Preliminary evaluation of the Health Background Questionnaire for Pain and clinical encounter form for pain.
OBJECTIVE
The principal aims of this study were to evaluate the extent to which patients completed, understood, and were satisfied with the Health Background Questionnaire for Pain (HBQ-P), a health and pain history questionnaire that includes a modification of the Medical Outcome Study Short Form-36, the Treatment Outcomes in Pain Survey, and to examine the degree to which the questionnaire produced reliable and valid responses. A secondary aim was to determine the length of time for a physician to complete the Clinician Evaluation Form for Pain (CEF-P), a brief questionnaire designed to obtain key elements resulting from clinical assessment and management decisions.


METHODS
This cross-sectional study utilized data from consecutive new patients seen from January to December 2001 in Drexel University College of Medicine's Pain Medicine and Comprehensive Rehabilitation Center at Graduate Hospital in Philadelphia, PA. The HBQ-P and an accompanying brief satisfaction inventory were completed at home by the patient prior to the individual's initial office visit. The CEF-P was completed by the physician after seeing the patient.


RESULTS
Ten of 11 comparisons of patient responses to similar questions on the HBQ-P showed significant consistency. Of eight comparisons between the CEF-P and HBQ-P, two pain duration comparisons showed moderate agreement and one depression comparison showed significant association. Patients consistently had difficulty in answering six single questions and two question sets. Overall patient satisfaction was high. The mean time for the physician to complete the CEF-P was 90 seconds.


CONCLUSIONS
Analyses indicate patient responses to similar HBQ-P questions have sufficient reliability to support the use of the Health Background Questionnaire for clinically related data collection and for outcome evaluation of treatments for chronic and recurring pain. The consistently missed questions on the HBQ-P should be revised.
Mossey
Jana M
JM
School of Public Health and College of Medicine, Drexel University, Philadelphia, Pennsylvania, USA.
Kerr
Naseem D S
ND
Welz-Bosna
Maripat
M
Gallagher
Rollin M
RM
D000328:Adult; D000368:Aged; D003258:Consumer Behavior; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008487:Medical History Taking / Q000379:methods* / Q000706:statistics & numerical data*; D008875:Middle Aged; D010146:Pain / Q000175:diagnosis* / Q000453:epidemiology; D010147:Pain Measurement / Q000379:methods* / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000706:statistics & numerical data; D010414:Pennsylvania / Q000453:epidemiology; D010865:Pilot Projects; D011320:Primary Health Care / Q000379:methods / Q000706:statistics & numerical data; D011379:Prognosis; D011795:Surveys and Questionnaires; D013996:Time and Motion Studies