Sensitivity to change of the Neck Pain and Disability Scale.
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Sensitivity to change of the Neck Pain and Disability Scale. / Blozik, Eva; Himmel, Wolfgang; Kochen, Michael M; Herrmann-Lingen, Christoph; Scherer, Martin.
in: EUR SPINE J, Jahrgang 20, Nr. 6, 6, 2011, S. 882-889.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Sensitivity to change of the Neck Pain and Disability Scale.
AU - Blozik, Eva
AU - Himmel, Wolfgang
AU - Kochen, Michael M
AU - Herrmann-Lingen, Christoph
AU - Scherer, Martin
PY - 2011
Y1 - 2011
N2 - The Neck Pain and Disability Scale (NPAD) is a 20-item instrument to measure neck pain and related disability. The aim of this study was to assess sensitivity to change of the NPAD. A total of 411 participants from 15 general practices in the middle of Germany completed a multidimensional questionnaire including the German version of the NPAD and self-reported demographic and clinical information. Sensitivity to change was analysed by linear regression analysis of the NPAD at follow-up and educational level, age class, depression, anxiety, and deficits in social support, respectively, and by Pearson's correlation analyses between mean change in NPAD at follow-up and mean change in prognostic markers. Those having more than basic education (regression coefficient -7.2, p <0.001) and/or being in a younger age class (-2.9, p = 0.020) consistently reported significantly lower average NPAD scores at follow-up compared to those with basic education and/or a older age class. In contrast, those who were classified to be depressed (regression coefficient 2.1, p <0.001), anxious (1.9, p <0.001), or having deficits in social support (5.5, p = 0.004) reported significantly higher NPAD scores. Change in depression, anxiety, and social support scale between baseline and follow-up was significantly correlated with change in the NPAD score. Hence, these data are in the direction anticipated across all baseline factors investigated. In conclusion, the NPAD seems to be a sensitive measure for use in clinical practice and future studies of neck pain and related disability.
AB - The Neck Pain and Disability Scale (NPAD) is a 20-item instrument to measure neck pain and related disability. The aim of this study was to assess sensitivity to change of the NPAD. A total of 411 participants from 15 general practices in the middle of Germany completed a multidimensional questionnaire including the German version of the NPAD and self-reported demographic and clinical information. Sensitivity to change was analysed by linear regression analysis of the NPAD at follow-up and educational level, age class, depression, anxiety, and deficits in social support, respectively, and by Pearson's correlation analyses between mean change in NPAD at follow-up and mean change in prognostic markers. Those having more than basic education (regression coefficient -7.2, p <0.001) and/or being in a younger age class (-2.9, p = 0.020) consistently reported significantly lower average NPAD scores at follow-up compared to those with basic education and/or a older age class. In contrast, those who were classified to be depressed (regression coefficient 2.1, p <0.001), anxious (1.9, p <0.001), or having deficits in social support (5.5, p = 0.004) reported significantly higher NPAD scores. Change in depression, anxiety, and social support scale between baseline and follow-up was significantly correlated with change in the NPAD score. Hence, these data are in the direction anticipated across all baseline factors investigated. In conclusion, the NPAD seems to be a sensitive measure for use in clinical practice and future studies of neck pain and related disability.
KW - Humans
KW - Aged
KW - Middle Aged
KW - Questionnaires
KW - Disability Evaluation
KW - Psychometrics
KW - Anxiety/diagnosis/psychology
KW - Depression/diagnosis/psychology
KW - Neck Pain/diagnosis/psychology
KW - Pain Measurement/methods/psychology
KW - Humans
KW - Aged
KW - Middle Aged
KW - Questionnaires
KW - Disability Evaluation
KW - Psychometrics
KW - Anxiety/diagnosis/psychology
KW - Depression/diagnosis/psychology
KW - Neck Pain/diagnosis/psychology
KW - Pain Measurement/methods/psychology
M3 - SCORING: Journal article
VL - 20
SP - 882
EP - 889
JO - EUR SPINE J
JF - EUR SPINE J
SN - 0940-6719
IS - 6
M1 - 6
ER -
