Evaluating chronic pain impact among patients in primary care: Further validation of a brief assessment instrument
Evaluating chronic pain impact among patients in primary care: Further validation of a brief assessment instrument
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DOI：
10.1111/j.1526-4637.2006.00182.x
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发表时间：
2006-07-01
期刊：
影响因子：
3.1
通讯作者：
Newton, Craig
中科院分区：
文献类型：
--
作者：
Karoly, Paul;Ruehlman, Linda S.;Newton, Craig
Objective.评价慢性疼痛量表筛查（PCP：S）在初级保健中的心理测量学特性。PCP：S是一种简短的评估设备，旨在衡量疼痛的严重程度，干扰和情绪负担。问卷调查与短期信效度随访。244例门诊慢性疼痛患者（52%为女性）从五个初级保健机构招募完成了15项PCP：S在初始测试会议。大约1周后，两个亚组参加了重测信度和效度随访。后续调查问卷的电池包括一个措施的社会愿望，反应偏差和几个工具，旨在提供收敛效度的PCP：S.结果。重测信度、内部一致性、因素结构和社会期望偏差都被认为是可以接受的。同样，初步证据表明，凭借其与疼痛调整的既定措施的相关性，PCP：S是一种有效的疼痛评估设备。虽然PCP：S最初是使用通过电话访谈提供数据的慢性疼痛成年人的国家社区样本开发和验证的，但目前的研究结果支持其作为一种简短的和心理测量学上健全的纸笔措施，用于评估初级保健中慢性疼痛的三个关键组成部分。
Objective. To evaluate the psychometric properties of the Profile of Chronic Pain: Screen (PCP:S) in primary care. The PCP:S is a brief assessment device designed to gauge pain severity, interference, and emotional burden.Design. Questionnaire survey with short-term reliability and validity follow-up.Methods. Two hundred and forty-four outpatients (52% female) with chronic pain recruited from five primary care settings completed the 15-item PCP:S at an initial testing session. Approximately 1 week later, two subgroups participated in a retest reliability and validity follow-up. The battery of follow-up questionnaires included a measure of social desirability response bias and several instruments designed to provide convergent validity for the PCP:S.Results. Retest reliability, internal consistency, factor structure, and social desirability bias were all found to be acceptable. Likewise, preliminary evidence suggests that, by virtue of its correlation with established measures of pain adjustment, the PCP:S is a valid pain assessment device.Conclusions. Although the PCP:S was initially developed and validated using a national community sample of adults with chronic pain who provided data via telephone interviews, the present findings support its use as a brief and psychometrically sound paper-and-pencil measure for the assessment of three key components of chronic pain in primary care.