BackgroundPain management is an important component of many Inflammatory Arthritis consultations. The BSR Pain Management for Inflammatory Arthritis Quality Improvement Tool uses 11 questions and 38 sub questions that assess three domains; background information (3 questions), pain management in the consultation (5 questions) and pain management in previous consultations (3 questions)[1]. The questions are based on the EULAR Guidelines for Pain Management in Inflammatory and Osteoarthritis [2]. The tool is free to use, produces results in real time in anonymised PDF form. The project is sponsored by Cambridge University Hospitals NHS Foundation Trust Audit Department (Number 2200).ObjectivesTo assess the internal validity of the Pain Management for Inflammatory Arthritis Quality Improvement (QIP) tool 2020.MethodsTwo independent researchers (A & B) reviewed appointment/clinic notes from 33 patients who had attended Rheumatology appointments at Addenbrooke’s Hospital. 20 of these patients were found to experience pain during the consultation and the QIP tool questionnaire was used to assess their pain management. To assess the internal validity of the QIP tool; results from each reviewer were compared to generate a Cohen’s Kappa Score for each question.ResultsThe overall Kappa Score for the QIP tool was 0.75, with 570 congruent results and 190 incongruent results. The congruence was found to be high across the majority of questions. 87/190 (46%) of the incongruent scores were from just 6/38 questions. The QIP tool questions can be modified to improve clarity. There was systematic bias in the questions with lower kappa scores (A answering “Yes” and B answering “No”).ConclusionThe Pain Management for Inflammatory Arthritis QIP Tool has a high internal validity as shown by the Kappa scores generated by results from two independent reviewers. To overcome the low Kappa scores on individual questions; additional guidance on how to answer specific questions may need to be provided to those filling out the questionnaire.References[1]https://addenbrookes.onlinesurveys.ac.uk/pain-management-for-inflammatory-arthritis-qip-tool-2020[2]Geenen R, Overman CL, Christensen R, et al. EULAR recommendations for the health professional’s approach to pain management in inflammatory arthritis and osteoarthritis. Ann Rheum Dis. 2018;77(6):797-807. doi:10.1136/annrheumdis-2017-212662Acknowledgements:NIL.Disclosure of InterestsNone Declared....

AB1779-HPR ASSESSING THE INTERNAL VALIDITY OF THE BSR PAIN MANAGEMENT FOR INFLAMMATORY ARTHRITIS QIP TOOL

10.1136/annrheumdis-2023-eular.3138