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Reliability and validity of a modified Brief Pain Inventory short form in patients with osteoarthritis
Abstract
The Brief Pain Inventory short form (BPI‐sf) is a validated, widely used, self‐administered questionnaire developed to assess the severity of pain and the impact of pain on daily functions. A modified version was used daily in randomised control trials of patients with arthritis undergoing treatment with cyclooxygenase‐2 specific inhibitors and non‐steroidal anti‐inflammatory drugs. Results indicate that the modified BPI‐sf, much like the original scale, was internally reliable, consistent over time, and had good construct, as well as convergent and predictive validity in assessment of patients suffering from conditions of chronic pain. Each scale and individual pain intensity item refers to changes in osteoarthritis pain associated with medication use. The modified BPI‐sf, like the parent scale, is a valid and reliable tool for situations in which pain is assessed daily and minimises the burden placed on patients to record information necessary for scientific investigations.
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“The BPI has demonstrated good construct validity, adequate internal consistency,49 Cronbach’s alpha, α=0.88 and acceptable test-retest reliability.50”
From Investigating the effectiveness of an online acceptance and commitment therapy (ACT) intervention versus a waiting list control condition on pain interference and quality of life in adults with chronic pain and multimorbidity: Protocol for a randomised controlled trial (2019) · cites this paper as [50]
In the citing paper
“Excellent test–retest reliability of the BPI has also been demonstrated among people with chronic pain due to osteoarthritis.38 Correlation coefficients ranging from r=0.83–0.88 and from r=0.83–0.93 were reported for the pain intensity and for the pain interference scales, respectively.38”
In the citing paper
“Excellent test-retest reliability has been reported in a chronic pain cohort [39]”
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Salgueiro, M., García-Leiva, J. M., Ballesteros, J., Hidalgo, J., Molina, R., & Calandre, E. P. (2013) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-11-132 · Cited by 171
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Brain activity for chronic knee osteoarthritis: Dissociating evoked pain from spontaneous pain
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Olesen, S. S., Juel, J., Nielsen, A. K., Frøkjær, J. B., Wilder‐Smith, O. H. G., & Drewes, A. M. (2014) · Pancreatology · doi:10.1016/j.pan.2014.09.009 · Cited by 104
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Validation of the Brief Pain Inventory in Patients Six Months After Cardiac Surgery
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BackgroundBlom, A. W., Lenguerrand, E., Strange, S., Noble, S., Beswick, A. D., Burston, A., Garfield, K., Gooberman‐Hill, R., Harris, S. R. S., Kunutsor, S. K., et al. (2022) · BMJ · doi:10.1136/bmj-2022-071281 · Cited by 91
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“BPI-SF is a self-administered questionnaire developed to evaluate pain severity and pain interference on daily function over the past 24 h [49, 50].”
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ResultAuricular Acupuncture for Chronic Pain and Insomnia: A Randomized Clinical Trial
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“The Brief Pain Inventory (short form) is a widely used, validated, self-administered questionnaire that evaluates pain severity and the impact of pain on daily function (pain interference).(15) It has been used as an internally reliable, consistent method to assess for daily pain intensity and pain interference.”
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“Several studies support the validity of the BPI-SF for a heterogeneous group of chronic pain patients.(27)”
Daily Fluctuations of Progesterone and Testosterone Are Associated With Fibromyalgia Pain Severity
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“The MPIIQM showed good construct validity, with a strong and stable two-factor structure similar to the factor structure of the BPI, in keeping with psychometric studies of the BPI carried out in large cohorts of MSK pain patients (Keller et al., 2004; Mendoza et al., 2006) (Supplementary file 2).”
MethodPain and physical performance in people with COPD
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“The BPI has been shown to have predictive validity in a number of patient populations with chronic conditions [15,16].”
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Sawyer, J., Haslam‐Larmer, L., Robinson, S., Daines, P., & Stilos, K. K. (2008) · Pain Management Nursing · doi:10.1016/j.pmn.2008.02.001 · Cited by 67
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“Measures The BPI-SF measures pain intensity and pain interference in function during the past week (Cleeland, 2009; Daut et al., 1983; Keller et al., 2004; Mendoza et al., 2006).”
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“Validity was successfully established by comparing Brief Pain Inventory (BPI) scores with the Roland-Morris Disability Questionnaire, the Western Ontario and McMaster Universities Osteoarthritis Index Pain, stiffness and physical conditions scores, visual analog scale (VAS) scores, and with 36-Item Short Form Health S…”
MethodA randomized controlled trial of an online self-management program for adults with arthritis pain
Trudeau, K. J., Pujol, L. A. M., DasMahapatra, P., Wall, R., Black, R. A., & Zacharoff, K. L. (2015) · Journal of Behavioral Medicine · doi:10.1007/s10865-015-9622-9 · Cited by 65
“The BPI’s reliability and validity were originally established with samples of cancer pain patients, but have now been found for chronic non-cancer pain, including arthritis (Keller et al. 2004; Mendoza et al. 2006).”
