Psychometric properties of the global rating of change scales in patients with neck disorders: a systematic review with meta-analysis and meta-regression

Abstract

ObjectiveThe purpose of this systematic review was to critically appraise and synthesise the psychometric properties of Global Rating of Change (GROC) scales for assessment of patients with neck pain.DesignSystematic review.Data sourcesA search was performed in four databases (MEDLINE, EMBASE, CINAHL, SCOPUS) until February 2019.Data extraction and synthesisEligible articles were appraised using Consensus-based Standards for the selection of health Measurement Instruments checklist and the Quality Appraisal for Clinical Measurement Research Reports Evaluation Form.ResultsThe search obtained 16 eligible studies and included in total 1533 patients with neck pain. Test–retest reliability of global perceived effect (GPE) was very high (intraclass correlation coefficient=0.80 to 0.92) for patients with whiplash. Pooled data of Pearson’s r indicated that GROC scores were moderately correlated with neck disability change scores (0.53, 95% CI: 0.47 to 0.59). Pooled data of Spearman’s correlations indicated that GROC scores were moderately correlated with neck disability change scores (0.56, 95% CI: 0.41 to 0.68).ConclusionsThis study found excellent quality evidence of very good-to-excellent test–retest reliability of GPE for patients with whiplash-associated disorders. Evidence from very good-to-excellent quality studies found that GROC scores are moderately correlated to an external criterion patient-reported outcome measure evaluated pre-post treatment in patients with neck pain. No studies were found that addressed the optimal form of GROC scales for patients with neck disorders or compared the GROC to other options for single-item global assessment.PROSPERO registration numberCRD42018117874.

A cross-sectional study of pain status and psychological distress among individuals living with chronic pain: the Chronic Pain & COVID-19 Pan-Canadian Study

“…This scale has high test-retest reliability (intraclass correlation coefficient of 0.80-0.92) and construct validity (moderate correlation with other measures of change [r = 0.53]). 13 Psychological distress was measured using a validated screening measure of depressive and anxious symptoms, the Patient Health Questionnaire-4 (PHQ-4). 14 The PHQ-4 has good convergent validity (r = 0.36-0.80 with subscales of a global measure of functioning), internal consistency (α = 0.78-0.82) and item intercorrelation (r = 0.60).…”

Individually tailored self-management app-based intervention (selfBACK) versus a self-management web-based intervention (e-Help) or usual care in people with low back and neck pain referred to secondary care: protocol for a multiarm randomised clinical trial

“…A range of secondary and exploratory outcomes will be collected at all time points using Norwegian-translated versions of validated questionnaires, including pain-related disability, 27 28 the average and the worst pain intensity within the past week, 29 health-related quality of life, 30 pain self-efficacy, 31 illness perception, 32 fear avoidance beliefs, 33 34 stress and depressive symptoms, 35 patient-specific functional scale, 36 self-reported level of physical activity, 37 self-reported sleep 38 and work ability. 39 In addition, measures of satisfaction 40 with the intervention and the global perceived effect 41 42 will be collected at follow-ups. Demographic variables including age, sex, education and employment status, and clinical variables including duration of current pain episode and pain medication are recorded at baseline.…”

Une étude transversale sur l’évolution de la douleur et la détresse psychologique chez les personnes atteintes de douleur chronique : l’étude pancanadienne « Douleur chronique et COVID-19 »

“…Principaux résultats L'évolution de la douleur a été évaluée au moyen de l'échelle d'impression globale de changement selon le patient (Patient Global Impression of Change), une échelle de Likert à 7 points (de 1 pour une aggravation considérable à 7 pour une amélioration considérable). Cette échelle présente une fiabilité testretest élevée (coefficient de corrélation intraclasse : 0,80 à 0,92) et une validité de construit élevée (corrélation modérée avec d'autres mesures du changement [r = 0,53]) 13 . La détresse psycho logique a été mesurée au moyen d'une mesure de dépistage éprouvée des symptômes dépressifs et anxieux, le Patient Health Questionnaire4 (Questionnaire sur la santé du patient [PHQ4]) 14 .…”