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Gepubliceerd in: Journal of Foot and Ankle Research 1/2013

Open Access 01-12-2013 | Research

Inter and intra-rater repeatability of the scoring of foot pain drawings

Auteurs: Benjamin D Chatterton, Sara Muller, Martin J Thomas, Hylton B Menz, Keith Rome, Edward Roddy

Gepubliceerd in: Journal of Foot and Ankle Research | Uitgave 1/2013

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Abstract

Background

Foot pain drawings (manikins) are commonly used to describe foot pain location in self-report health surveys. Respondents shade the manikin where they experience pain. The manikin is then scored via a transparent overlay that divides the drawings into areas. In large population based studies they are often scored by multiple raters. A difference in how different raters score manikins (inter-rater repeatability), or in how an individual rater scores manikins over time (intra-rater repeatability) can therefore affect data quality. This study aimed to assess inter- and intra-rater repeatability of scoring of the foot manikin.

Methods

A random sample was generated of 50 respondents to a large population based survey of adults aged 50 years and older who experienced foot pain and completed a foot manikin. Manikins were initially scored by any one of six administrative staff (Rating 1). These manikins were re-scored by a second rater (Rating 2). The second rater then re-scored the manikins one week later (Rating 3). The following scores were compared: Rating 1 versus Rating 2 (inter-rater repeatability), and Rating 2 versus Rating 3 (intra-rater repeatability). A novel set of clinically relevant foot pain regions made up of one or more individual areas on the foot manikin were developed, and assessed for inter- and intra-rater repeatability.

Results

Scoring agreement of 100% (all 50 manikins) was seen in 69% (40 out of 58) of individual areas for inter-rater scoring (range 94 to 100%), and 81% (47 out of 58) of areas for intra-rater scoring (range 96 to 100%). All areas had a kappa value of ≥0.70 for inter- and intra-rater scoring. Scoring agreement of 100% was seen in 50% (10 out of 20) of pain regions for inter-rater scoring (range 96 to 100%), and 95% (19 out of 20) of regions for intra-rater scoring (range 98 to 100%). All regions had a kappa value of >0.70 for inter- and intra-rater scoring.