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Cai, Y., Leveille, S. G., Shi, L., Chen, P., & You, T. (2020) · The Journals of Gerontology Series A · doi:10.1093/gerona/glaa249 · Cited by 61
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“The use of patient-reported outcomes for assessment of functional improvement is valid and consistent based on results assessed by the BPI-Short Form, 20 the WOMAC, 22 the FACT-G, 23,24 and the Score for the Modified Assessment and Quantification of Chronic Rheumatoid Affections of the Hands.”
The measurement of pain in patients with trigeminal neuralgia.
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Delirium During Acute Illness in Nursing Home Residents
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“Subjects responded to the modified short form Brief Pain Inventory and the short form McGill pain questionnaire to identify and characterize subjects’ pain (13,14).”
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Double-blind, randomized, controlled, crossover trial of pregabalin for neurogenic claudication
Markman, J. D., Frazer, M. E., Rast, S. A., McDermott, M., Gewandter, J. S., Chowdhry, A. K., Czerniecka, K., Pilcher, W. H., Simon, L. S., & Dworkin, R. H. (2014) · Neurology · doi:10.1212/wnl.0000000000001168 · Cited by 54
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“It is a widely used, reliable, valid instrument that assesses pain history, location, intensity and its interference with daily activities in individuals with osteoarthritis [82].”
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“Since pain was the primary outcome measure in this study; a change in pain severity was selected to determine the required sample size using Brief Pain Inventory (BPI) data from a previous study on pain in people with OA [35].”
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Research Reporting Standards for Image-guided Ablation of Bone and Soft Tissue Tumors
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Patients´ Experiences of Pain Following Day Surgery - At 48 Hours, Seven Days and Three Months
Rosén, H., Bergh, I. H., Odén, A., & Mårtensson, L. B. (2011) · The Open Nursing Journal · doi:10.2174/1874434601105010052 · Cited by 46
“The BPI-SF has shown both good criterion validity and internal consistency [33].”
Validity, Reliability, and Responsiveness of the Brief Pain Inventory in Inflammatory Bowel Disease
Jelsness‐Jørgensen, L., Moum, B. A., Grimstad, T. B., Jahnsen, J., Opheim, R., Berset, I. P., Hovde, Ø., Torp, R., Frigstad, S. O., Huppertz‐Hauss, G., et al. (2016) · Canadian Journal of Gastroenterology and Hepatology · doi:10.1155/2016/5624261 · Cited by 45
“…developed in cancer treatment [10] and has been translated to several languages and validated as well [9, 11–14], but it has also been tested and used in nonmalignant conditions, such as osteoarthritis, rheumatoid arthritis, multiple sclerosis, diabetic neuropathy, and low back pain [15–19].”
Paramore, C., Levine, L. M., Bagshaw, E., Ouyang, C., Kudlac, A., & Larkin, M. (2020) · Patient · doi:10.1007/s40271-020-00473-0 · Cited by 46
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“54 55 3.”
Social Factors, Disability, and Depressive Symptoms in Adults With Chronic Pain
Solé, E., Racine, M., Tomé‐Pires, C., Galán, S., Jensen, M. P., & Miró, J. (2020) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000815 · Cited by 53
Determinants of impaired quality of life in patients with fibrous dysplasia
Majoor, B. C. J., Andela, C. D., Bruggemann, J., van de Sande, M. A. J., Kaptein, A. A., Hamdy, N. A. T., Dijkstra, P. D. S., & Appelman‐Dijkstra, N. M. (2017) · Orphanet Journal of Rare Diseases · doi:10.1186/s13023-017-0629-x · Cited by 44
Myofascial trigger point needling for whiplash associated pain – A feasibility study
Tough, E. A., White, A. R., Richards, S. H., & Campbell, J. L. (2010) · Manual Therapy · doi:10.1016/j.math.2010.05.010 · Cited by 43
“The Short-Form McGill Pain Questionnaire (SF-McGill) (Melzack, 1987); the Neck Disability Index (NDI) (Vernon and Mior, 1991; Vernon, 2000); the modified Brief Pain Inventory short-form (m-BPI-sf) (Mendoza et al., 2006); and the Hospital Anxiety and Depression Scale Anxiety sub-scale (HADS-A)(Snaith, 2003).”
