Objectives: To measure the prevalence and troublesomeness of musculoskeletal pain in different body locations and age groups, in a consistent manner, without using location specific health outcome measures.
Bothersomeness has been explored by researchers in the USA in relation to sciatica , and in relation to back pain in the UK . Dunn et al found that bothersomeness was a valid measure of the severity of pain in a group of primary care patients with low back pain and that it was associated with measures of pain, disability, psychological health and work absence . Therefore they concluded that it could be used as a substitute for longer measures, if it was being used to classify patients with low back pain. The bothersomeness of low back pain question was recommended as part of the internationally agreed package of outcome measures for primary care back pain studies  and was anglicised to troublesomeness as one of the outcomes of a large scale RCT of manual therapies for low back pain .
Therefore, in terms of pain, the majority of work on the concept of troublesomeness/bothersomeness has been undertaken on low back pain. We propose using the bothersomeness question to study the comparative severity of pain in different body regions, as developing a multi-dimensional instrument to measure the impact of pain in different body regions, in a standardised way, would be impractical for routine use.
Cowley-Haselden, S. (2020). Building knowledge to ease troublesomeness: Affording theory knowledgeability through academic reading circles. Journal of University Teaching & Learning Practice, 17(2).
This chapter is a case study of Jayden who engages the troublesomeness of being mixed race. More specifically, Jayden experienced questions regarding her identity and an understanding of self, due to complex interrelationships of racial composition and socialization. The chapter documents her journey towards clarity through her art making process, sketchbooks, and interviews. Jayden recalls painful moments and complex questions that have remained with her throughout her life and she engages these through the art making process.
Responding to the objection that his theory assumes an enormous store of literary knowledge on the part of the reader, Riffaterre concedes that the identity of the intertext and its hypogram may be a matter of "perception" or chance; "the reader simply cannot identify [the hypogram] unless it has become part and parcel of his culture, unless he already knows the other text wherein it is contained." He notes, however, that "even while the hypogram remains unidentified, the text's troublesomeness keeps pointing to the need; the hypogram must be found, a solution outside the text must be found, in the intertext" ("Interview" 14). [End Page 223] 781b155fdc