Impact of COVID-19 on chronic pain structures: data from French national survey

Melchior, Meggane; Dziadzko, Mikhail; Conradi, Severine; Poisbeau, Pierrick; Aubrun, Frédéric

doi:10.2217/cer-2022-0003

Cited by 2 publications

(3 citation statements)

References 36 publications

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“…It is likely that this item not only measures the ability to understand how to make medical appointments, but also inadvertently measures the di culty encountered in obtaining a medical appointment. This is all the more true given that our study was conducted at the time of the COVID-19 health crisis, which contributed to a change in the management of health services and access to appointments in France (39). However, this item has a low level of mis t, which means it could be retained in the scale.…”

Section: Discussionmentioning

confidence: 93%

Psychometric validation of the French version of two scales measuring general (HLS19-Q12) and navigational (HLS19-NAV) health literacy using the Rasch model

Touzani,

Rouquette,

Schultz

et al. 2023

Preprint

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Background: To examine the psychometrics properties of the French version of two scales measuring general (HLS19-Q12) and navigational (HLS19-NAV) health literacy (HL) using two validation methods based on modern psychometric test theories: a Rasch model analysis and structural equation models (SEM). Methods: The data on representative samples of the French adult population came from the Health Literacy Survey (N=2 003), conducted in France in two waves (2020 and 2021), and from the third wave of SLAVACO study (N=2 022), conducted in December 2021. A Rasch analysis was performed using a partial credit model adapted to polytomous data. Category probability curves were used to examine whether participants found it consistently difficult to distinguish between response options. A Person Separation Index (PSI) of 0.7 has conventionally been considered to be the minimum acceptable PSI level. Chi-square fit statistics, expressed as infit and outfit mean square statistics, were calculated for each item in the two scales. An acceptable fit corresponded to average values between 0.7 and 1.3. Differential item functioning (DIF) was also examined for each item in the two scales as a function of age, gender, and economic status. The goodness of fit of the SEM was assessed using the following indices: SRMR≤0.08; RMSEA≤0.08; CFI and TLI, good fit if close to 1. Results: The Rasch analysis demonstrated the unidimensionality of the French version of the scales measuring general and navigational HL. The PSI values for both scales were greater than 0.90. No disordered categories were observed. No evidence of significant DIF was found when associated with gender and economic status. However, two items for both scales had a DIF which was dependent on age. SEM indices showed adequate goodness of fit with strong significant correlation between the two latent traits. Conclusions: Our results, based on a rigorous statistical analysis, verified the psychometric parameters of the French version of the HLS19-Q12 and HLS19-NAV scales. Despite strong correlation between both scales, each measured a different latent trait. Moreover, despite the fact that presence of DIF was weak, attention must nonetheless be paid when comparing scale response scores between young and older respondents.

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Section: Discussionmentioning

confidence: 93%

Psychometric validation of the French version of two scales measuring general (HLS19-Q12) and navigational (HLS19-NAV) health literacy using the Rasch model

Touzani,

Rouquette,

Schultz

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…In those with chronic pain, the evidence suggests similar disruptions with decreased access to care, 11,12 adverse impacts to both physical and mental health, 13 and increased pain‐related interference and pain anxiety 14–17 . Wait times for appointments and procedures were increased, in some cases indefinitely 18 .…”

Section: Introductionmentioning

confidence: 99%

“…There is evidence that entire systems of care were profoundly affected, across emergency care, 5 oral health, 6,7 routine and preventative care, 8,9 and mental health. 10 In those with chronic pain, the evidence suggests similar disruptions with decreased access to care, 11,12 adverse impacts to both physical and mental health, 13…”

mentioning

confidence: 99%

Pandemic impact and adaptation to telehealth in chronic pain treatment providers across two COVID‐19 pandemic years

Vowles,

Knaggs,

Palomares

2023

Pain Practice

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ObjectivesThe COVID‐19 pandemic has had substantial impacts for both people using pain services and healthcare professionals delivering them. While the effects on service users have been studied, less is known about the effects for service providers. This study aimed to assess the impact of the pandemic on providers and the evolving role of telemedicine in treatment.Design & MethodsAn electronic survey was distributed to the professional membership of the European Pain Federation (EFIC). The survey evaluated impact and adjustment to the COVID‐19 pandemic separately across two pandemic years (March 2020–February 2021 and March 2021 to February 2022) and assessed worry about COVID‐19, disruption and adjustment of pain services, and use of telehealth services. The change between the first and second pandemic years and the degree to which telehealth services were adopted was evaluated.ResultsFrom 149 respondents, 131 (88%) participants provided sufficient data to be included in the analysis. Both providers worry about the pandemic and service disruption decreased significantly from the first to the second year of the pandemic. Prior to the pandemic, only 30% of providers offered telehealth appointments but this increased to 64% and 83%, respectively, in the first and second years of the pandemic.ConclusionsAlthough provider worry and disruption to delivery of pain services decreased during the second year of COVID‐19 pandemic, waiting times for appointments continued to lengthen. The pandemic has hastened the adoption of telemedicine in pain services and plans to continue telehealth services seem common.

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Impact of COVID-19 on chronic pain structures: data from French national survey

Cited by 2 publications

References 36 publications

Psychometric validation of the French version of two scales measuring general (HLS19-Q12) and navigational (HLS19-NAV) health literacy using the Rasch model

Psychometric validation of the French version of two scales measuring general (HLS19-Q12) and navigational (HLS19-NAV) health literacy using the Rasch model

Pandemic impact and adaptation to telehealth in chronic pain treatment providers across two COVID‐19 pandemic years

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