How Well Do Seven Self-Report Measures Represent Underlying Back Pain Impact?

Pain Manag Nurs. 2024 Feb;25(1):e1-e7. doi: 10.1016/j.pmn.2023.07.008. Epub 2023 Aug 23.

Abstract

Background: The extent to which different measures of back pain impact represent an underlying common factor has implications for decisions about which one to use in studies of pain management and estimating one score from others.

Aims: To determine if different self-report back pain impact measures represent an underlying pain latent variable and estimate associations with it.

Method: Seven pain impact measures completed by Amazon Mechanical Turk adults are used to estimate internal consistency reliability and associations: Oswestry Disability Index (ODI), Roland-Morris Disability Questionnaire (RMDQ), short form of the Örebro Musculoskeletal Pain Questionnaire (OMPQ), Subgroups for Targeted Treatment (STarT) Back Tool, the Graded Chronic Pain Scale (GCPS) disability score, PEG (Pain intensity, interference with Enjoyment of life, interference with General activity), and Impact Stratification Score (ISS).

Results: The sample of 1,874 adults with back pain had an average age of 41 and 52% were female. Sixteen percent were Hispanic, 7% non-Hispanic Black, 5% non-Hispanic Asian, and 71% non-Hispanic White. Internal consistency reliability estimates ranged from 0.710 (OMPQ) to 0.923 (GCPS). Correlations among the measures ranged from 0.609 (RMDQ with OMPQ) to 0.812 (PEG with GCPS). Standardized factor loadings on the pain latent variable ranged from 0.782 (RMDQ) to 0.870 (ISS).

Conclusions: Scores of each measure can be estimated from the others for use in research.

MeSH terms

  • Adult
  • Back Pain
  • Chronic Pain*
  • Disability Evaluation
  • Female
  • Humans
  • Low Back Pain*
  • Male
  • Musculoskeletal Pain*
  • Reproducibility of Results
  • Self Report
  • Surveys and Questionnaires