Optimal Screening for Prediction of Referral and Outcome Yellow Flag: Difference between revisions
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== Description == | == Description == | ||
The presence of yellow flags contributes to a patient's rehabilitation and overall pain experience<ref>Beneciuk JM, Fritz JM, George SZ. [https://www.jospt.org/doi/full/10.2519/jospt.2014.5178 The STarT Back Screening Tool for prediction of 6-month clinical outcomes: relevance of change patterns in outpatient physical therapy settings]. journal of orthopaedic & sports physical therapy. 2014 Sep;44(9):656-64.</ref><ref>Van Wyngaarden JJ, Noehren B, Archer KR. [https://onlinelibrary.wiley.com/doi/full/10.1111/jabr.12165 Assessing psychosocial profile in the physical therapy setting]. Journal of Applied Biobehavioral Research. 2019 Jun;24(2):e12165.</ref>. Clinical practice guidelines<ref>Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, Godges JJ, McClure PW, Altman RD, Davenport T, Davies GJ. [https://www.jospt.org/doi/full/10.2519/jospt.2013.0302 Shoulder pain and mobility deficits: adhesive capsulitis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the Orthopaedic Section of the American Physical Therapy Association.] Journal of orthopaedic & sports physical therapy. 2013 May;43(5):A1-31.</ref><ref>Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, Denninger TR, Godges JJ, Beneciuk JM, Bishop MD, Kramer CD. [https://www.jospt.org/doi/full/10.2519/jospt.2012.42.4.A1 Low back pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association]. Journal of orthopaedic & sports physical therapy. 2012 Apr;42(4):A1-57.</ref> recommend evaluation of psychological components for pain conditions. | The presence of yellow flags contributes to a patient's rehabilitation and overall pain experience<ref>Beneciuk JM, Fritz JM, George SZ. [https://www.jospt.org/doi/full/10.2519/jospt.2014.5178 The STarT Back Screening Tool for prediction of 6-month clinical outcomes: relevance of change patterns in outpatient physical therapy settings]. journal of orthopaedic & sports physical therapy. 2014 Sep;44(9):656-64.</ref><ref>Van Wyngaarden JJ, Noehren B, Archer KR. [https://onlinelibrary.wiley.com/doi/full/10.1111/jabr.12165 Assessing psychosocial profile in the physical therapy setting]. Journal of Applied Biobehavioral Research. 2019 Jun;24(2):e12165.</ref>. Clinical practice guidelines<ref>Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, Godges JJ, McClure PW, Altman RD, Davenport T, Davies GJ. [https://www.jospt.org/doi/full/10.2519/jospt.2013.0302 Shoulder pain and mobility deficits: adhesive capsulitis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the Orthopaedic Section of the American Physical Therapy Association.] Journal of orthopaedic & sports physical therapy. 2013 May;43(5):A1-31.</ref><ref>Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, Denninger TR, Godges JJ, Beneciuk JM, Bishop MD, Kramer CD. [https://www.jospt.org/doi/full/10.2519/jospt.2012.42.4.A1 Low back pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association]. Journal of orthopaedic & sports physical therapy. 2012 Apr;42(4):A1-57.</ref> recommend evaluation of psychological components for pain conditions. OSPRO-YF is useful in understanding the influence of psychosocial characteristics on a patient's prognosis and treatment response. <ref name=":0">Lentz TA, Beneciuk JM, Bialosky JE, Zeppieri Jr G, Dai Y, Wu SS, George SZ. [https://www.jospt.org/doi/epdf/10.2519/jospt.2016.6487 Development of a yellow flag assessment tool for orthopaedic physical therapists: results from the optimal screening for prediction of referral and outcome (OSPRO) cohort.] journal of orthopaedic & sports physical therapy. 2016 May;46(5):327-43.</ref> | ||