Conclusions

Individual and multiple raters can reliably score the foot pain manikin. In addition, our proposed regions may be used to reliably classify different patterns of foot pain using the foot manikin.
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Literatuur
1.
go back to reference Hill CL, Gill TK, Menz HB, Taylor AW: Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study. J Foot Ankle Res. 2008, 1: 2-10.1186/1757-1146-1-2. CrossRefPubMedPubMedCentral Hill CL, Gill TK, Menz HB, Taylor AW: Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study. J Foot Ankle Res. 2008, 1: 2-10.1186/1757-1146-1-2. CrossRefPubMedPubMedCentral
2.
go back to reference Garrow AP, Silman AJ, Macfarlane GJ: The Cheshire Foot Pain and Disability Survey: a population survey assessing prevalence and associations. Pain. 2004, 110: 378-384. 10.1016/j.pain.2004.04.019. CrossRefPubMed Garrow AP, Silman AJ, Macfarlane GJ: The Cheshire Foot Pain and Disability Survey: a population survey assessing prevalence and associations. Pain. 2004, 110: 378-384. 10.1016/j.pain.2004.04.019. CrossRefPubMed
3.
go back to reference Menz HB, Morris ME, Lord SR: Foot and ankle risk factors for falls in older people: a prospective study. J Gerontol A Biol Sci Med Sci. 2006, 61: 866-870. 10.1093/gerona/61.8.866. CrossRefPubMed Menz HB, Morris ME, Lord SR: Foot and ankle risk factors for falls in older people: a prospective study. J Gerontol A Biol Sci Med Sci. 2006, 61: 866-870. 10.1093/gerona/61.8.866. CrossRefPubMed
4.
go back to reference Benvenuti F, Ferrucci L, Guralnik JM, Gangemi S, Baroni A: Foot pain and disability in older persons: an epidemiologic survey. J Am Geriatr Soc. 1995, 43: 479-484. CrossRefPubMed Benvenuti F, Ferrucci L, Guralnik JM, Gangemi S, Baroni A: Foot pain and disability in older persons: an epidemiologic survey. J Am Geriatr Soc. 1995, 43: 479-484. CrossRefPubMed
5.
go back to reference Peat G, Thomas E, Wilkie R, Croft P: Multiple joint pain and lower extremity disability in middle and old age. Disabil Rehabil. 2006, 28: 1543-1549. 10.1080/09638280600646250. CrossRefPubMed Peat G, Thomas E, Wilkie R, Croft P: Multiple joint pain and lower extremity disability in middle and old age. Disabil Rehabil. 2006, 28: 1543-1549. 10.1080/09638280600646250. CrossRefPubMed
6.
go back to reference Bowling A, Grundy E: Activities of daily living: changes in functional ability in three samples of elderly and very elderly people. Age Ageing. 1997, 26: 107-114. 10.1093/ageing/26.2.107. CrossRefPubMed Bowling A, Grundy E: Activities of daily living: changes in functional ability in three samples of elderly and very elderly people. Age Ageing. 1997, 26: 107-114. 10.1093/ageing/26.2.107. CrossRefPubMed
7.
go back to reference Menz HB, Jordan KP, Roddy E, Croft PR: Characteristics of primary care consultations for musculoskeletal foot and ankle problems in the UK. Rheumatology (Oxford). 2010, 49: 1391-1398. 10.1093/rheumatology/keq092. CrossRef Menz HB, Jordan KP, Roddy E, Croft PR: Characteristics of primary care consultations for musculoskeletal foot and ankle problems in the UK. Rheumatology (Oxford). 2010, 49: 1391-1398. 10.1093/rheumatology/keq092. CrossRef
8.
go back to reference Gorter K, de Poel S, de Melker R, Kuyvenhoven M: Variation in diagnosis and management of common foot problems by GPs. Fam Pract. 2001, 18: 569-573. 10.1093/fampra/18.6.569. CrossRefPubMed Gorter K, de Poel S, de Melker R, Kuyvenhoven M: Variation in diagnosis and management of common foot problems by GPs. Fam Pract. 2001, 18: 569-573. 10.1093/fampra/18.6.569. CrossRefPubMed
9.
go back to reference McCarthy EM, Sheane BJ, Cunnane G: Greater focus on clinical rheumatology is required for training in internal medicine. Clin Rheumatol. 2009, 28: 139-143. 10.1007/s10067-008-0997-7. CrossRefPubMed McCarthy EM, Sheane BJ, Cunnane G: Greater focus on clinical rheumatology is required for training in internal medicine. Clin Rheumatol. 2009, 28: 139-143. 10.1007/s10067-008-0997-7. CrossRefPubMed
10.
11.
go back to reference Lacey RJ, Lewis M, Jordan K, Jinks C, Sim J: Interrater reliability of scoring of pain drawings in a self-report health survey. Spine (Phila Pa 1976). 2005, 30: E455-E458. 10.1097/01.brs.0000174274.38485.ee. CrossRef Lacey RJ, Lewis M, Jordan K, Jinks C, Sim J: Interrater reliability of scoring of pain drawings in a self-report health survey. Spine (Phila Pa 1976). 2005, 30: E455-E458. 10.1097/01.brs.0000174274.38485.ee. CrossRef
12.
go back to reference Roddy E, Myers H, Thomas MJ, Marshall M, D’Cruz D, Menz HB, Belcher J, Muller S, Peat G: The clinical assessment study of the foot (CASF): study protocol for a prospective observational study of foot pain and foot osteoarthritis in the general population. J Foot Ankle Res. 2011, 4: 22-10.1186/1757-1146-4-22. CrossRefPubMedPubMedCentral Roddy E, Myers H, Thomas MJ, Marshall M, D’Cruz D, Menz HB, Belcher J, Muller S, Peat G: The clinical assessment study of the foot (CASF): study protocol for a prospective observational study of foot pain and foot osteoarthritis in the general population. J Foot Ankle Res. 2011, 4: 22-10.1186/1757-1146-4-22. CrossRefPubMedPubMedCentral
