Örebro Musculoskeletal Pain Screening Questionnaire Short-Form and STarT Back Screening Tool: Correlation and Agreement Analysis

• Published in: Spine (Philadelphia, Pa. 1976) Pa. 1976), 2016-08, Vol.41 (15), p.E931-E936
• Main Authors: Fuhro, Fernanda Ferreira, Fagundes, Felipe Ribeiro Cabral, Manzoni, Ana Carolina Taccolini, Costa, Leonardo Oliveira Pena, Cabral, Cristina Maria Nunes
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Brazil; Disability Evaluation; Female; Humans; Low Back Pain - diagnosis; Low Back Pain - therapy; Male; Middle Aged; Musculoskeletal Pain - diagnosis; Musculoskeletal Pain - therapy; Pain Measurement - methods; Reproducibility of Results; Surveys and Questionnaires; Young Adult
• ISSN: 0362-2436; 1528-1159
• DOI: 10.1097/BRS.0000000000001415

STUDY DESIGN.Correlation and agreement analysis. OBJECTIVE.The objective of this study was to compare the Brazilian Portuguese versions of the Örebro Musculoskeletal Pain Screening Questionnaire Short-Form (ÖMPSQ-short) and the STarT Back Screening Tool (SBST)-Brazil in patients with low back pain and to verify their correlation with disability, kinesiophobia, and pain. SUMMARY OF BACKGROUND DATA.The ÖMPSQ-short and the SBST were designed to identify patients at risk of developing pain and disability related to psychosocial factors. METHODS.We assessed 130 patients, who answered the ÖMPSQ-short, SBST-Brazil, Roland-Morris disability questionnaire, Tampa scale of kinesiophobia, and Pain Numerical Rating scale. The total scores of the ÖMPSQ-short and the SBST-Brazil were correlated with the other questionnaires. Cross-tabulation and Cohen κ were used to analyze the agreement between the ÖMPSQ-short and the SBST-Brazil for participant classification as low or high risk for involvement of psychosocial factors. RESULTS.The ÖMPSQ-short and the SBST-Brazil presented good correlation between total scores (r = 0.73), good correlation with disability (ÖMPSQ-shortr = 0.72; SBST-Brazilr = 0.76), and kinesiophobia (ÖMPSQ-shortr = 0.68; SBST-Brazilr = 0.60) and moderate correlation with pain in the last episode (ÖMPSQ-shortr = 0.39; SBST-Brazilr = 0.48), in last 2 weeks (ÖMPSQ-shortr = 0.39; SBSTr = 0.43), and current pain (ÖMPSQ-shortr = 0.39; SBST-Brazilr = 0.31). Participant classification as high or low risk by the two questionnaires showed moderate agreement (κ = 0.49). A total of 83% of participants were classified correctly by the two questionnaires. CONCLUSION.The ÖMPSQ-short and the SBST-Brazil showed good correlation between total scores and moderate agreement for patient classification in relation to the presence of psychosocial factors.Level of Evidence3