Optimal Screening for Prediction of Referral and Outcome Yellow Flag

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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 recovery and overall pain experience[2]. OSPRO-YF is useful in understanding the influence of psychosocial components on a patient's prognosis and treatment response. This outcome measure has 17-item and 10-item versions developed from validated psychological questionnaires across domains associated with pain vulnerability (negative mood, fear avoidance), and resilience (positive affect/coping.)[3]

OSPRO-YF accurately estimates scores from these unidimensional psychological questionnaires:[3]

  1. Negative mood:
    • Patient  Health  Questionnaire-9  (PHQ-9)
    • State-Trait Anxiety Inventory  (STAI)
    • State-Trait  Anger   Expression   Inventory (STAXI)
  2. 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)
  3. Positive affect/Coping
    • Pain Self-Efficacy Questionnaire (PSEQ)
    • Self-Efficacy for Rehabilitation Outcome Scale (SER)
    • Chronic   Pain   Acceptance   Questionnaire  (CPAQ)

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.[4]

Method of Use[edit | edit source]

Reference
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Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous
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References[edit | edit source]

  1. ↑ 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.
  2. ↑ 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.
  3. ↑ 3.0 3.1 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.
  4. ↑ 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.
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