Cancer; Neurophysiology of pain questionnaire (NPQ); Pain education; Pain mechanisms; Complementary and Manual Therapy; Physical Therapy, Sports Therapy and Rehabilitation; Rehabilitation; Complementary and Alternative Medicine
Abstract :
[en] Background: Understanding pain and its mechanisms can play an important role in (post-) cancer rehabilitation. In order to test patient's knowledge of pain, the Revised Neurophysiology of Pain Questionnaire was developed and translated into Dutch (RNPQ-NL). However, its psychometric properties have not been examined yet. Objective: The goal is to examine the psychometric properties of the RNPQ-NL as a tool to measure the knowledge of pain; in addition, its cross-cultural validity between Belgian and Dutch participants is examined. Methods: 277 persons from Belgium and the Netherlands participated in this study. Cancer patients and survivors (CPaS) (n = 115) were compared to a group of experts with medical training (n = 97). Highly educated individuals without medical background (n = 65) served as control group. The RNPQ-NL was filled out twice and scores analysed in accordance with the COSMIN-recommendation for assessing the methodological quality of studies on measurement properties of health status instruments. Results: The RNPQ-NL was able to distinguish between high and low knowledge of pain. The CPaS group scored significantly lower on the RNPQ-NL compared to the expert group (p < 0.001), but not in comparison to the control group (p=1.00). The Belgian CPaS scored lower than the Dutch CPaS (p=0.001), with a medium effect size (d = 0.481), showing acceptable cross-cultural validity. The Cronbach's α was 0.625, showing some heterogeneity of the items. The test-retest reliability was adequate (ICC = 0.794). Conclusion: This study supports the interpretability, test-retest reliability, discriminative, and cross-cultural validity of the RNPQ-NL. Internal consistency is suboptimal but acceptable for measuring the knowledge of pain in CPaS.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Reynebeau, Iris; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium
van Buchem, Bart; Praktijk Noorder Spaarne, Haarlem, Netherlands ; Noigroup Ltd, Adelaide, Australia
Leysen, Laurence; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium ; STIMULUS Research Group, Vrije Universiteit Brussel, Brussels, Belgium
Munneke, Wouter ; Université de Liège - ULiège > Evaluation-Revalidation (EVAREVA) ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium
Nijs, Jo ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium ; Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden ; Chronic Pain Rehabilitation, Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Belgium
Roose, Eva ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium ; Rehabilitation Research (RERE) Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy (KIMA), Vrije Universiteit Brussel, Brussels, Belgium ; Universiteit Hasselt, REVAL, Agoralaan-gebouw A, Diepenbeek, Belgium
Lahousse, Astrid ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium ; Rehabilitation Research (RERE) Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy (KIMA), Vrije Universiteit Brussel, Brussels, Belgium
De Kooning, Margot ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium
Language :
English
Title :
Psychometric properties of the Dutch version of the revised neurophysiology of pain questionnaire
AL is a research fellow funded by the Research Foundation Flanders (FWO), Belgium (grant number 11B1920N). ER is funded by Stand Up To Cancer (Kom op tegen Kanker \u2013 KOTK), a Belgian cancer charity (project code ANI251). JN is holder of a chair on oncological rehabilitation funded by the Berekuyl Academy / European College for Decongestive Lymphatic Therapy, the Netherlands.
Aaronson, N.K., Mattioli, V., Minton, O., Weis, J., Johansen, C., Dalton, S.O., Verdonck-de Leeuw, I.M., Stein, K.D., Alfano, C.M., Mehnert, A., de Boer, A., van de Poll-Franse, L.V., Beyond treatment - psychosocial and behavioural issues in cancer survivorship research and practice. EJC Suppl. 12 (2014), 54–64.
Bennett, M.I., Bagnall, A.M., Jose Closs, S., How effective are patient-based educational interventions in the management of cancer pain? Systematic review and meta-analysis. Pain 143 (2009), 192–199.
Binkley, J.M., Harris, S.R., Levangie, P.K., Pearl, M., Guglielmino, J., Kraus, V., Rowden, D., Patient perspectives on breast cancer treatment side effects and the prospective surveillance model for physical rehabilitation for women with breast cancer. Cancer 118 (2012), 2207–2216.
Bolarinwa, O.A., Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Niger. Postgrad. Med. J. 22 (2015), 195–201.
Bushnell, M.C., Ceko, M., Low, L.A., Cognitive and emotional control of pain and its disruption in chronic pain. Nat. Rev. Neurosci. 14 (2013), 502–511.
Carreira, H., Williams, R., Dempsey, H., Stanway, S., Smeeth, L., Bhaskaran, K., Quality of life and mental health in breast cancer survivors compared with non-cancer controls: a study of patient-reported outcomes in the United Kingdom. J. Cancer Survivorship 15 (2021), 564–575.
Catley, M.J., O'Connell, N.E., Moseley, G.L., How good is the neurophysiology of pain questionnaire? A Rasch analysis of psychometric properties. J. Pain 14 (2013), 818–827.
