Assessment of functioning and disability in patients with low back pain - the low back pain assessment tool. Part 1: development

Charlotte Ibsen; Berit Schiøttz-Christensen; Claus Vinther Nielsen; Mogens Hørder; Anne Mette Schmidt; Thomas Maribo

doi:10.1080/09638288.2021.1913648

Assessment of functioning and disability in patients with low back pain - the low back pain assessment tool. Part 1: development

Charlotte Ibsen^*, Berit Schiøttz-Christensen, Claus Vinther Nielsen, Mogens Hørder, Anne Mette Schmidt, Thomas Maribo

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

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Abstract

PURPOSE: To present the process used to develop the low back pain (LBP) assessment tool including evaluation of the initial content validity of the tool.

METHODS: The development process comprised the elements: definition of construct and content, literature search, item generation, needs assessment, piloting, adaptations, design, and technical production. The LBP assessment tool was developed to assess the construct "functioning and disability" as defined by the International Classification of Functioning, Disability and Health (ICF). Involvement of patients and health professionals was essential.

RESULTS: The elements were collapsed into five steps. In total, 18 patients and 12 health professionals contributed to the content and the design of the tool. The LBP assessment tool covered all ICF components shared among 63 ICF categories.

CONCLUSIONS: This study presents the process used to develop the LBP assessment tool, which is the first tool to address all ICF components and integrate biopsychosocial perspectives provided by patients and health professionals in the same tool. Initial evaluation of content validity showed adequate reflection of the construct "functioning and disability". Further work on the way will evaluate comprehensiveness, acceptability, and degree of implementation of the LBP assessment tool to strengthen its use for clinical practice.Implications for RehabilitationA biopsychosocial and patients-centred approach is a strong foundation for identifying the many relevant aspects related to low back pain (LBP).Responding to a lack of tools to support a biopsychosocial and patients-centred approach the LBP assessment tool was developed using a robust, multi-step process with involvement of patients and health professionals.The LBP assessment tool is a strong candidate for a user-friendly tool to facilitate use of the International Classification of Functioning, Disability and Health in routine clinical practice.

Original language	English
Journal	Disability and Rehabilitation
Volume	44
Issue number	17
Pages (from-to)	4841-4852
ISSN	0963-8288
DOIs	https://doi.org/10.1080/09638288.2021.1913648
Publication status	Published - Aug 2022

Keywords

Clinician reported outcomes
Disability and Health
International Classification of Functioning
low back pain
patient reported outcomes
patient-centred care
Disability Evaluation
International Classification of Functioning, Disability and Health
Humans
Low Back Pain/diagnosis
Pain Measurement
Disabled Persons

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10.1080/09638288.2021.1913648Licence: CC BY-NC-ND

Open Access VersionFinal published version, 2.47 MBLicence: CC BY-NC-ND

Cite this

@article{963654d7022a41c1b6e3a1cd4308854b,

title = "Assessment of functioning and disability in patients with low back pain - the low back pain assessment tool. Part 1: development",

abstract = "PURPOSE: To present the process used to develop the low back pain (LBP) assessment tool including evaluation of the initial content validity of the tool.METHODS: The development process comprised the elements: definition of construct and content, literature search, item generation, needs assessment, piloting, adaptations, design, and technical production. The LBP assessment tool was developed to assess the construct {"}functioning and disability{"} as defined by the International Classification of Functioning, Disability and Health (ICF). Involvement of patients and health professionals was essential.RESULTS: The elements were collapsed into five steps. In total, 18 patients and 12 health professionals contributed to the content and the design of the tool. The LBP assessment tool covered all ICF components shared among 63 ICF categories.CONCLUSIONS: This study presents the process used to develop the LBP assessment tool, which is the first tool to address all ICF components and integrate biopsychosocial perspectives provided by patients and health professionals in the same tool. Initial evaluation of content validity showed adequate reflection of the construct {"}functioning and disability{"}. Further work on the way will evaluate comprehensiveness, acceptability, and degree of implementation of the LBP assessment tool to strengthen its use for clinical practice.Implications for RehabilitationA biopsychosocial and patients-centred approach is a strong foundation for identifying the many relevant aspects related to low back pain (LBP).Responding to a lack of tools to support a biopsychosocial and patients-centred approach the LBP assessment tool was developed using a robust, multi-step process with involvement of patients and health professionals.The LBP assessment tool is a strong candidate for a user-friendly tool to facilitate use of the International Classification of Functioning, Disability and Health in routine clinical practice.",

keywords = "Clinician reported outcomes, Disability and Health, International Classification of Functioning, low back pain, patient reported outcomes, patient-centred care, Disability Evaluation, International Classification of Functioning, Disability and Health, Humans, Low Back Pain/diagnosis, Pain Measurement, Disabled Persons",

author = "Charlotte Ibsen and Berit Schi{\o}ttz-Christensen and {Vinther Nielsen}, Claus and Mogens H{\o}rder and Schmidt, {Anne Mette} and Thomas Maribo",