MethodHarvey, M.-P., Lorrain, D., Martel, M., Bergeron-Vézina, K., Houde, F., Seguin, M., & Léonard, G. (2017) · Clinical Interventions in Aging · doi:10.2147/cia.s133423 · Cited by 42
Scriven, H., Doherty, D., & Ward, E. (2019) · Rural and Remote Health · doi:10.22605/rrh4710 · Cited by 41
Overstreet, D. S., Michl, A. N., Penn, T. M., Rumble, D., Aroke, E. N., Sims, A., King, A. L., Hasan, F. N., Quinn, T. L., Long, D. L., et al. (2021) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-021-04306-5 · Cited by 44
“Participants also completed the Brief Pain Inventory – Short Form (BPI-SF, described in greater detail below), which is a validated questionnaire of self-reported pain severity and interference [25].”
BackgroundMethodCurtin, K. B., & Norris, D. (2017) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2017.08.006 · Cited by 40
Mediators and moderators of chronic pain outcomes in an online self-management program.
DasMahapatra, P., Chiauzzi, E., Pujol, L. M., Los, C., & Trudeau, K. J. (2015) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000125 · Cited by 40
Sarkar, T. D., Edwards, R. R., & Baker, N. A. (2022) · Pain Practice · doi:10.1111/papr.13144 · Cited by 39
“We used the Brief Pain Inventory- Short Form (BPI- SF) to measure each participant's pain intensity and pain interference levels over the past 24 h.(23) Knee and overall body pain intensities were measured immediately prior to the VR intervention, immediately postintervention, and at follow- up (24– 48 h after the int…”
MethodMeasuring pain in patients undergoing hemodialysis: a review of pain assessment tools
Upadhyay, C., Cameron, K., Murphy, L. L., & Battistella, M. (2014) · Clinical Kidney Journal · doi:10.1093/ckj/sfu067 · Cited by 39
“It has also shown responsiveness in detecting improvement with analgesic use [40].”
BackgroundCancer pain in Jordan: prevalence and adequacy of treatment
Qadire, M. I. A., Tubaishat, A., & Aljezawi, M. (2013) · International Journal of Palliative Nursing · doi:10.12968/ijpn.2013.19.3.125 · Cited by 38
The Incidence and Severity of Physical Pain Symptoms in Marfan Syndrome
Nelson, A. M., Walega, D. R., & McCarthy, R. J. (2015) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000202 · Cited by 38
Huhn, A. S., Tompkins, D. A., Campbell, C. M., & Dunn, K. E. (2018) · Pain Medicine · doi:10.1093/pm/pny295 · Cited by 39
“tionship between pain catastrophizing and self-reported worst pain assessed by the Brief Pain Inventory (BPI) [18], given that pain catastrophizing is defined by exaggerated emotional responses to pain and worst pain is de-”
MethodPain Impacts on Quality of Life and Interferes with Treatment in Adults with Cystic Fibrosis
Kelemen, L., Lee, A. L., Button, B., Presnell, S., Wilson, J. W., & Holland, A. E. (2011) · Physiotherapy Research International · doi:10.1002/pri.524 · Cited by 40
Dubé, M.-O., Desmeules, F., Lewis, J. S., & Roy, J. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-039976 · Cited by 36
Skolasky, R. L., Maggard, A. M., Li, D., Riley, L. H., & Wegener, S. T. (2015) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2015.03.009 · Cited by 37
Pain in patients with borderline personality disorder
Biskin, R. S., Frankenburg, F. R., Fitzmaurice, G. M., & Zanarini, M. C. (2014) · Personality and Mental Health · doi:10.1002/pmh.1265 · Cited by 37
Thomazeau, J., Perin, J., Nizard, R., Bouhassira, D., Collin, E., Nguyen, E., Perrot, S., Bergmann, J., & Lloret‐Linares, C. (2014) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12176 · Cited by 36
“The BPI is a self-administered questionnaire developed to assess pain and its consequences [16].”
BackgroundKelly, D. L., Lyon, D., Ameringer, S., & Elswick, R. K. (2015) · Oncology nursing forum · doi:10.1188/15.onf.265-275 · Cited by 34
Simon, C. B., Lentz, T. A., Bishop, M. D., Riley, J. L., Fillingim, R. B., & George, S. Z. (2016) · Physical Therapy · doi:10.2522/ptj.20150335 · Cited by 35
Jensen, M. P., Hakimian, S., Ehde, D. M., Day, M. A., Pettet, M. W., Yoshino, A., & Ciol, M. A. (2021) · Pain · doi:10.1097/j.pain.0000000000002201 · Cited by 37
“” ThePain Interference Scale of the BPI has a great deal of evidence supporting its reliability and validity as a measure of pain interference in a variety of chronic pain populations.(55,56,75) The Cronbach’s alpha of the BPI Pain Interference Scale in the current sample at pretreatment was 0.”
