Development and Validation of the Online Patient Satisfaction Index

NCT03449004 | Completed

• 2 other identifiers: AllanRiis_10TamanaAfzali
• Study Type: observational
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

Low Back Pain (LBP) is the most common musculoskeletal disorder and a leading cause of disability worldwide. It is the most frequent reason for consulting general practice and has an impact on daily life and work capacity. A cornerstone in treating LBP is the provision of information to patients, and the internet is increasingly being used as a source of health information delivery. However, the effect of and satisfaction with online information have been questioned. The investigators aimed to develop and validate a multi-item instrument to measure an index score of satisfaction of online information for patients with LBP. The conceptualization of a Patient Reported Outcome (PRO) to measure a multidimensional index score is modelled on the assumption of a causal relationship between domains of experiences with online information and patients' combined index score of satisfaction. Findings from 15 patient interviews was applied to draft the first version of the instrument. Followed by pilot testing on patients (n=20) and experts (n=7) before validating the instrument on patients (n=150). Patients were eligible for inclusion if they had their first onset of LBP for 14 days. Patients were included regardless of pain intensity. Patients were excluded if they did not have Internet access, were pregnant, did not speak Danish as their native language, or had signs of serious underlying disease.

Conditions

Low Back Pain

Keywords

Validation; questionnaire; satisfaction; online information

Outcome Measures

Primary Outcomes (1)

• Association between the Online Patient Satisfaction Index (0-24 Points, higher scores indicate higher satisfaction) and the Net Promotor Score (10-0 Points, 10-9 Points is categorised as promotors and 8-0 Points is categorised as non-promotors)

  Convergent validity

  Cross sectional (< 45 seconds)

Secondary Outcomes (3)

• Association between the Online Patient Satisfaction Index (0-24 Points, higher score is indicating higher satisfaction) and the Roland Morris Disability questionnaire (RMDQ, 0-23 Points, a high score is indicating high disability)

  Cross sectional (< 45 seconds)

• Test re-test of the Online Patient Satisfaction Index (0-24 Points, higher score is indicating higher satisfaction)

  One week

• Association between the Online Patient Satisfaction Index (0-24 Points, higher scores indicate higher satisfaction) and global rating of satisfaction (10-0 Points, 10-9 Points is categorised as satisfied and 8-0 Points is categorised as not satisfied)

  Cross sectional (< 45 seconds)

Interventions

Validation of the OPSI questionnaire OTHER

A questionnaire to measure satisfaction with online information for patients with low back pain

Also known as: The Online Patient Satisfaction Index

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adult patients with low back pain during the last year. Patients are recruited from social media and The SANO centre, a rehabilitation center for patients with musculoskeletal pain conditions. If recruitment will be difficult we will combine with recruitment from poster in waiting rooms at primary care physicians, physiotherapists, and/or chiropractors.

You may not qualify if:

• no internet access
• pregnant women
• not able to speak/read Danish
• spinal stenosis
• serious underlying disease for low back pain (e.g. signs of fracture, cauda equina syndrome, malignancy, osteoporosis, or spondyloarthritis)

Sponsors & Collaborators

• Aalborg University Hospital: lead
• Aalborg University: collaborator

Study Sites (1)

Research Unit for General Practice in Aalborg

Aalborg, 9220, Denmark

Location

Related Publications (10)

• Kent PM, Keating JL. The epidemiology of low back pain in primary care. Chiropr Osteopat. 2005 Jul 26;13:13. doi: 10.1186/1746-1340-13-13.

  PMID: 16045795 BACKGROUND

• Croft PR, Macfarlane GJ, Papageorgiou AC, Thomas E, Silman AJ. Outcome of low back pain in general practice: a prospective study. BMJ. 1998 May 2;316(7141):1356-9. doi: 10.1136/bmj.316.7141.1356.

  PMID: 9563990 BACKGROUND

• Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769-81. doi: 10.1016/j.berh.2010.10.002.

  PMID: 21665125 BACKGROUND

• Balague F, Mannion AF, Pellise F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6.

  PMID: 21982256 BACKGROUND

• National Guideline Centre (UK). Low Back Pain and Sciatica in Over 16s: Assessment and Management. London: National Institute for Health and Care Excellence (NICE); 2016 Nov. Available from http://www.ncbi.nlm.nih.gov/books/NBK401577/

  PMID: 27929617 BACKGROUND

• Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Moulton AW. Patients' use of the Internet for medical information. J Gen Intern Med. 2002 Mar;17(3):180-5. doi: 10.1046/j.1525-1497.2002.10603.x.

  PMID: 11929503 BACKGROUND

• Tustin N. The role of patient satisfaction in online health information seeking. J Health Commun. 2010 Jan;15(1):3-17. doi: 10.1080/10810730903465491.

  PMID: 20390974 BACKGROUND

• A. Riis, M. B. Jensen, A. M. Kanstrup, J. Hartvigsen, M. S. Rathleff, D. M. Hjelmager, L. D. Vinther, and P. Bertelsen, "Tailored on-line information and advice to patients with low back pain in general practice," 2016.

  BACKGROUND

• Deyo RA, Diehl AK. Patient satisfaction with medical care for low-back pain. Spine (Phila Pa 1976). 1986 Jan-Feb;11(1):28-30. doi: 10.1097/00007632-198601000-00008.

  PMID: 2939566 BACKGROUND

• Afzali T, Lauridsen HH, Thomsen JL, Hartvigsen J, Jensen MB, Riis A. The Online Patient Satisfaction Index for Patients With Low Back Pain: Development, Reliability, and Validation Study. JMIR Form Res. 2021 Nov 15;5(11):e21462. doi: 10.2196/21462.

  PMID: 34779785 DERIVED

MeSH Terms

Conditions

Low Back Pain; Personal Satisfaction

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Janus L Thomsen, PhD

  Research unit for General Practice in Aalborg, Denmark

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior researcher

Study Record Dates

• First Submitted: February 14, 2018
• First Posted: February 28, 2018
• Study Start: March 19, 2018
• Primary Completion: May 15, 2019
• Study Completion: May 15, 2019
• Last Updated: May 31, 2019

Record last verified: 2019-05

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)