note = "Publisher Copyright: {\textcopyright} 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.",

year = "2022",

month = aug,

doi = "10.1080/09638288.2021.1913648",

language = "English",

volume = "44",

pages = "4841--4852",

journal = "Disability and Rehabilitation",

issn = "0963-8288",

publisher = "Taylor & Francis",

number = "17",

}

Assessment of functioning and disability in patients with low back pain - the low back pain assessment tool. Part 1: development. / Ibsen, Charlotte; Schiøttz-Christensen, Berit; Vinther Nielsen, Claus et al.
In: Disability and Rehabilitation, Vol. 44, No. 17, 08.2022, p. 4841-4852.

Research output: Contribution to journal › Journal article › Research › peer-review

TY - JOUR

T1 - Assessment of functioning and disability in patients with low back pain - the low back pain assessment tool. Part 1

T2 - development

AU - Ibsen, Charlotte

AU - Schiøttz-Christensen, Berit

AU - Vinther Nielsen, Claus

AU - Hørder, Mogens

AU - Schmidt, Anne Mette

AU - Maribo, Thomas

PY - 2022/8

Y1 - 2022/8

N2 - PURPOSE: To present the process used to develop the low back pain (LBP) assessment tool including evaluation of the initial content validity of the tool.METHODS: The development process comprised the elements: definition of construct and content, literature search, item generation, needs assessment, piloting, adaptations, design, and technical production. The LBP assessment tool was developed to assess the construct "functioning and disability" as defined by the International Classification of Functioning, Disability and Health (ICF). Involvement of patients and health professionals was essential.RESULTS: The elements were collapsed into five steps. In total, 18 patients and 12 health professionals contributed to the content and the design of the tool. The LBP assessment tool covered all ICF components shared among 63 ICF categories.CONCLUSIONS: This study presents the process used to develop the LBP assessment tool, which is the first tool to address all ICF components and integrate biopsychosocial perspectives provided by patients and health professionals in the same tool. Initial evaluation of content validity showed adequate reflection of the construct "functioning and disability". Further work on the way will evaluate comprehensiveness, acceptability, and degree of implementation of the LBP assessment tool to strengthen its use for clinical practice.Implications for RehabilitationA biopsychosocial and patients-centred approach is a strong foundation for identifying the many relevant aspects related to low back pain (LBP).Responding to a lack of tools to support a biopsychosocial and patients-centred approach the LBP assessment tool was developed using a robust, multi-step process with involvement of patients and health professionals.The LBP assessment tool is a strong candidate for a user-friendly tool to facilitate use of the International Classification of Functioning, Disability and Health in routine clinical practice.

AB - PURPOSE: To present the process used to develop the low back pain (LBP) assessment tool including evaluation of the initial content validity of the tool.METHODS: The development process comprised the elements: definition of construct and content, literature search, item generation, needs assessment, piloting, adaptations, design, and technical production. The LBP assessment tool was developed to assess the construct "functioning and disability" as defined by the International Classification of Functioning, Disability and Health (ICF). Involvement of patients and health professionals was essential.RESULTS: The elements were collapsed into five steps. In total, 18 patients and 12 health professionals contributed to the content and the design of the tool. The LBP assessment tool covered all ICF components shared among 63 ICF categories.CONCLUSIONS: This study presents the process used to develop the LBP assessment tool, which is the first tool to address all ICF components and integrate biopsychosocial perspectives provided by patients and health professionals in the same tool. Initial evaluation of content validity showed adequate reflection of the construct "functioning and disability". Further work on the way will evaluate comprehensiveness, acceptability, and degree of implementation of the LBP assessment tool to strengthen its use for clinical practice.Implications for RehabilitationA biopsychosocial and patients-centred approach is a strong foundation for identifying the many relevant aspects related to low back pain (LBP).Responding to a lack of tools to support a biopsychosocial and patients-centred approach the LBP assessment tool was developed using a robust, multi-step process with involvement of patients and health professionals.The LBP assessment tool is a strong candidate for a user-friendly tool to facilitate use of the International Classification of Functioning, Disability and Health in routine clinical practice.

KW - Clinician reported outcomes

KW - Disability and Health

KW - International Classification of Functioning

KW - low back pain

KW - patient reported outcomes

KW - patient-centred care

KW - Disability Evaluation

KW - International Classification of Functioning, Disability and Health

KW - Humans

KW - Low Back Pain/diagnosis

KW - Pain Measurement

KW - Disabled Persons

U2 - 10.1080/09638288.2021.1913648

DO - 10.1080/09638288.2021.1913648

M3 - Journal article

C2 - 33945363

SN - 0963-8288

VL - 44

SP - 4841

EP - 4852

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

IS - 17

ER -

Assessment of functioning and disability in patients with low back pain - the low back pain assessment tool. Part 1: development

Abstract

Keywords

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