• Katie A Butera, Steven Z George, and Trevor A Lentz.
• Department of Physical Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida. Electronic address: Kbutera@ufl.edu.
• J Pain. 2020 May 1; 21 (5-6): 557569557-569.

AbstractPsychological characteristics consistently predict clinical outcomes for musculoskeletal pain conditions. The Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool assesses negative mood, fear-avoidance, and positive affect/coping. Psychometric testing of the tool is needed to guide clinical use. The purpose of this secondary analysis was to determine the OSPRO-YF factor structure (17- and 10-item versions) and test factor reliability and concurrent validity. Data from 2 musculoskeletal pain cohorts (n1 = 428; n2 = 440) were used. An exploratory factor analysis (EFA) identified the factor structure in the first cohort; a confirmatory factor analysis (CFA) validated the factor structure in the second cohort. EFA yielded 4 factors for the 17-item version (catastrophizing, positive coping, negative mood, fear-avoidance) and 3 factors for the 10-item version (negative coping, negative mood positive affect/coping). CFA indicated good fit for the10-item and 17-item models. Factors from both versions demonstrated moderate to good test-retest reliability. Regression results revealed that factors from both versions contributed significantly to variance in pain intensity, disability, and quality of life. Results indicate the OSPRO-YF is a reliable and valid multidimensional psychological assessment tool for individuals with musculoskeletal pain. Future studies are needed to establish the OSPRO-YF as a prognostic and treatment monitoring tool. PERSPECTIVE: This article presents the psychometric properties of the OSPRO-YF tool. Findings indicate the OSPRO-YF is a reliable and valid multidimensional psychological assessment tool for individuals with musculoskeletal pain. Implementation of the OSPRO-YF tool may better guide clinical decision making and may lead to improved musculoskeletal pain management strategies.Copyright © 2019 United States Association for the Study of Pain, Inc. Published by Elsevier Inc. All rights reserved.

42 keywords...

hide…