Anirban Banerjee1, Paul Hendrick2, Purba Bhattacharjee3, Holly Blake2. 1. School of Health Sciences, University of Nottingham, Nottingham, NG7 2HA, UK; Nottingham CityCare Partnership, Nottingham, NG1 6GN, UK. Electronic address: Anirban.Banerjee@nottingham.ac.uk. 2. School of Health Sciences, University of Nottingham, Nottingham, NG7 2HA, UK. 3. Nottingham CityCare Partnership, Nottingham, NG1 6GN, UK.
Abstract
OBJECTIVES: The aim of this review was to identify, appraise and synthesise the outcome measures used to assess self-management in patients with chronic pain. METHODS: Medline, Embase, CINAHL, PsycINFO, the Cochrane Library and Google Scholar were searched to identify quantitative measures used within randomised or non-randomised clinical trials to assess self-management in adults (≥18 years) with chronic pain. RESULTS: 25 RCTs published between 1998 and 2016 were included in this review. Studies included patients with chronic pain, hip/knee osteoarthritis, rheumatoid arthritis, chronic low back pain, fibromyalgia and chronic fatigue syndrome. Included studies utilised 14 different measures assessing a variety of constructs including self-efficacy (n = 19), coping (n = 4), empowerment (n = 2), pain attitude and management (n = 3), self-care (n = 1), role behaviour (n = 1) and multiple constructs of self-management (n = 1). The Chronic Pain Coping Inventory (CPCI) and Health Education Impact Questionnaire (heiQ) cover different self-management related constructs across the physical, mental and social health domains. CONCLUSION: The review identified 14 measures used as proxy measure to assess self-management in patients with chronic pain. These measures have good content and construct validity, and internal consistency. However additional research is required to develop their reliability, responsiveness and interpretability. PRACTICE IMPLICATIONS: Multi-constructs measures (CPCI, heiQ) are suitable for assessing self-management.
OBJECTIVES: The aim of this review was to identify, appraise and synthesise the outcome measures used to assess self-management in patients with chronic pain. METHODS: Medline, Embase, CINAHL, PsycINFO, the Cochrane Library and Google Scholar were searched to identify quantitative measures used within randomised or non-randomised clinical trials to assess self-management in adults (≥18 years) with chronic pain. RESULTS: 25 RCTs published between 1998 and 2016 were included in this review. Studies included patients with chronic pain, hip/knee osteoarthritis, rheumatoid arthritis, chronic low back pain, fibromyalgia and chronic fatigue syndrome. Included studies utilised 14 different measures assessing a variety of constructs including self-efficacy (n = 19), coping (n = 4), empowerment (n = 2), pain attitude and management (n = 3), self-care (n = 1), role behaviour (n = 1) and multiple constructs of self-management (n = 1). The Chronic Pain Coping Inventory (CPCI) and Health Education Impact Questionnaire (heiQ) cover different self-management related constructs across the physical, mental and social health domains. CONCLUSION: The review identified 14 measures used as proxy measure to assess self-management in patients with chronic pain. These measures have good content and construct validity, and internal consistency. However additional research is required to develop their reliability, responsiveness and interpretability. PRACTICE IMPLICATIONS: Multi-constructs measures (CPCI, heiQ) are suitable for assessing self-management.
Authors: Eric B Elbogen; Amber Alsobrooks; Sara Battles; Kiera Molloy; Paul A Dennis; Jean C Beckham; Samuel A McLean; Julian R Keith; Carmen Russoniello Journal: Pain Med Date: 2021-02-23 Impact factor: 3.750
Authors: Per Kjaer; Alice Kongsted; Inge Ris; Allan Abbott; Charlotte Diana Nørregaard Rasmussen; Ewa M Roos; Søren T Skou; Tonny Elmose Andersen; Jan Hartvigsen Journal: BMC Musculoskelet Disord Date: 2018-11-29 Impact factor: 2.362
Authors: Aniek A O M Claassen; Cornelia H M van den Ende; Jorit J L Meesters; Sanne Pellegrom; Brigitte M Kaarls-Ohms; Jacoba Vooijs; Gerardine E M P Willemsen-de Mey; Thea P M Vliet Vlieland Journal: BMC Health Serv Res Date: 2018-03-27 Impact factor: 2.655