Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach

Abstract Background Identify and establish consensus regarding potential prognostic factors for the development of chronic pain after a first episode of idiopathic, non-traumatic neck pain. Design This study used two consensus group methods: a modified Nominal Group (m-NGT) and a Delphi Technique. M...

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Main Authors: Martine Verwoerd, Harriet Wittink, Francois Maissan, Rob Smeets
Format: Article
Language:English
Published: BMC 2020-10-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12891-020-03682-8
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author Martine Verwoerd
Harriet Wittink
Francois Maissan
Rob Smeets
author_facet Martine Verwoerd
Harriet Wittink
Francois Maissan
Rob Smeets
author_sort Martine Verwoerd
collection DOAJ
description Abstract Background Identify and establish consensus regarding potential prognostic factors for the development of chronic pain after a first episode of idiopathic, non-traumatic neck pain. Design This study used two consensus group methods: a modified Nominal Group (m-NGT) and a Delphi Technique. Methods The goal of the m-NGT was to obtain and categorize a list of potential modifiable prognostic factors. These factors were presented to a multidisciplinary panel in a two-round Delphi survey, which was conducted between November 2018 and January 2020. The participants were asked whether factors identified are of prognostic value, whether these factors are modifiable, and how to measure these factors in clinical practice. Consensus was a priori defined as 70% agreement among participants. Results Eighty-four factors were identified and grouped into seven categories during the expert meeting using the modified NGT. A workgroup reduced the list to 47 factors and grouped them into 12 categories. Of these factors, 26 were found to be potentially prognostic for chronification of neck pain (> 70% agreement). Twenty-one out of these 26 factors were found to be potentially modifiable by physiotherapists based on a two-round Delphi survey. Conclusion Based on an expert meeting (m-NGT) and a two-round Delphi survey, our study documents consensus (> 70%) on 26 prognostic factors. Twenty-one out of these 26 factors were found to be modifiable, and most factors were psychological in nature.
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spelling doaj.art-5caa807056d64af0adf9f25fddbb69a22022-12-22T00:10:18ZengBMCBMC Musculoskeletal Disorders1471-24742020-10-0121111110.1186/s12891-020-03682-8Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approachMartine Verwoerd0Harriet Wittink1Francois Maissan2Rob Smeets3Research Group Lifestyle and Health, Utrecht University of Applied SciencesResearch Group Lifestyle and Health, Utrecht University of Applied SciencesResearch Group Lifestyle and Health, Utrecht University of Applied SciencesDepartment of Rehabilitation Medicine, Research School CAPHRI, CIR Rehabilitation, Maastricht UniversityAbstract Background Identify and establish consensus regarding potential prognostic factors for the development of chronic pain after a first episode of idiopathic, non-traumatic neck pain. Design This study used two consensus group methods: a modified Nominal Group (m-NGT) and a Delphi Technique. Methods The goal of the m-NGT was to obtain and categorize a list of potential modifiable prognostic factors. These factors were presented to a multidisciplinary panel in a two-round Delphi survey, which was conducted between November 2018 and January 2020. The participants were asked whether factors identified are of prognostic value, whether these factors are modifiable, and how to measure these factors in clinical practice. Consensus was a priori defined as 70% agreement among participants. Results Eighty-four factors were identified and grouped into seven categories during the expert meeting using the modified NGT. A workgroup reduced the list to 47 factors and grouped them into 12 categories. Of these factors, 26 were found to be potentially prognostic for chronification of neck pain (> 70% agreement). Twenty-one out of these 26 factors were found to be potentially modifiable by physiotherapists based on a two-round Delphi survey. Conclusion Based on an expert meeting (m-NGT) and a two-round Delphi survey, our study documents consensus (> 70%) on 26 prognostic factors. Twenty-one out of these 26 factors were found to be modifiable, and most factors were psychological in nature.http://link.springer.com/article/10.1186/s12891-020-03682-8Prognostic factorsChronic neck painIdiopathic neck painPrognostic factorsDelphi survey
spellingShingle Martine Verwoerd
Harriet Wittink
Francois Maissan
Rob Smeets
Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach
BMC Musculoskeletal Disorders
Prognostic factors
Chronic neck pain
Idiopathic neck pain
Prognostic factors
Delphi survey
title Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach
title_full Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach
title_fullStr Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach
title_full_unstemmed Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach
title_short Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach
title_sort consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic non traumatic neck pain results of nominal group and delphi technique approach
topic Prognostic factors
Chronic neck pain
Idiopathic neck pain
Prognostic factors
Delphi survey
url http://link.springer.com/article/10.1186/s12891-020-03682-8
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