• Lotte Kristensen
4. Term, Master of Pain Science and Multidisciplinary Pain Management (Continuing Education Programme (Master))
Objective: Evidence suggests, that inappropriate pain behavior increase the risk of chronic pain. Academically, there’s significantly less focus on pain and endurance behavior than on pain and avoidance behavior. This may relate to the fact that, to date, no validated tool exists for assessing pain-related endurance behavior in Denmark, which can lead to incomplete examination of pain behavior in Danish pain patients. The primary goal of this project was to complete a scientific translation of the Avoidance- Endurance Questionnaire (AEQ) to danish, with subsequent assessment of the psychometric properties.
Method: AEQ was translated by the Dual Panel method. Panel 1 translated the questionnaire og and renamed it DK-AEQ. The translation was tested by panel 2 and both panels was interviewed in order to contribute to Face Validity assessment. 90 chronic pain patients completed test-retest. Internal consistency was assessed by Cronbach´s 훼 and test-retest reliability was assessed by ICC-type A,1 or “Two-way mixed effects, absolute agreement, single rater/measurement”. The ICC-values was presented with related 95% CI, Standard Error of Measurement (SEM) and Smallest Detectable Change (SDC).
Results: As a result of panel 1 and 2 work, Face Validity in DK-AEQ is secured, with an inviting design and a meaningful content for both patients and clinicians. DK-AEQ has good internal consistency showing Cronbach's 훼 = 0.81-0.93 in all subscales of avoidance behavior and 0.72-0.91 in the PMS, TSS and BES subscales of endurance behavior. There´s high test-retest reliability for both avoidance behavior and endurance behavior with ICC, respectively on r=0.94 (95% CI: 0.91 lower bound/0.96 upper bound) and r=0.92 (95% CI: 0.88 lower bound/0.95 upper bound). SEM is presented low on respectively 1.81 and 1.42 and likewise SDC on respectively ± 4.99 and ± 3.94. Review of the literature points out developmental, affective, cognitive and neurophysiological mechanisms behind the AE model.
Conclusion: The conclusion of the project was, that DK-AEQ is a valid and reliable tool for assessing avoidance- and endurancebehavior in Danes with chronic non-malignant.
Publication dateMay 2019
Number of pages45
ID: 303629664