Instruments assessing attitudes toward or capability regarding self-management of osteoarthritis: a systematic review of measurement properties

J P Eyles; D J Hunter; S R F Meneses; N J Collins; F Dobson; B R Lucas; K Mills

doi:10.1016/j.joca.2017.02.802

Instruments assessing attitudes toward or capability regarding self-management of osteoarthritis: a systematic review of measurement properties

Osteoarthritis Cartilage. 2017 Aug;25(8):1210-1222. doi: 10.1016/j.joca.2017.02.802. Epub 2017 Mar 3.

Authors

J P Eyles¹, D J Hunter², S R F Meneses³, N J Collins⁴, F Dobson⁵, B R Lucas⁶, K Mills⁷

Affiliations

¹ Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, Australia; Department of Rheumatology, Royal North Shore Hospital and Northern Clinical School, University of Sydney, Australia; Physiotherapy Department, Royal North Shore Hospital, Sydney, Australia. Electronic address: jillian.eyles@sydney.edu.au.
² Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, Australia; Department of Rheumatology, Royal North Shore Hospital and Northern Clinical School, University of Sydney, Australia. Electronic address: david.hunter@sydney.edu.au.
³ Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, Australia; Department of Rheumatology, Royal North Shore Hospital and Northern Clinical School, University of Sydney, Australia. Electronic address: sarah.meneses@sydney.edu.au.
⁴ School of Health & Rehabilitation Sciences, University of Queensland, Australia. Electronic address: n.collins1@uq.edu.au.
⁵ Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Australia. Electronic address: fdobson@unimelb.edu.au.
⁶ Kolling Institute of Medical Research, Institute of Bone and Joint Research, University of Sydney, Australia; Physiotherapy Department, Royal North Shore Hospital, Sydney, Australia. Electronic address: Barbara.Lucas@health.nsw.gov.au.
⁷ Centre for Physical Health, Department of Medicine and Health Sciences, Macquarie University, Sydney, Australia. Electronic address: kathryn.mills@mq.edu.au.

PMID: 28263899
DOI: 10.1016/j.joca.2017.02.802

Abstract

Objective: To make a recommendation on the "best" instrument to assess attitudes toward and/or capabilities regarding self-management of osteoarthritis (OA) based on available measurement property evidence.

Methods: Electronic searches were performed in MEDLINE, EMBASE, CINAHL and PsychINFO (inception to 27 December 2016). Two reviewers independently rated measurement properties using the Consensus-based Standards for the selection of Health Measurement Instruments (COSMIN) 4-point scale. Best evidence synthesis was determined by considering COSMIN ratings for measurement property results and the level of evidence available for each measurement property of each instrument.

Results: Eight studies out of 5653 publications met the inclusion criteria, with eight instruments identified for evaluation: Multidimensional Health Locus of Control (MHLC), Perceived Behavioural Control (PBC), Patient Activation Measure (PAM), Educational Needs Assessment (ENAT), Stages of Change Questionnaire in Osteoarthritis (SCQOA), Effective Consumer Scale (EC-17) and Perceived Efficacy in Patient-Physician Interactions five item (PEPPI-5) and ten item scales. Measurement properties assessed for these instruments included internal consistency (k = 8), structural validity (k = 8), test-retest reliability (k = 2), measurement error (k = 1), hypothesis testing (k = 3) and cross-cultural validity (k = 3). No information was available for content validity, responsiveness or minimal important change (MIC)/minimal important difference (MID). The Dutch PEPPI-5 demonstrated the best measurement property evidence; strong evidence for internal consistency and structural validity but limited evidence for reliability and construct validity.

Conclusion: Although PEPPI-5 was identified as having the best measurement properties, overall there is a poor level of evidence currently available concerning measurement properties of instruments to assess attitudes toward and/or capabilities regarding osteoarthritis self-management. Further well-designed studies investigating measurement properties of existing instruments are required.

Keywords: Clinimetrics; Instruments; Measurement properties; Psychometrics; Self-management; Systematic review.

Publication types

Review
Systematic Review

MeSH terms

Aptitude*
Attitude to Health*
Evidence-Based Medicine
Humans
Osteoarthritis / psychology*
Osteoarthritis / therapy
Psychometrics
Self-Management / psychology*
Severity of Illness Index
Surveys and Questionnaires
Terminology as Topic