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Article: Patient Enablement Moderates the Effect of Pain on Health-related Quality of Life of Primary Care Patients with Chronic Back and Knee Problems-a cross-sectional study

TitlePatient Enablement Moderates the Effect of Pain on Health-related Quality of Life of Primary Care Patients with Chronic Back and Knee Problems-a cross-sectional study
Authors
Issue Date12-May-2023
PublisherRoyal College of General Practitioners
Citation
British Journal of General Practice, 2023 How to Cite?
Abstract

Purpose: To determine whether enablement was a moderator of the effect of chronic back and knee pain on health-related quality of life (HRQOL).

Methods: This was a cross-sectional study of 1319 Chinese primary care patients with chronic back and knee problems who completed the Chinese Patient Enablement Instrument-2 (PEI-2), the Chinese Western Ontario and McMaster University Osteoarthritis Index (WOMAC), and the Pain Rating Scale (PRS). Multivariable regression examined the effect of disease characteristics, PRS score and PEI-2 score on WOMAC total score. Moderation was evaluated by whether the interaction between enablement (PEI-2 score) and pain (PRS score) had a significant effect on HRQOL (WOMAC total score) in the moderation regression model and by simple slope analysis.

Results: Valid data from 1306 participants were analyzed. PRS score was associated with WOMAC total score (β = 0.326, p<0.001), while PEI-2 score was associated inversely (β = -0.260, p<0.001). There was an inverse relationship between PRS and PEI-2 scores. The effect of the interaction between PRS and PEI-2 (PRS*PEI-2) scores on the WOMAC total score was significant (β = -0.191, p<0.001) suggesting PEI-2 was a moderator. Simple slope analyses showed the relationship between PRS and WOMAC was stronger for participants with a low level of PEI-2 (gradient=3.056) than for those with a high level of PEI-2 (gradient =1.746).

Conclusions: Patient enablement moderated the impact of pain on HRQOL. A higher level of enablement can lessen impairment in HRQOL associated with chronic back and knee pain.


Persistent Identifierhttp://hdl.handle.net/10722/329059
ISSN
2023 Impact Factor: 5.3
2023 SCImago Journal Rankings: 1.092

 

DC FieldValueLanguage
dc.contributor.authorNg, Amy Pui Pui-
dc.contributor.authorCheng, John King Yiu-
dc.contributor.authorLam, Joyce Sau Mei-
dc.contributor.authorWong, Carlos-
dc.contributor.authorCheng, Will Ho Gi-
dc.contributor.authorTse, Emily Tsui Yee-
dc.contributor.authorChao, David Vai Kiong-
dc.contributor.authorChoi, Edmond Pui Hang-
dc.contributor.authorWong, Rosa Sze Man-
dc.contributor.authorLam, Cindy Lo Kuen-
dc.date.accessioned2023-08-05T07:54:58Z-
dc.date.available2023-08-05T07:54:58Z-
dc.date.issued2023-05-12-
dc.identifier.citationBritish Journal of General Practice, 2023-
dc.identifier.issn0960-1643-
dc.identifier.urihttp://hdl.handle.net/10722/329059-
dc.description.abstract<p>Purpose: To determine whether enablement was a moderator of the effect of chronic back and knee pain on health-related quality of life (HRQOL). <br></p><p>Methods: This was a cross-sectional study of 1319 Chinese primary care patients with chronic back and knee problems who completed the Chinese Patient Enablement Instrument-2 (PEI-2), the Chinese Western Ontario and McMaster University Osteoarthritis Index (WOMAC), and the Pain Rating Scale (PRS). Multivariable regression examined the effect of disease characteristics, PRS score and PEI-2 score on WOMAC total score. Moderation was evaluated by whether the interaction between enablement (PEI-2 score) and pain (PRS score) had a significant effect on HRQOL (WOMAC total score) in the moderation regression model and by simple slope analysis. <br></p><p>Results: Valid data from 1306 participants were analyzed. PRS score was associated with WOMAC total score (β = 0.326, p<0.001), while PEI-2 score was associated inversely (β = -0.260, p<0.001). There was an inverse relationship between PRS and PEI-2 scores. The effect of the interaction between PRS and PEI-2 (PRS*PEI-2) scores on the WOMAC total score was significant (β = -0.191, p<0.001) suggesting PEI-2 was a moderator. Simple slope analyses showed the relationship between PRS and WOMAC was stronger for participants with a low level of PEI-2 (gradient=3.056) than for those with a high level of PEI-2 (gradient =1.746).<br></p><p>Conclusions: Patient enablement moderated the impact of pain on HRQOL. A higher level of enablement can lessen impairment in HRQOL associated with chronic back and knee pain.<br></p>-
dc.languageeng-
dc.publisherRoyal College of General Practitioners-
dc.relation.ispartofBritish Journal of General Practice-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titlePatient Enablement Moderates the Effect of Pain on Health-related Quality of Life of Primary Care Patients with Chronic Back and Knee Problems-a cross-sectional study-
dc.typeArticle-
dc.identifier.doi10.3399/BJGP.2022.0546-
dc.identifier.eissn1478-5242-
dc.identifier.issnl0960-1643-

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