OSPRO-YF is | == Intended Population == | ||
Designed to help healthcare practitioners identify pain-related psychological characteristics in outpatient orthopedic settings, OSPRO-YF is a reliable and valid tool for '''individuals with musculoskeletal conditions'''.<ref>George SZ, Beneciuk JM, Lentz TA, Wu SS, Dai Y, Bialosky JE, Zeppieri Jr G. [https://www.jospt.org/doi/10.2519/jospt.2018.7811 Optimal screening for prediction of referral and outcome (OSPRO) for musculoskeletal pain conditions: results from the validation cohort.] Journal of Orthopaedic & Sports Physical Therapy. 2018 Jun;48(6):460-75.</ref> | |||
== Method of Use == | |||
OSPRO-YF has 7-item, 10-item and 17-item versions developed from validated psychological questionnaires across domains associated with pain vulnerability (negative mood, fear avoidance), and resilience (positive affect/coping.)<ref name=":0" /> | |||
OSPRO-YF accurately estimates scores from these unidimensional psychological questionnaires:<ref name=":0" /> | OSPRO-YF accurately estimates scores from these unidimensional psychological questionnaires:<ref name=":0" /> | ||
# Negative mood: | # Negative mood: | ||
#* Patient Health Questionnaire-9 (PHQ-9) | #* Patient Health Questionnaire-9 (PHQ-9) | ||
#* State-Trait Anxiety Inventory (STAI) | #* State-Trait Anxiety Inventory (STAI) | ||
#* State-Trait Anger Expression Inventory (STAXI) | #* State-Trait Anger Expression Inventory (STAXI) | ||
# Fear avoidance: | # Fear avoidance: | ||
#* Fear-Avoidance Beliefs Questionnaire (FABQ) | #* Fear-Avoidance Beliefs Questionnaire (FABQ) | ||
#* Pain Catastrophizing Scale (PCS) | #* Pain Catastrophizing Scale (PCS) | ||
#* Tampa Scale of Kinesiophobia-11 (TSK-11) | #* Tampa Scale of Kinesiophobia-11 (TSK-11) | ||
| Line 31: | Line 35: | ||
#* Chronic Pain Acceptance Questionnaire (CPAQ) | #* Chronic Pain Acceptance Questionnaire (CPAQ) | ||
== | == Evidence == | ||
== | === Reliability === | ||
* Excellent reliability (ICC values >0.9) | |||
* Good reliability (ICC values=0.75 to 0.9) | |||
* Moderate reliability (ICC values=0.5 to 0.75) | |||
<ref>Koo TK, Li MY. [https://www.sciencedirect.com/science/article/abs/pii/S1556370716000158 A guideline of selecting and reporting intraclass correlation coefficients for reliability research.] Journal of chiropractic medicine. 2016 Jun 1;15(2):155-63.</ref> | |||
'''OSPRO-YF 17-item version'''<ref name=":1" /> | '''OSPRO-YF 17-item version'''<ref name=":1" /> | ||
{| class="wikitable" | {| class="wikitable" | ||
Revision as of 16:07, 21 January 2023
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (21/01/2023)
Original Editor - Carina Therese Magtibay
Top Contributors - Carina Therese Magtibay and Kim Jackson
Objective[edit | edit source]
Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) is a multidimensional screening tool used to assess psychosocial factors in individuals with musculoskeletal pain.[1]
Description[edit | edit source]
The presence of yellow flags contributes to a patient's rehabilitation and overall pain experience[2][3]. Clinical practice guidelines[4][5] recommend evaluation of psychological components for pain conditions. OSPRO-YF is useful in understanding the influence of psychosocial characteristics on a patient's prognosis and treatment response. [6]
Intended Population[edit | edit source]
Designed to help healthcare practitioners identify pain-related psychological characteristics in outpatient orthopedic settings, OSPRO-YF is a reliable and valid tool for individuals with musculoskeletal conditions.[7]
Method of Use[edit | edit source]
