Arjan G J Bot1, Sjoerd P F T Nota1, David Ring2. 1. Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA. 2. Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA; Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA. Electronic address: dring@partners.org.
Abstract
BACKGROUND: Self-efficacy is an effective coping strategy associated with less pain and disability. The Pain Self-Efficacy Questionnaire (PSEQ) is a valid and reliable tool to measure this strategy, but could be inconvenient to implement in a busy surgical practice owing to its length. OBJECTIVE: The purpose of this study was to develop a shorter version of the 10-item PSEQ. METHODS: A total of 316 patients (53% men, mean age of 46 y) with a variety of upper extremity diagnosis were enrolled in this study. In addition to demographic information, patients completed the PSEQ measure of self-efficacy, the QuickDASH measure of disability, and an ordinal measure of pain intensity. We conducted inter-item correlation analyses for the PSEQ and selected questions based on the magnitude of their correlation. RESULTS: Questions 8 and 9 were selected to form the PSEQ-2. The PSEQ-2 showed good internal consistency (α = 0.90) and had a large correlation with the original PSEQ (r = 0.76). Both the PSEQ-2 and the original PSEQ correlated significantly with QuickDASH and pain intensity. CONCLUSIONS: This study provides preliminary evidence that a shortened version of the PSEQ might be useful as a screening instrument to identify patients with hand and upper extremity conditions who have low self-efficacy and might benefit from cognitive behavioral therapy. LEVEL OF EVIDENCE: Diagnostic level III.
BACKGROUND: Self-efficacy is an effective coping strategy associated with less pain and disability. The Pain Self-Efficacy Questionnaire (PSEQ) is a valid and reliable tool to measure this strategy, but could be inconvenient to implement in a busy surgical practice owing to its length. OBJECTIVE: The purpose of this study was to develop a shorter version of the 10-item PSEQ. METHODS: A total of 316 patients (53% men, mean age of 46 y) with a variety of upper extremity diagnosis were enrolled in this study. In addition to demographic information, patients completed the PSEQ measure of self-efficacy, the QuickDASH measure of disability, and an ordinal measure of pain intensity. We conducted inter-item correlation analyses for the PSEQ and selected questions based on the magnitude of their correlation. RESULTS: Questions 8 and 9 were selected to form the PSEQ-2. The PSEQ-2 showed good internal consistency (α = 0.90) and had a large correlation with the original PSEQ (r = 0.76). Both the PSEQ-2 and the original PSEQ correlated significantly with QuickDASH and pain intensity. CONCLUSIONS: This study provides preliminary evidence that a shortened version of the PSEQ might be useful as a screening instrument to identify patients with hand and upper extremity conditions who have low self-efficacy and might benefit from cognitive behavioral therapy. LEVEL OF EVIDENCE: Diagnostic level III.
Authors: Joost T P Kortlever; Stein J Janssen; Marijn M G van Berckel; David Ring; Ana Maria Vranceanu Journal: Clin Orthop Relat Res Date: 2015-11 Impact factor: 4.176
Authors: Amanda I Gonzalez; Joost T P Kortlever; Laura E Brown; David Ring; Mark Queralt Journal: Clin Orthop Relat Res Date: 2021-06-01 Impact factor: 4.755