Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain

Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Patel M [verfasserIn] Sheikh S [verfasserIn] Brailsford J [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	chronic pain socioeconomic status health disparity survey validation

Übergeordnetes Werk:	In: Journal of Pain Research - Dove Medical Press, 2009, (2022), Seite 545-560
Übergeordnetes Werk:	year:2022 ; pages:545-560

Links:	Link aufrufen Link aufrufen Journal toc

Katalog-ID:	DOAJ013741748

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520			\|a Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation
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allfields	(DE-627)DOAJ013741748 (DE-599)DOAJc75dc86247b646709bed3b69f4d57b55 DE-627 ger DE-627 rakwb eng R5-920 Patel M verfasserin aut Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation chronic pain socioeconomic status health disparity survey validation Medicine (General) Sheikh S verfasserin aut Brailsford J verfasserin aut In Journal of Pain Research Dove Medical Press, 2009 (2022), Seite 545-560 (DE-627)600308383 (DE-600)2495284-9 11787090 nnns year:2022 pages:545-560 https://doaj.org/article/c75dc86247b646709bed3b69f4d57b55 kostenfrei https://www.dovepress.com/validating-the-help-survey-to-understand-health-disparity-influence-on-peer-reviewed-fulltext-article-JPR kostenfrei https://doaj.org/toc/1178-7090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 545-560
spelling	(DE-627)DOAJ013741748 (DE-599)DOAJc75dc86247b646709bed3b69f4d57b55 DE-627 ger DE-627 rakwb eng R5-920 Patel M verfasserin aut Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation chronic pain socioeconomic status health disparity survey validation Medicine (General) Sheikh S verfasserin aut Brailsford J verfasserin aut In Journal of Pain Research Dove Medical Press, 2009 (2022), Seite 545-560 (DE-627)600308383 (DE-600)2495284-9 11787090 nnns year:2022 pages:545-560 https://doaj.org/article/c75dc86247b646709bed3b69f4d57b55 kostenfrei https://www.dovepress.com/validating-the-help-survey-to-understand-health-disparity-influence-on-peer-reviewed-fulltext-article-JPR kostenfrei https://doaj.org/toc/1178-7090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 545-560
allfields_unstemmed	(DE-627)DOAJ013741748 (DE-599)DOAJc75dc86247b646709bed3b69f4d57b55 DE-627 ger DE-627 rakwb eng R5-920 Patel M verfasserin aut Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation chronic pain socioeconomic status health disparity survey validation Medicine (General) Sheikh S verfasserin aut Brailsford J verfasserin aut In Journal of Pain Research Dove Medical Press, 2009 (2022), Seite 545-560 (DE-627)600308383 (DE-600)2495284-9 11787090 nnns year:2022 pages:545-560 https://doaj.org/article/c75dc86247b646709bed3b69f4d57b55 kostenfrei https://www.dovepress.com/validating-the-help-survey-to-understand-health-disparity-influence-on-peer-reviewed-fulltext-article-JPR kostenfrei https://doaj.org/toc/1178-7090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 545-560
allfieldsGer	(DE-627)DOAJ013741748 (DE-599)DOAJc75dc86247b646709bed3b69f4d57b55 DE-627 ger DE-627 rakwb eng R5-920 Patel M verfasserin aut Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation chronic pain socioeconomic status health disparity survey validation Medicine (General) Sheikh S verfasserin aut Brailsford J verfasserin aut In Journal of Pain Research Dove Medical Press, 2009 (2022), Seite 545-560 (DE-627)600308383 (DE-600)2495284-9 11787090 nnns year:2022 pages:545-560 https://doaj.org/article/c75dc86247b646709bed3b69f4d57b55 kostenfrei https://www.dovepress.com/validating-the-help-survey-to-understand-health-disparity-influence-on-peer-reviewed-fulltext-article-JPR kostenfrei https://doaj.org/toc/1178-7090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 545-560
allfieldsSound	(DE-627)DOAJ013741748 (DE-599)DOAJc75dc86247b646709bed3b69f4d57b55 DE-627 ger DE-627 rakwb eng R5-920 Patel M verfasserin aut Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation chronic pain socioeconomic status health disparity survey validation Medicine (General) Sheikh S verfasserin aut Brailsford J verfasserin aut In Journal of Pain Research Dove Medical Press, 2009 (2022), Seite 545-560 (DE-627)600308383 (DE-600)2495284-9 11787090 nnns year:2022 pages:545-560 https://doaj.org/article/c75dc86247b646709bed3b69f4d57b55 kostenfrei https://www.dovepress.com/validating-the-help-survey-to-understand-health-disparity-influence-on-peer-reviewed-fulltext-article-JPR kostenfrei https://doaj.org/toc/1178-7090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2022 545-560
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After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. 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title	Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain
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title_full	Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain
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journal	Journal of Pain Research
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author_browse	Patel M Sheikh S Brailsford J
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title_sort	validating the help survey to understand health disparity influence on chronic pain
callnumber	R5-920
title_auth	Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain
abstract	Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation
abstractGer	Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation
abstract_unstemmed	Monika Patel,1 Sophia Sheikh,2 Jennifer Brailsford3 1Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Jacksonville, FL, USA; 2Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA; 3Center for Data Solutions, University of Florida Health, Jacksonville, FL, USACorrespondence: Monika Patel, Department of Anesthesiology, Division of Pain Management, University of Florida College of Medicine, Pavilion, 2nd Floor, 555 W. 8th street, Jacksonville, FL, 32209, USA, Tel +1 904 383 1020, Fax +1 904 244 1740, Email monika.pateljax.ufl.eduBackground: Socioeconomic deprivation is shown to be linked to chronic lower back pain. However, a comprehensive approach to identify key components contributing to pain outcomes using a biopsychosocial model incorporating social determinants of health is needed to develop and tailor successful strategies for mitigating chronic pain development and persistence. We aimed to develop and validate an instrument (the HELP survey) to assess themes characterized by a combination of social determinants of health and the biopsychosocial model in an underserved population. The HELP survey was developed as part of an observational study determining the influence of health disparities on chronic pain interference, The Neighborhood of Pain: Health Disparity Influence on Level of Chronic Pain Interference study (HELP).Methods: A multidisciplinary group of experts developed the 40-item, 5-domain HELP survey to address Pain Catastrophizing, Pain Motivation, Social Support, Health Care Access, and Physical Environment. After IRB approval, recruitment occurred at an academic pain clinic and emergency department. Survey validation included principal factor analysis, factor loadings of 0.40 or greater, and Cronbach’s alpha of 0.70 or greater.Results: Initial pilot testing occurred in 48 participants, followed by question revision and retesting in 57 patients. The average age was 57 years old. The majority were female (61.9%), self-reported black (55.2%), and had a high school health literacy level of 60.9%. Nearly half of participants (52.4%) lived in a neighborhood of extreme socioeconomic disadvantage and for 43.4% highest educational attainment was high school. Pilot testing resulted in 5 domains with Cronbach’s alphas: Pain Catastrophizing (0.82), Patient Motivation (0.80), Social Support (0.56), Health Care Access (0.75), and Physical Environment (0.81).Conclusion: Pilot study validation of the HELP survey demographic data indicated testing was performed in an underserved chronic pain population, and questions supported measurement of social determinants of health and the biopsychosocial model based on the five themes identified.Keywords: chronic pain, socioeconomic status, health disparity, survey validation
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title_short	Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain
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