Assessing physical functioning on pain management programmes: the unique contribution of directly assessed physical performance measures and their relationship to self-reports

TY - JOUR

T1 - Assessing physical functioning on pain management programmes

T2 - the unique contribution of directly assessed physical performance measures and their relationship to self-reports

AU - Guildford, Beth J.

AU - Jacobs, Clair M.

AU - Daly-Eichenhardt, Aisling

AU - Scott, Whitney

AU - McCracken, Lance

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Physical functioning is a recommended outcome domain for pain management programmes. It can be assessed by self-report and by direct assessment of performance. Although physical performance measures may provide unique and useful information about patient functioning over and above self-report measures, it is not entirely clear which of the many possible performances to assess. This study investigated a battery of three directly assessed physical performance measures and their relationship to three currently used self-report measures of general health and functioning. The three performance measures were sensitive to treatment; patients performed significantly better on all three measures following completion of the pain management programme. The three performance measures were shown to represent a single underlying dimension, and there was a significant degree of overlap between them. The performance measures were shown to be relevant in explaining variation in the self-report measures, as well as to offer a clinically relevant different dimension of assessment to self-report. Future research could focus on developing performance-based measures that capture quality of movement and that are sensitive to relevant processes of therapeutic change.

AB - Physical functioning is a recommended outcome domain for pain management programmes. It can be assessed by self-report and by direct assessment of performance. Although physical performance measures may provide unique and useful information about patient functioning over and above self-report measures, it is not entirely clear which of the many possible performances to assess. This study investigated a battery of three directly assessed physical performance measures and their relationship to three currently used self-report measures of general health and functioning. The three performance measures were sensitive to treatment; patients performed significantly better on all three measures following completion of the pain management programme. The three performance measures were shown to represent a single underlying dimension, and there was a significant degree of overlap between them. The performance measures were shown to be relevant in explaining variation in the self-report measures, as well as to offer a clinically relevant different dimension of assessment to self-report. Future research could focus on developing performance-based measures that capture quality of movement and that are sensitive to relevant processes of therapeutic change.

KW - assessment

KW - Chronic pain

KW - pain management programme

KW - performance measures

KW - physical functioning

KW - physiotherapy

KW - self-report

UR - http://www.scopus.com/inward/record.url?scp=85011631306&partnerID=8YFLogxK

U2 - 10.1177/2049463716680559

DO - 10.1177/2049463716680559

M3 - Article

AN - SCOPUS:85011631306

SN - 2049-4637

VL - 11

SP - 46

EP - 57

JO - British Journal of Pain

JF - British Journal of Pain

IS - 1

ER -