The accuracy of pain and fatigue items across different reporting periods

The accuracy of pain and fatigue items across different reporting periods
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DOI:
10.1016/j.pain.2008.03.024
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发表时间:
2008-09-30
期刊:
影响因子:
7.4
通讯作者:
Stone, Arthur A.
Stone, Arthur A.
中科院分区:
医学1区
文献类型:
--
作者:
Broderick, Joan E.;Schwartz, Joseph E.;Stone, Arthur A.

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为评估疼痛和疲劳的项目规定的报告期长度因仪器而异。召回的时间长短如何影响症状报告的准确性在很大程度上是未知的。这项研究调查了广泛使用的疼痛和疲劳测量(SF36v2)中几个项目在1天到28天的报告期内评级的准确性。简明疼痛问卷、麦吉尔疼痛问卷、简明疲劳量表)。来自社区风湿科诊所的患者(N=83)使用电子病历每天平均5.4次完成短暂的疼痛和疲劳项目,持续一个月。平均瞬时评级构成了与整个月散布在1天、3天、7天的召回评级进行比较的基础。和28天的周期。正如之前的研究发现的那样,回忆评级相对于平均的瞬时评级一直被夸大。横跨大多数商品。1天的回忆与当天的平均瞬间评估很好地吻合。有几个,但不是全部。各项目在不同的报告中显示出很大的相关性。句号。另外一项逐日回忆的任务表明,患者在过去几天之后实际记住症状水平的难度越来越大。这些数据是在患者接受常规护理时收集的,可能不能概括为正在引入新的干预措施和评估结果的情况。报告周期会影响回溯性症状报告的准确性,在研究设计中应予以考虑。2008年国际疼痛研究协会。爱思唯尔出版,版权所有。
The length of the reporting period specified for items assessing pain and fatigue varies among instruments. How the length of recall impacts the accuracy of symptom reporting is largely unknown. This study investigated the accuracy of ratings for reporting periods ranging from 1 day to 28 days for several items from widely used pain and fatigue measures (SF36v2. Brief Pain Inventory, McGill Pain Questionnaire, Brief Fatigue Inventory). Patients from a community rheumatology practice (N = 83) completed momentary pain and fatigue items oil average of 5.4 times per day for a month using an electronic chary. Averaged momentary ratings formed the basis for comparison with recall ratings interspersed throughout the month referencing 1-day, 3-day, 7-day. and 28-day periods. As found in previous research, recall ratings were consistently inflated relative to averaged momentary ratings. Across most items. 1-day recall corresponded well to the averaged momentary assessments for the day. Several, but not all. items demonstrated Substantial correlations across the different reporting. periods. An additional 7 day-by-day recall task suggested that patients have increasing difficulty actually remembering symptom levels beyond the past several days. These data were collected while patients were receiving usual care and may not generalize to conditions where new interventions are being introduced and Outcomes evaluated. Reporting periods can influence the accuracy of retrospective symptom reports and should be a consideration in study design. 2008 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.