Council, N.R., From Cancer Patient to Cancer Survivor: Lost in Transition. 2005, National Academies Press.
Demoulin, C., Brasseur, P., Roussel, N., Brereton, C., Humblet, F., Flynn, D., Van Beveren, J., Osinsky, T., Donneau, A.F., Crielaard, J.M., Vanderthommen, M., Bruyere, O., Cross-cultural translation, validity, and reliability of the French version of the Neurophysiology of Pain Questionnaire. Physiother. Theory Pract. 33 (2017), 880–887.
DeVon, H.A., Block, M.E., Moyle-Wright, P., Ernst, D.M., Hayden, S.J., Lazzara, D.J., Savoy, S.M., Kostas-Polston, E., A psychometric toolbox for testing validity and reliability. J. Nurs. Scholarsh. 39 (2007), 155–164.
Ferlay, J., Colombet, M., Soerjomataram, I., Mathers, C., Parkin, D.M., Piñeros, M., Znaor, A., Bray, F., Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. Int. J. Cancer 144 (2019), 1941–1953.
Fu, M.R., Axelrod, D., Guth, A.A., Cleland, C.M., Ryan, C.E., Weaver, K.R., Qiu, J.M., Kleinman, R., Scagliola, J., Palamar, J.J., Melkus, G.D., Comorbidities and quality of life among breast cancer survivors: a prospective study. J. Personalized Med. 5 (2015), 229–242.
Glare, P., Aubrey, K., Gulati, A., Lee, Y.C., Moryl, N., Overton, S., Pharmacologic management of persistent pain in cancer survivors. Drugs 82 (2022), 275–291.
Gül, H, Erel, S., Demir, P., Çubukçu Fırat, S., Cross-cultural adaptation of the Revised Neurophysiology of Pain Questionnaire into the Turkish language based on Rasch analysis. Physiother Theory Pract. 39:8 (2023 Aug 3), 1753–1761, 10.1080/09593985.2022.2048425 Epub 2022 Mar 8. PMID: 35260038.
Heathcote, L.C., Eccleston, C., Pain and cancer survival: a cognitive-affective model of symptom appraisal and the uncertain threat of disease recurrence. Pain 158 (2017), 1187–1191.
Hjermstad, M.J., Fayers, P.M., Haugen, D.F., Caraceni, A., Hanks, G.W., Loge, J.H., Fainsinger, R., Aass, N., Kaasa, S., Studies comparing numerical rating scales, verbal rating scales, and visual analogue scales for assessment of pain intensity in adults: a systematic literature review. J. Pain Symptom Manag. 41 (2011), 1073–1093.
Huang, I.C., Hudson, M.M., Robison, L.L., Krull, K.R., Differential impact of symptom prevalence and chronic conditions on quality of life in cancer survivors and non-cancer individuals: a population study. Cancer Epidemiol. Biomarkers Prev. 26 (2017), 1124–1132.
Iknl, 2016. Nederlandsekankerregistratie, IKNL.
Koo, T.K., Li, M.Y., A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J. Chiropr. Med. 15 (2016), 155–163.
Kottner, J., Streiner, D.L., Internal consistency and Cronbach's alpha: A comment on Beeckman et al. (2010). Int. J. Nurs. Stud. 47 (2010), 926–928.
Lee, D.K., Alternatives to P value: confidence interval and effect size. Korean J. Anesthesiol., 69, 2016, 555.
Leysen, L., Adriaenssens, N., Nijs, J., Pas, R., Bilterys, T., Vermeir, S., Lahousse, A., Beckwee, D., Chronic pain in breast cancer survivors: nociceptive, neuropathic, or central sensitization pain?. 2019 Feb;19 Pain Pract. 19:2 (2018), 183–195, 10.1111/papr.12732 Epub 2018 Nov 15. PMID: 30269431.
Leysen, L., Cools, W., Nijs, J., Adriaenssens, N., Pas, R., Van Wilgen, C.P., Bults, R., Roose, E., Lahousse, A., Beckwée, D., The mediating effect of pain catastrophizing and perceived injustice in the relationship of pain on health-related quality of life in breast cancer survivors. Support. Care Cancer 29 (2021), 5653–5661.
Louw, A., Sluka, K.A., Nijs, J., Courtney, C.A., Zimney, K., Revisiting the provision of pain neuroscience education: an adjunct intervention for patients but a primary focus of clinician education. J. Orthop. Sports Phys. Ther. 51 (2021), 57–59.
Meeus, M., Nijs, J., Elsemans, K., Truijen, S., Dm, K., Development and properties of the Dutch neurophysiology of pain test in patients with chronic fatigue syndrome. J. Musculosceletal Pain, 2010, 58–65.
Miaskowski, C.C.J., Burney, R., et al. Guideline for the management of cancer pain in adults and children, APS clinical practice guideline series. Am. Pain Soc., 2005.
