Validation of the brief pain inventory in patients with low back pain
Journal
Spine
Journal Volume
41
Journal Issue
15
Pages
E937-E942
Date Issued
2016
Author(s)
Abstract
Study Design. Cross-sectional psychometric testing in a sample of patients with low back pain (LBP). Objective. The aim of this study was to examine the construct, convergent, and discriminative validity of the Brief Pain Inventory (BPI) in patients with LBP. Summary of Background Data. The BPI was originally developed to assess cancer pain. Currently, it is commonly used to measure pain intensity and pain interference in patients with malignant or nonmalignant pain. However, the two-factor construct of the BPI has not been confirmed in an LBP population. Methods. A total of 271 patients with LBP completed the BPI and Oswestry Disability Index (ODI) questionnaires. The construct validity (i.e., the two-factor structure: intensity scale and interference scale) of the BPI was determined by confirmatory factor analysis. The convergent validity was investigated by examining the relationships between the BPI scales and the ODI scores. The discriminative validity of the BPI was examined by testing if the BPI scale scores differed among groups of patients with different levels of disability. Results. Confirmatory factor analysis partially confirmed the two-factor structure of the BPI for use in patients with LBP. The convergent validity of the BPI was supported by its moderate correlation between the interference scale and the ODI score (ρ=0.66, P<0.001), and by its low correlation between the intensity scale and the ODI score (ρ=0.39, P<0.001). Finally, both the intensity scale and the interference scale discriminated among patients with varying levels of disability (both P<0.001). Conclusion. The two-factor structure of the BPI as a measure of pain intensity and interference in patients with LBP was partially confirmed. Furthermore, our results lend some supports to the convergent validity and discriminative validity of the BPI. ? 2016 Wolters Kluwer Health, Inc.
SDGs
Other Subjects
adult; Article; Brief Pain Inventory; cancer pain; construct validity; convergent validity; cross-sectional study; diagnostic test accuracy study; factorial analysis; female; human; low back pain; major clinical study; male; Oswestry Disability Index; pain intensity; pain interference; priority journal; psychometry; spondylolisthesis; spondylolysis; spondylosis; aged; disability; factor analysis; low back pain; middle aged; pain measurement; procedures; questionnaire; time factor; very elderly; Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Disability Evaluation; Factor Analysis, Statistical; Female; Humans; Low Back Pain; Male; Middle Aged; Pain Measurement; Psychometrics; Surveys and Questionnaires; Time Factors
Publisher
Lippincott Williams and Wilkins
Type
journal article