Measurement properties of the Brazilian-Portuguese version of the PROMIS-29 questionnaire and the Impact Score in patients with chronic low back pain.

IF 2.2 3区医学 Q2 ORTHOPEDICS

BMC Musculoskeletal Disorders Pub Date : 2024-10-22 DOI:10.1186/s12891-024-07946-5

Claudia Regina Moya, Tatiane da Silva, Leonardo Oliveira Pena Costa

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引用次数: 0

Abstract

Background: A task force from the US National Institute of Health aimed to establish parameters for surveys with patients with chronic low back pain (LBP) by recommending the use of the Patient-Reported Outcome Measurement Information System 29-item (PROMIS-29) questionnaire and the stratification according to the Impact Score. We aimed to assess the internal consistency, reliability, measurement error, construct validity and responsiveness of the Brazilian-Portuguese version of the PROMIS-29 questionnaire (version 2.1) and the Impact Score in patients with chronic LBP.

Methods: A prospective cohort study was carried out with patients with chronic LBP who were receiving physiotherapy treatment in clinics in São Paulo and Vitória cities, Brazil. The sample included 102 patients with chronic LBP, aged between 18 and 80 years, and with the ability to read and write in the Brazilian-Portuguese language. Exclusion criteria were patients with serious spinal conditions, cognitive impairment, pregnant women, and patients who had undergone lumbar surgery within the past six months. The PROMIS-29 questionnaire, the 12-item Short-Form Health Survey and the Roland-Morris Disability Questionnaire were applied. The PROMIS-29 questionnaire was reapplied after 24 hours and 4 weeks.

Results: The PROMIS-29 questionnaire showed Cronbach's Alpha values between 0.81 (anxiety) and 0.91 (depression). The ICC_2.1 ranged from 0.85 (95% CI: 0.77 to 0.89) to 0,97 (CI 95%: 0.95 to 0.98). The SEM values ranged between 0.85 (physical function) and 2.62 (ability to participate in social roles and activities). The Impact Score showed Cronbach's Alpha, ICC_2.1 and SEM values of 0.91, 0.97 (95% CI: 0.95 to 0.98) and 0.56, respectively. The PROMIS-29 questionnaire and the Impact Score showed sufficient construct validity. The PROMIS-29 questionnaire showed moderate responsiveness, while the Impact Score showed sufficient responsiveness.

Conclusions: Both the Brazilian-Portuguese version of the PROMIS-29 questionnaire and the Impact Score showed sufficient internal consistency, reliability, construct validity and responsiveness in Brazilian patients with chronic LBP. The results support the US National Institutes of Health's recommendation to use the PROMIS-29 questionnaire and the Impact Score in patients with chronic LBP. We suggest that future studies evaluate the structural validity of the Brazilian-Portuguese version of the PROMIS-29 questionnaire.

Clinical trial number: Not applicable.

查看原文本刊更多论文

巴西-葡萄牙语版 PROMIS-29 问卷和慢性腰背痛患者影响评分的测量特性。

背景：美国国立卫生研究院的一个工作组建议使用患者报告结果测量信息系统 29 项（PROMIS-29）问卷，并根据影响评分进行分层，旨在为慢性腰背痛（LBP）患者的调查建立参数。我们的目的是评估巴西-葡萄牙语版 PROMIS-29 问卷（2.1 版）的内部一致性、可靠性、测量误差、构建有效性和响应性，以及慢性腰背痛患者的影响评分：对在巴西圣保罗和维托里亚市诊所接受物理治疗的慢性腰椎间盘突出症患者进行了一项前瞻性队列研究。样本包括 102 名慢性腰椎间盘突出症患者，年龄在 18 至 80 岁之间，具有巴西葡萄牙语读写能力。排除标准为患有严重脊柱疾病、认知障碍、孕妇以及在过去六个月内接受过腰椎手术的患者。该研究采用了PROMIS-29问卷、12项短式健康调查和罗兰-莫里斯残疾问卷。PROMIS-29调查问卷分别在24小时和4周后再次使用：PROMIS-29问卷的Cronbach's Alpha值介于0.81（焦虑）和0.91（抑郁）之间。ICC2.1介于0.85（95% CI：0.77至0.89）和0.97（95% CI：0.95至0.98）之间。SEM值介于0.85（身体功能）和2.62（参与社会角色和活动的能力）之间。影响得分的 Cronbach's Alpha、ICC2.1 和 SEM 值分别为 0.91、0.97（95% CI：0.95 至 0.98）和 0.56。PROMIS-29 问卷和影响评分显示出足够的构建效度。PROMIS-29问卷显示出中等的响应性，而影响评分则显示出足够的响应性：结论：巴西-葡萄牙语版 PROMIS-29 问卷和影响评分在巴西慢性腰椎间盘突出症患者中均显示出足够的内部一致性、可靠性、建构效度和反应性。研究结果支持美国国立卫生研究院关于在慢性腰椎间盘突出症患者中使用 PROMIS-29 问卷和影响评分的建议。我们建议未来的研究对巴西-葡萄牙语版PROMIS-29问卷的结构效度进行评估：临床试验编号：不适用。

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来源期刊

BMC Musculoskeletal Disorders 医学-风湿病学

CiteScore

3.80

自引率

8.70%

发文量

1017

审稿时长

3-6 weeks

期刊介绍： BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.