Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference.
Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference.
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DOI：
10.1007/s11606-009-0981-1
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发表时间：
2009-06
影响因子：
5.7
通讯作者：
Kroenke, Kurt
中科院分区：
文献类型：
--
作者：
Krebs, Erin E.;Lorenz, Karl A.;Bair, Matthew J.;Damush, Teresa M.;Wu, Jingwei;Sutherland, Jason M.;Asch, Steven M.;Kroenke, Kurt
不充分的疼痛评估是一个障碍，适当的疼痛管理，但单项“疼痛筛查”提供有限的信息，慢性疼痛。多维疼痛测量，如简明疼痛量表（BPI）广泛用于疼痛专业和研究环境，但不适用于初级保健。一个简单而直接的多维疼痛测量可能会改善初级保健中慢性疼痛的初步评估和随访。开发一种基于BPI的超短期疼痛测量方法。缩短的三项疼痛测量的开发及其可靠性，有效性和反应性的初步评估。我们使用的数据来自1）500名慢性疼痛初级保健患者的纵向研究和2）646名从门诊护理招募的退伍军人的横断面研究。所选项目评估平均疼痛强度（P）、对生活享受的干扰（E）和对一般活动的干扰（G）。在两个研究样本中，三项量表（PEG）的信度分别为α = 0.73和0.89。总体而言，PEG的结构效度对于各种疼痛特异性指标均良好（研究1 = 0.60-0.89，研究2 = 0.77-0.95），与BPI相当。PEG对变化敏感，并在6个月时区分疼痛改善和无疼痛改善的患者。我们提供了强有力的初步证据的可靠性，结构效度，和初级保健和其他门诊患者的PEG反应。PEG可能是一个实用和有用的工具，以改善评估和监测慢性疼痛的初级保健。
Inadequate pain assessment is a barrier to appropriate pain management, but single-item “pain screening” provides limited information about chronic pain. Multidimensional pain measures such as the Brief Pain Inventory (BPI) are widely used in pain specialty and research settings, but are impractical for primary care. A brief and straightforward multidimensional pain measure could potentially improve initial assessment and follow-up of chronic pain in primary care. To develop an ultra-brief pain measure derived from the BPI. Development of a shortened three-item pain measure and initial assessment of its reliability, validity, and responsiveness. We used data from 1) a longitudinal study of 500 primary care patients with chronic pain and 2) a cross-sectional study of 646 veterans recruited from ambulatory care. Selected items assess average pain intensity (P), interference with enjoyment of life (E), and interference with general activity (G). Reliability of the three-item scale (PEG) was α = 0.73 and 0.89 in the two study samples. Overall, construct validity of the PEG was good for various pain-specific measures ( = 0.60–0.89 in Study 1 and = 0.77–0.95 in Study 2), and comparable to that of the BPI. The PEG was sensitive to change and differentiated between patients with and without pain improvement at 6 months. We provide strong initial evidence for reliability, construct validity, and responsiveness of the PEG among primary care and other ambulatory clinic patients. The PEG may be a practical and useful tool to improve assessment and monitoring of chronic pain in primary care.
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影响因子：
7.4
作者：
Cleeland, CS;Nakamura, Y;Serlin, RC
通讯作者：
Serlin, RC
影响因子：
3.6
作者：
Mendoza, T;Mayne, T;Cleeland, C
通讯作者：
Cleeland, C
影响因子：
3
作者：
KAZIS, LE;ANDERSON, JJ;MEENAN, RF
通讯作者：
MEENAN, RF
影响因子：
3
作者：
MCHORNEY, CA;WARE, JE;RACZEK, AE
通讯作者：
RACZEK, AE
影响因子：
7.4
作者：
JENSEN, MP;STROM, SE;ROMANO, JM
通讯作者：
ROMANO, JM