
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Affiliation(s)
- Heather Gray
- Glasgow Caledonian University, Glasgow, Scotland, UK.
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Grimmer-Somers K, Kumar S, Vipond N, Hall G. Primary care assessment instruments for patients at risk of, or with, persistent pain: opportunistic findings from a systematic literature review. Int J Gen Med 2009; 2:121-8. [PMID: 20360895 PMCID: PMC2840574 DOI: 10.2147/ijgm.s5703] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Early identification in primary care settings of individuals with, or at-risk of, developing persistent pain, is important to limit development of disability. There is little information to assist primary care providers to choose or deliver relevant, efficient, and soundly constructed assessment instruments for this purpose. OBJECTIVE We recently published the findings of a literature review, which produced a compendium of assessment instruments to identify adults with, or at-risk of developing, persistent pain of noncancer origin. This paper reports on instruments opportunistically identified during this review which may be appropriate to primary health care settings for early identification of such patients. RESULTS One hundred sixteen potentially useful instruments were initially identified in the review, measuring pain severity, psychological distress, functional capacity, quality of life or multidimensional constructs of persistent pain. Following a series of steps, 45 instruments were shortlisted, with sound clinical utility and strong psychometric properties. Of these, 16 instruments were appropriate to primary health care settings because of simple wording, brief items, short administration time, and ease of scoring. CONCLUSION No one assessment instrument captured all constructs of persistent pain. The 16 instruments provide a broad choice for primary care clinicians to assist with early identification of adults at risk of, or with persistent pain.
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Affiliation(s)
| | - Saravana Kumar
- Centre for Allied Health Evidence, University of South Australia, Australia
| | - Nic Vipond
- Accident Compensation Corporation, Wellington, New Zealand
| | - Gillian Hall
- Accident Compensation Corporation, Wellington, New Zealand
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