13.
go back to reference Jinks C, Lewis M, Ong BN, Croft P: A brief screening tool for knee pain in primary care. 1. Validity and reliability. Rheumatology (Oxford). 2001, 40: 528-536. 10.1093/rheumatology/40.5.528. CrossRef Jinks C, Lewis M, Ong BN, Croft P: A brief screening tool for knee pain in primary care. 1. Validity and reliability. Rheumatology (Oxford). 2001, 40: 528-536. 10.1093/rheumatology/40.5.528. CrossRef
14.
go back to reference Persson AL, Garametsos S, Pedersen J: Computer-aided surface estimation of pain drawings - intra- and inter-rater reliability. J Pain Res. 2011, 4: 135-141. CrossRefPubMedPubMedCentral Persson AL, Garametsos S, Pedersen J: Computer-aided surface estimation of pain drawings - intra- and inter-rater reliability. J Pain Res. 2011, 4: 135-141. CrossRefPubMedPubMedCentral
15.
go back to reference Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC: Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007, 60: 34-42. 10.1016/j.jclinepi.2006.03.012. CrossRefPubMed Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC: Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007, 60: 34-42. 10.1016/j.jclinepi.2006.03.012. CrossRefPubMed
16.
go back to reference Shrout PE, Fleiss JL: Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979, 86: 420-428. CrossRefPubMed Shrout PE, Fleiss JL: Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979, 86: 420-428. CrossRefPubMed
17.
go back to reference Margolis RB, Tait RC, Krause SJ: A rating system for use with patient pain drawings. Pain. 1986, 24: 57-65. 10.1016/0304-3959(86)90026-6. CrossRefPubMed Margolis RB, Tait RC, Krause SJ: A rating system for use with patient pain drawings. Pain. 1986, 24: 57-65. 10.1016/0304-3959(86)90026-6. CrossRefPubMed
18.
go back to reference Chan CW, Goldman S, Ilstrup DM, Kunselman AR, O’Neill PI: The pain drawing and Waddell’s nonorganic physical signs in chronic low-back pain. Spine (Phila Pa 1976). 1993, 18: 1717-1722. 10.1097/00007632-199310000-00001. CrossRef Chan CW, Goldman S, Ilstrup DM, Kunselman AR, O’Neill PI: The pain drawing and Waddell’s nonorganic physical signs in chronic low-back pain. Spine (Phila Pa 1976). 1993, 18: 1717-1722. 10.1097/00007632-199310000-00001. CrossRef
19.
go back to reference Udén A, Aström M, Bergenudd H: Pain drawings in chronic back pain. Spine (Phila Pa 1976). 1988, 13: 389-392. 10.1097/00007632-198804000-00002. CrossRef Udén A, Aström M, Bergenudd H: Pain drawings in chronic back pain. Spine (Phila Pa 1976). 1988, 13: 389-392. 10.1097/00007632-198804000-00002. CrossRef
20.
go back to reference Ohnmeiss DD, Vanharanta H, Ekholm J: Relationship of pain drawings to invasive tests assessing intervertebral disc pathology. Eur Spine J. 1999, 8: 126-131. 10.1007/s005860050141. CrossRefPubMedPubMedCentral Ohnmeiss DD, Vanharanta H, Ekholm J: Relationship of pain drawings to invasive tests assessing intervertebral disc pathology. Eur Spine J. 1999, 8: 126-131. 10.1007/s005860050141. CrossRefPubMedPubMedCentral
21.
go back to reference Ohnmeiss DD, Vanharanta H, Ekholm J: Relation between pain location and disc pathology: a study of pain drawings and CT/discography. Clin J Pain. 1999, 15: 210-217. 10.1097/00002508-199909000-00008. CrossRefPubMed Ohnmeiss DD, Vanharanta H, Ekholm J: Relation between pain location and disc pathology: a study of pain drawings and CT/discography. Clin J Pain. 1999, 15: 210-217. 10.1097/00002508-199909000-00008. CrossRefPubMed
22.
go back to reference Roach KE, Brown MD, Dunigan KM, Kusek CL, Walas M: Test-retest reliability of patient reports of low back pain. J Orthop Sports Phys Ther. 1997, 26: 253-259. 10.2519/jospt.1997.26.5.253. CrossRefPubMed Roach KE, Brown MD, Dunigan KM, Kusek CL, Walas M: Test-retest reliability of patient reports of low back pain. J Orthop Sports Phys Ther. 1997, 26: 253-259. 10.2519/jospt.1997.26.5.253. CrossRefPubMed
23.
go back to reference Ohnmeiss DD: Repeatability of pain drawings in a low back pain population. Spine (Phila Pa 1976). 2000, 25: 980-988. 10.1097/00007632-200004150-00014. CrossRef Ohnmeiss DD: Repeatability of pain drawings in a low back pain population. Spine (Phila Pa 1976). 2000, 25: 980-988. 10.1097/00007632-200004150-00014. CrossRef
24.
go back to reference Margolis RB, Chibnall JT, Tait RC: Test-retest reliability of the pain drawing instrument. Pain. 1988, 33: 49-51. 10.1016/0304-3959(88)90202-3. CrossRefPubMed Margolis RB, Chibnall JT, Tait RC: Test-retest reliability of the pain drawing instrument. Pain. 1988, 33: 49-51. 10.1016/0304-3959(88)90202-3. CrossRefPubMed
Metagegevens
Titel
Inter and intra-rater repeatability of the scoring of foot pain drawings
Auteurs
Benjamin D Chatterton
Sara Muller
Martin J Thomas
Hylton B Menz
Keith Rome
Edward Roddy
Publicatiedatum
01-12-2013
Uitgeverij
BioMed Central
Gepubliceerd in
Journal of Foot and Ankle Research / Uitgave 1/2013
Elektronisch ISSN: 1757-1146
DOI
https://doi.org/10.1186/1757-1146-6-44