OSPRO-YF has 7-item, 10-item and 17-item versions developed from validated psychological questionnaires across domains associated with pain vulnerability (negative mood, fear avoidance), and resilience (positive affect/coping.)[6]
OSPRO-YF accurately estimates scores from these unidimensional psychological questionnaires:[6]
- Negative mood:
- Patient Health Questionnaire-9 (PHQ-9)
- State-Trait Anxiety Inventory (STAI)
- State-Trait Anger Expression Inventory (STAXI)
- Fear avoidance:
- Fear-Avoidance Beliefs Questionnaire (FABQ)
- Pain Catastrophizing Scale (PCS)
- Tampa Scale of Kinesiophobia-11 (TSK-11)
- Pain Anxiety Symptoms Scale-20 (PASS-20)
- Positive affect/Coping
- Pain Self-Efficacy Questionnaire (PSEQ)
- Self-Efficacy for Rehabilitation Outcome Scale (SER)
- Chronic Pain Acceptance Questionnaire (CPAQ)
Evidence[edit | edit source]
Reliability[edit | edit source]
- Excellent reliability (ICC values >0.9)
- Good reliability (ICC values=0.75 to 0.9)
- Moderate reliability (ICC values=0.5 to 0.75)
OSPRO-YF 17-item version[1]
| ICC | p | |
|---|---|---|
| catastrophizing factor | 0.83 | <0.01 |
| negative mood factor | 0.89 | <0.01 |
| fear-avoidance factor | 0.83 | <0.01 |
| positive affect/coping factor | 0.63 | <0.01 |
| 17-item simple summary score | 0.88 | <0.001 |
OSPRO-YF 10-item version[1]
| ICC | p | |
|---|---|---|
| negative coping factor | 0.80 | <0.01 |
| negative mood factor | 0.86 | <0.01 |
| positive affect/coping factor | 0.65 | <0.01 |
| 10-item simple summary score | 0.85 | <0.001 |
Validity[edit | edit source]
Responsiveness[edit | edit source]
Miscellaneous
[edit | edit source]
Links[edit | edit source]
OSPRO-YF Assessment Tool Scoring Portal
References[edit | edit source]
- ↑ 1.0 1.1 1.2 Butera KA, George SZ, Lentz TA. Psychometric evaluation of the optimal screening for prediction of referral and outcome yellow flag (OSPRO-YF) tool: factor structure, reliability, and validity. The Journal of Pain. 2020 May 1;21(5-6):557-69.
- ↑ Beneciuk JM, Fritz JM, George SZ. The STarT Back Screening Tool for prediction of 6-month clinical outcomes: relevance of change patterns in outpatient physical therapy settings. journal of orthopaedic & sports physical therapy. 2014 Sep;44(9):656-64.
- ↑ Van Wyngaarden JJ, Noehren B, Archer KR. Assessing psychosocial profile in the physical therapy setting. Journal of Applied Biobehavioral Research. 2019 Jun;24(2):e12165.
- ↑ Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, Godges JJ, McClure PW, Altman RD, Davenport T, Davies GJ. Shoulder pain and mobility deficits: adhesive capsulitis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the Orthopaedic Section of the American Physical Therapy Association. Journal of orthopaedic & sports physical therapy. 2013 May;43(5):A1-31.
- ↑ Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, Denninger TR, Godges JJ, Beneciuk JM, Bishop MD, Kramer CD. Low back pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. Journal of orthopaedic & sports physical therapy. 2012 Apr;42(4):A1-57.
- ↑ 6.0 6.1 6.2 Lentz TA, Beneciuk JM, Bialosky JE, Zeppieri Jr G, Dai Y, Wu SS, George SZ. Development of a yellow flag assessment tool for orthopaedic physical therapists: results from the optimal screening for prediction of referral and outcome (OSPRO) cohort. journal of orthopaedic & sports physical therapy. 2016 May;46(5):327-43.
- ↑ George SZ, Beneciuk JM, Lentz TA, Wu SS, Dai Y, Bialosky JE, Zeppieri Jr G. Optimal screening for prediction of referral and outcome (OSPRO) for musculoskeletal pain conditions: results from the validation cohort. Journal of Orthopaedic & Sports Physical Therapy. 2018 Jun;48(6):460-75.
- ↑ Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of chiropractic medicine. 2016 Jun 1;15(2):155-63.