Mokkink, L.B., Terwee, C.B., Patrick, D.L., Alonso, J., Stratford, P.W., Knol, D.L., Bouter, L.M., De Vet, H.C.W., The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual. Life Res. 19 (2010), 539–549.
Moseley, L., Unraveling the barriers to reconceptualization of the problem in chronic pain: the actual and perceived ability of patients and health professionals to understand the neurophysiology. J. Pain 4 (2003), 184–189.
Nijs, J., Lahousse, A., Kapreli, E., Bilika, P., Saraçoğlu, İ., Malfliet, A., Coppieters, I., De Baets, L., Leysen, L., Roose, E., Clark, J., Voogt, L., Huysmans, E., Nociplastic pain criteria or recognition of central sensitization? Pain phenotyping in the past, present and future. J. Clin. Med., 10, 2021, 3203.
Nijs, J., Leysen, L., Adriaenssens, N., Aguilar Ferrandiz, M.E., Devoogdt, N., Tassenoy, A., Ickmans, K., Goubert, D., van Wilgen, C.P., Wijma, A.J., Kuppens, K., Hoelen, W., Hoelen, A., Moloney, N., Meeus, M., Pain following cancer treatment: guidelines for the clinical classification of predominant neuropathic, nociceptive and central sensitization pain. Acta Oncol. 55 (2016), 659–663.
Nijs, J., Leysen, L., Pas, R., Adriaenssens, N., Meeus, M., Hoelen, W., Ickmans, K., Moloney, N., Treatment of pain following cancer: applying neuro-immunology in rehabilitation practice. Disabil. Rehabil. 40 (2018), 714–721.
Nijs, J., Meeus, M., Cagnie, B., Roussel, N.A., Dolphens, M., Van Oosterwijck, J., Danneels, L., A modern neuroscience approach to chronic spinal pain: combining pain neuroscience education with cognition-targeted motor control training. Phys. Ther. 94 (2014), 730–738.
Nijs, J., Roose, E., Lahousse, A., Mostaqim, K., Reynebeau, I., De Couck, M., Beckwee, D., Huysmans, E., Bults, R., van Wilgen, P., Leysen, L., Pain and opioid use in cancer survivors: a practical guide to account for perceived injustice. Pain Physician 24 (2021), 309–317.
Nijs, J., Wijma, A.J., Leysen, L., Pas, R., Willaert, W., Hoelen, W., Ickmans, K., Wilgen, C.P.V., Explaining pain following cancer: a practical guide for clinicians. Braz. J. Phys. Ther., 2018.
Nijs, J., Wijma, A.J., Leysen, L., Pas, R., Willaert, W., Hoelen, W., Ickmans, K., Wilgen, C.P.V., Explaining pain following cancer: a practical guide for clinicians. Braz. J. Phys. Ther. 23 (2019), 367–377.
Park, J., Rodriguez, J.L., O'Brien, K.M., Nichols, H.B., Hodgson, M.E., Weinberg, C.R., Sandler, D.P., Health-related quality of life outcomes among breast cancer survivors. Cancer 127 (2021), 1114–1125.
Richter, M., Maurus, B., Egan Moog, M., Rauscher, C., Regenspurger, K., Delank, K.S., Die deutsche Version des Neurophysiology of Pain Questionnaire. Schmerz 33 (2019), 244–252.
Schmidt, M.E., Chang-Claude, J., Vrieling, A., Heinz, J., Flesch-Janys, D., Steindorf, K., Fatigue and quality of life in breast cancer survivors: temporal courses and long-term pattern. J. Cancer Survivorship 6 (2012), 11–19.
Spilker, B., Quality of Life and Pharmacoeconomics in Clinical Trials. 1996, Lippincott-Raven Publishers.
Sung, H., Ferlay, J., Siegel, R.L., Laversanne, M., Soerjomataram, I., Jemal, A., Bray, F., Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA A Cancer J. Clin. 71 (2021), 209–249.
Team, J., JASP. 2022 [Computer software] Version 0.16.3.
Terwee, C.B., Bot, S.D., de Boer, M.R., van der Windt, D.A., Knol, D.L., Dekker, J., Bouter, L.M., de Vet, H.C., Quality criteria were proposed for measurement properties of health status questionnaires. J. Clin. Epidemiol. 60 (2007), 34–42.
Torres-Lacomba, M., Navarro-Brazález, B., Bailón-Cerezo, J., Vergara-Pérez, F., De La Rosa-Díaz, I., Prieto-Gómez, V., Assessment tools of patient competences: the Spanish version of the R-NPQ and three practical cases in women with breast cancer and persistent pain. Int. J. Environ. Res. Publ. Health, 18, 2021, 4463.
Villemure, C., Bushnell, M.C., Cognitive modulation of pain: how do attention and emotion influence pain processing?. Pain 95 (2002), 195–199.
Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., Erikson, P., Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health 8 (2005), 94–104.