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A validity-driven approach to the understanding of the personal and societal burden of low back pain : development of a conceptual and measurement model

Buchbinder, Rachelle, Batterham, Roy, Elsworth, Gerald, Dionne, Clermont E., Irvin, Emma and Osborne, Richard H. 2011, A validity-driven approach to the understanding of the personal and societal burden of low back pain : development of a conceptual and measurement model, Arthritis research & therapy, vol. 13, no. 5, pp. 1-13.

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Title A validity-driven approach to the understanding of the personal and societal burden of low back pain : development of a conceptual and measurement model
Author(s) Buchbinder, Rachelle
Batterham, Roy
Elsworth, Gerald
Dionne, Clermont E.
Irvin, Emma
Osborne, Richard H.
Journal name Arthritis research & therapy
Volume number 13
Issue number 5
Start page 1
End page 13
Total pages 13
Publisher BioMed Central Ltd
Place of publication London, England
Publication date 2011
ISSN 1478-6354
Summary Introduction: While the importance and magnitude of the burden of low back pain upon the individual is well recognized, a systematic understanding of the impact of the condition on individuals is currently hampered by the lack of an organized understanding of what aspects of a person’s life are affected and the lack of comprehensive measures for these effects. The aim of the present study was to develop a conceptual and measurement model of the overall burden of low back pain from the individual’s perspective using a validity-driven approach.
Methods: To define the breadth of low back pain burden we conducted three concept-mapping workshops to generate an item pool. Two face-to-face workshops (Australia) were conducted with people with low back pain and clinicians and policy-makers, respectively. A third workshop (USA) was held with international multidisciplinary experts. Multidimensional scaling, cluster analysis, participant input and thematic analyses organized participants’ ideas into clusters of ideas that then informed the conceptual model.
Results: One hundred and ninety-nine statements were generated. Considerable overlap was observed between groups, and four major clusters were observed - Psychosocial, Physical, Treatment and Employment - each with between two and six subclusters. Content analysis revealed that elements of the Psychosocial cluster were sufficiently distinct to be split into Psychological and Social, and a further cluster of elements termed Positive Effects also emerged. Finally, a hypothesized structure was proposed with six domains and 16 subdomains. New domains not previously considered in the back pain field emerged for psychometric verification: loss of independence, worry about the future, and negative or discriminatory actions by others.
Conclusions: Using a grounded approach, an explicit a priori and testable model of the overall burden of low back pain has been proposed that captures the full breadth of the burden experienced by patients and observed by experts.
Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Language eng
Field of Research 111717 Primary Health Care
Socio Economic Objective 920205 Health Education and Promotion
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, BioMed Central Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30040967

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.