Assessing the properties of the WHOQOL-Pain: quality of life of chronic low back pain patients during treatment

The Clinical Journal of Pain
Victoria L MasonMike Osborn

Abstract

Assessing subjective, patient-reported outcomes such as quality of life (QoL) is essential to health care research. This study aimed to assess the properties of a QoL measure relating to pain and discomfort: the WHOQOL-Pain. Chronic low back pain patients (n=133) completed the WHOQOL-Pain, SF-12, and short-form McGill Pain Questionnaire before treatment started and again 2-4 weeks later. Of these, 76 received a lumbar epidural steroid injection, and 57 were waiting to receive treatment. Overall, there was no significant difference in effect of either epidural injections or no treatment on bringing about an improvement to QoL overtime. Moderate effect sizes were found for 5 facets including pain relief and uncertainty. Small effect sizes were found for 7 facets including vulnerability, fear and worry, anger and frustration. Larger effect sizes were found for those reporting the most improvement in pain. The waiting group reported no significant changes to QoL but small changes for uncertainty. Three of the four new facets were sensitive to change and test-retest reliability (stability) was confirmed in three. Although this study was not designed to test treatment effectiveness, the WHOQOL-Pain enables patients to report changes ...Continue Reading

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Citations

Jun 3, 2014·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Marian Wilson
Mar 8, 2014·Psychiatry Investigation·Do-Hyeong LeeDo-Hyung Kang
Jan 22, 2013·Pain·Geert CrombezStefaan Van Damme
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Oct 22, 2017·Scandinavian Journal of Pain·Sanne AngelNiels Buus
Apr 4, 2019·Applied Health Economics and Health Policy·James A HallSue Jowett
Dec 13, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Shirdhya JoypaulMichelle A King
Dec 7, 2017·Psychiatry Investigation·Giulio FortunaJulio Cesar Salas-Alanís

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