Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

A definition of flare in low back pain (LBP) : a multiphase process involving perspectives of individuals with LBP and expert consensus

Tools
- Tools
+ Tools

Costa, Nathalia, Ferreira, Manuela L., Setchell, Jenny, Makovey, Joanna, Dekroo, Tanya, Downie, Aron, Diwan, Ashish, Koes, Bart, Natvig, Bard, Vicenzino, Bill et al.
(2019) A definition of flare in low back pain (LBP) : a multiphase process involving perspectives of individuals with LBP and expert consensus. Journal of Pain, 20 (11). pp. 1267-1275. doi:10.1016/j.jpain.2019.03.009 ISSN 1528-8447.

[img]
Preview
PDF
WRAP-definition-flare-low-back-pain-Underwood-2019.pdf - Accepted Version - Requires a PDF viewer.
Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0.

Download (1234Kb) | Preview
Official URL: https://doi.org/10.1016/j.jpain.2019.03.009

Request Changes to record.

Abstract

Low back pain (LBP) varies over time. Consumers, clinicians and researchers use various terms to describe fluctuations of LBP symptoms. Although "flare" is commonly used to describe symptom fluctuation, there is no consensus on how it is defined. This study aimed to obtain consensus for a LBP flare definition using a mixed-method approach. Step 1 involved derivation of a preliminary candidate flare definition based on thematic analysis of consumers' views in consultation with an expert consumer writer. In Step 2, a workshop was conducted to incorporate perspectives of LBP experts into the preliminary flare definition, which resulted in two alternative LBP flare definitions. Step 3 refined the definition using a two-round Delphi consensus process with experts in musculoskeletal conditions. The definition favoured by experts was further tested with individuals with LBP in Step 4, using the definition in three scenarios. This multiphase study produced a LBP flare definition that distinguishes it from other LBP fluctuations, represents views of consumers, involves expert consensus, and is understandable by consumers in clinical and research contexts: "A flare-up is a worsening of your condition that lasts from hours to weeks that is difficult to tolerate and generally impacts your usual activities and/or emotions". Perspective: A multiphase processes produced a low back pain (LBP) flare definition that distinguishes it from other LBP fluctuations, involves expert consensus and represents consumers' views.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Backache -- Research
Journal or Publication Title: Journal of Pain
Publisher: Elsevier
ISSN: 1528-8447
Official Date: 1 November 2019
Dates:
DateEvent
1 November 2019Published
20 March 2019Available
16 March 2019Accepted
Volume: 20
Number: 11
Page Range: pp. 1267-1275
DOI: 10.1016/j.jpain.2019.03.009
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 28 March 2019
Date of first compliant Open Access: 21 March 2020
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
APP1091302National Health and Medical Research Councilhttp://dx.doi.org/10.13039/501100000925
APP1079078National Health and Medical Research Councilhttp://dx.doi.org/10.13039/501100000925
APP1102905National Health and Medical Research Councilhttp://dx.doi.org/10.13039/501100000925
APP1143593National Health and Medical Research Councilhttp://dx.doi.org/10.13039/501100000925
APP632922National Health and Medical Research Councilhttp://dx.doi.org/10.13039/501100000925

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics

twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us