Behavioral goal assessment in patients with persistent musculoskeletal pain

Abstract

Identification and achievement of behavioral goals is an important issue in pain rehabilitation. For this dual purpose, we developed a patient-specific clinical tool—the Patient Goal Priority Questionnaire (PGPQ). Using the PGPQ, this study identifies patients' behavioral goals for physical therapy (PT) in a primary health care sample of patients with persistent musculoskeletal pain. In addition, this study examines the concurrent validity of the PGPQ in relation to a generic measure of disability, the Pain Disability Index (PDI). In all, 197 subjects participated in the study. The behavioral goals differed among the patients, comprehending several everyday activities and behaviors, and thus an individualized and behavioral focus was relevant for these patients. The PGPQ was negatively and moderately correlated with the PDI, indicating patient-specific properties of the new instrument. An elaborated version of the PGPQ can serve (a) as a clinical tool for identification of the patient's priorities of behavioral goals for PT, (b) as a clinical tool for collaborative formative evaluation during treatment, and (c) as a complementary measure in research for assessment of clinically significant changes related to behavioral performance.

Notes

Pernilla Åsenlöf, MSc, Doctoral student: Reg. Physiotherapist, Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala Science Park, S-751 85 Uppsala, Sweden. [email protected]

Eva Denison, Dr. Med. Sci., Reg. Physiotherapist. Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala, Sweden.

Per Lindberg, PhD, Associate Professor in Clinical Psychology. Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala, Sweden.