Psychometric Properties of the OSPRO-YF Screening Tool in Patients with Shoulder Pathology.

Helen Razmjou, Veronica Palinkas, Susan Robarts, Deborah Kennedy
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引用次数: 4

Abstract

Purpose: The Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) is a screening tool that incorporates many important psychosocial domains into one questionnaire to reduce the burden of completing multiple questionnaires. The objectives of this study were to examine the reliability and validity of the 10-item version of the OSPRO-YF with patients with shoulder conditions. Method: The study group consisted of injured workers with an active compensation claim for a shoulder injury. The control group consisted of patients with a complaint of shoulder pain but without a work-related shoulder injury. We examined reliability (internal consistency, test-retest) and validity (factorial, convergent, known groups). The Hospital Anxiety and Depression Scale; the Quick Disabilities of Arm, Shoulder and Hand; and the short Örebro Musculoskeletal Pain Screening Questionnaire were used for comparison. Results: Eighty patients had an active compensation claim, and 160 were in the control group. The intra-class correlation coefficient values for two observations of the domain scores varied from 0.91 to 0.94. The test-retest reliability of the dichotomous constructs was moderate to perfect for 8 of 11 constructs. The 10-item OSPRO-YF questionnaire had three distinct domains, as conceptualized by the developers: mood, fear avoidance, and positive affect-coping. The Cronbach's a coefficients for these domains were 0.88, 0.94, and 0.94, respectively. The associations between the psychological constructs and domains and the similar theoretically derived scales were moderate to high and in the expected direction. Of the 11 constructs of the OSPRO-YF, 10 differentiated between patients with and without a work-related injury (p-values ranging from 0.028 to < 0.001). Conclusions: The 10-item OSPRO-YF reduces the burden of using multiple questionnaires and has acceptable test-retest and internal consistency reliability and factorial, convergent, and known-groups validity.

OSPRO-YF筛查工具在肩部病变患者中的心理测量特性
黄旗(OSPRO-YF)是一种将许多重要的社会心理领域纳入一份问卷的筛查工具,以减轻填写多份问卷的负担。本研究的目的是检验10项版本的OSPRO-YF对肩部疾病患者的信度和效度。方法:研究组由肩部损伤主动索赔的受伤工人组成。对照组由抱怨肩痛但没有与工作有关的肩伤的患者组成。我们检查了信度(内部一致性,重测)和效度(析因,收敛,已知组)。医院焦虑抑郁量表;胳膊、肩膀和手的快速残疾;和简短的Örebro肌肉骨骼疼痛筛查问卷进行比较。结果:80例患者主动提出赔偿要求,对照组160例。两个领域得分观测值的类内相关系数值在0.91到0.94之间变化。二分类构念的重测信度在11个构念中有8个为中等至完全。10个项目的OSPRO-YF问卷有三个不同的领域,正如开发人员所概念化的:情绪、恐惧回避和积极的情绪应对。这些域的Cronbach’s a系数分别为0.88、0.94和0.94。心理构念和心理领域与相似的理论推导量表之间的相关性在中等到高度之间,并在预期方向上。在OSPRO-YF的11个构式中,有10个构式区分了工伤患者和非工伤患者(p值为0.028)。结论:10个构式的OSPRO-YF减轻了使用多份问卷的负担,具有可接受的重测和内部一致性信度以及析因、收敛和已知组效度。
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