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Development of a quality-of-life measure for persons with low back pain

Previous reports have identified the need of a quality-of-life measure for use with persons with low back pain (LBP) in order to verify treatment efficacy. The Spitzer Quality-of-Life Index (QL-Index) has proven to be valid and reliable in various clinical studies. However, it has shown a lack of responsiveness when used with low back pain patients. In an attempt to improve responsiveness, a disease specific module was developed to complement the QL-Index. Patients, their significant others, and health professionals were interviewed to determine the contents of the LBP-Module, A prospective design was employed in the preliminary psychometric study (n = 31). This study demonstrated good internal consistency ($ alpha$ = 0.818) and high test-retest reliability (ICC = 0.91) for the combined use of the QL-Index and LBP-Module. It also showed strong evidence supporting construct validity. Effect size (ES = 1.42) and standardized response mean (SRM = 1.24) calculations demonstrated high responsiveness for the combined use of the quality-of-life measures. The LBP-Module presented in this thesis seems to be the first quality-of-life measure developed for persons with this disorder. It should therefore be a useful outcome measure in future studies.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.22719
Date January 1995
CreatorsBeaulieu, Sylvie
ContributorsWood-Dauphinee, Sharon (advisor)
PublisherMcGill University
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
Formatapplication/pdf
CoverageMaster of Science (School of Physical and Occupational Therapy.)
RightsAll items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated.
Relationalephsysno: 001453416, proquestno: MM05532, Theses scanned by UMI/ProQuest.

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