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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e318289ee6c
Original Articles

The Pain Recovery Inventory of Concerns and Expectations: A Psychosocial Screening Instrument to Identify Intervention Needs Among Patients at Elevated Risk of Back Disability

Shaw, William S. PhD; Reme, Silje Endresen PhD; Pransky, Glenn MD, MOccH; Woiszwillo, Mary Jane BS; Steenstra, Ivan A. PhD; Linton, Steven J. PhD

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Objective: To reduce a full psychosocial test battery to a brief screening questionnaire to triage return-to-work strategies among patients with low back pain (LBP).

Methods: Workers (N = 496) with acute, work-related LBP completed multiple psychosocial measures at intake, then a 3-month follow-up of pain, function, and work status. A sensitivity analysis was conducted to reduce the number of items while maintaining scale reliability, preserving associations with outcomes, and maintaining separation between patient subgroups.

Results: The pool of items was trimmed from 129 to 46 items, describing elements of emotional distress, pain beliefs, organizational support, and activity limitation. A confirmatory cluster analysis replicated previous findings of three risk subgroups: distressed, avoidant, and lacking employer support.

Conclusions: The reduced measure is a reliable and valid screening measure that can be used to identify early intervention needs among working adults with LBP.

Copyright © 2013 by the American College of Occupational and Environmental Medicine


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