| 000 -LEADER |
|---|
| fixed length control field |
02216cas a2200157 a 4500 |
| 001 - CONTROL NUMBER |
|---|
| control field |
J-000079 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
120123s9999 xx r poo 0 0eng d |
| 041 ## - LANGUAGE CODE |
|---|
| Language code of text/sound track or separate title |
eng |
| 100 1# - MAIN ENTRY--PERSONAL NAME |
|---|
| Personal name |
Moores, Lorraine L. |
| 222 #0 - KEY TITLE |
|---|
| Key title |
Physiotherapy |
| 245 00 - TITLE STATEMENT |
|---|
| Title |
The development of a measurement tool for the assessment of pain behaviour in real time |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Extent |
12-18 |
| 520 3# - SUMMARY, ETC. |
|---|
| Summary, etc |
Background and purpose Chronic pain is a multifactorial problem. It is therefore important to assess the chronic pain patient from a variety of perspectives. A reduction in pain behaviour is a specifically cited aim of some clinical interventions. Pain behaviour measures have involved video recordings and subsequent ratings, or observations over a prolonged period of time. These methods have been criticised as time consuming and impractical in the clinical setting. The present pilot study developed a pain behaviour measurement tool, which could be delivered in 'real time' during a standardised functional assessment to give immediate feedback to clinicians and that could be used as an outcome measure. Methods Frequently occurring pain behaviours were identified, criteria were standardised, and a measurement tool and scoring system were developed. Forty-seven subjects with chronic pain were included in the inter-rater reliability study. Each subject was observed by 2 raters as they carried out a standardised physiotherapy functional assessment before and after a pain management programme. The occurrence of pain behaviour was scored using the developed measurement tool. Inter-rater reliability and internal consistency were assessed. Results and conclusion There was a high level of inter-rater reliability. 84 percent of the Kappa scores obtained fell between 0.61 and 1.0. Internal consistency was excellent (Alpha score 0.85 pre-programme and 0.84 post-programme). Given the limitations of self-report and self-monitoring methods of pain, pain behaviour and disability, a tool that more reliably captures this additional dimension of pain is appealing, and would be a valuable adjunct in the clinical assessment of the chronic pain patient |
| 650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
Physical therapy |
| General subdivision |
Chronic pain |
| -- |
Patient assessment |
| 700 1# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Watson, Paul J. |