BackgroundOlesen, S. S., Poulsen, J. L., Broberg, M., Madzak, A., & Drewes, A. M. (2016) · Pancreatology · doi:10.1016/j.pan.2016.06.004 · Cited by 35
“Hence, in our study a pain questionnaire designed and validated for chronic pain assessment (mBPI-sf) was used and the pain pattern profiles were constructed based on the patients report of worst, least and average pain [11,15].”
MethodPlatelet-Rich Plasma in Orthopaedic Surgery
Wang, D., & Rodeo, S. A. (2017) · JBJS Reviews · doi:10.2106/jbjs.rvw.17.00024 · Cited by 34
Booker, S. Q., Herr, K., & Horgas, A. L. (2020) · Pain Management Nursing · doi:10.1016/j.pmn.2020.08.003 · Cited by 35
Phillips, A. E., Faghih, M., Singh, V. K., Olesen, S. S., Kuhlmann, L., Novovic, S., Bick, B. L., Hart, P. A., Ramsey, M. L., Talukdar, R., et al. (2021) · Pancreas · doi:10.1097/mpa.0000000000001912 · Cited by 34
“The European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire is used to evaluate quality of life.23,24 Pain severity and its interference with daily activities are measured using the modified Brief Pain Inventory Short Form.25,26 The Hospital Anxiety and Depression Scales are used t…”
MethodGeriatric Pain Measure Short Form: Development and Initial Evaluation
Blozik, E., Stuck, A. E., Niemann, S., Ferrell, B. A., Harari, D., Renteln-Kruse, W. V., Gillmann, G., Beck, J. C., & Clough‐Gorr, K. M. (2007) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2007.01474.x · Cited by 34
Kuusniemi, K., Zöllner, J., Sjövall, S., Huhtala, J., Karjalainen, P. A., Kokki, M., Lemken, J., Oppermann, J., & Kokki, H. J. (2012) · Journal of International Medical Research · doi:10.1177/030006051204000516 · Cited by 34
Oliveira, G. D. D., Bialek, J. M., Nicosia, L., McCarthy, R., Chang, R., Fitzgerald, P., & Kim, J. Y. S. (2014) · Breast · doi:10.1016/j.breast.2014.01.003 · Cited by 30
“Subjects responded to the modified short form Brief Pain Inventory and the short form McGill pain questionnaire to identify and characterize subjects’ pain [17,18].”
MethodIn-Clinic Use of Electronic Pain Diaries: Barriers of Implementation Among Pain Physicians
Marceau, L. D., Link, C. L., Smith, L. D., Carolan, S., & Jamison, R. N. (2010) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2009.12.021 · Cited by 32
Further Validation of a Portuguese Version of the Brief Pain Inventory Interference Scale
Ferreira-Valente, A., Ribeiro, J. L. P., & Jensen, M. P. (2012) · Clínica y Salud · doi:10.5093/cl2012a6 · Cited by 31
“Consistent with previous research anxiety (FerreiraValente, Pais-Ribeiro, & Jensen, 2011; Keller et al., 2004; Mendoza et al., 2006; Osborne et al., 2006; Poulos et al., 2001; Radbruch et al., 1999; Raichle et al., 2006), pain interference is strongly correlated with pain intensity, physical and…”
ResultLongitudinal analysis of pain and illicit drug use behaviors in outpatients on methadone maintenance
Dhingra, L. K., Perlman, D. C., Masson, C. L., Chen, J., McKnight, C. A., Jordan, A. E., Wasser, T., Portenoy, R. K., & Cheatle, M. D. (2015) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2015.02.007 · Cited by 31
Ferreira, A. C. L., Pereira, D. S., da Silva, S. L. A., Carvalho, G. A., & Pereira, L. S. M. (2023) · Geriatric Nursing · doi:10.1016/j.gerinurse.2023.04.011 · Cited by 33
Corcoran, T. B., Martin, C., O’Loughlin, E., Ho, K. M., Chan, M. T. V., Forbes, A. B., Leslie, K., & Myles, P. S. (2023) · British Journal of Anaesthesia · doi:10.1016/j.bja.2023.03.031 · Cited by 32
Adverse cognitive effect of gabapentin in individuals with spinal cord injury: preliminary findings
Shem, K. L., Barncord, S. W., Flavin, K., & Mohan, M. (2018) · Spinal Cord Series and Cases · doi:10.1038/s41394-018-0038-y · Cited by 30
Metadata
- Authors
- Mendoza, T., Mayne, T., Rublee, D., & Cleeland, C.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Pfizer (United States) (US)
- Corresponding author
- Mendoza, Tito
- Venue
- European Journal of Pain
- Publisher
- Wiley
- Published
- 2006-05
- Volume
- 10
- Issue
- 4
- Pages
- 353-353
- ISSN
- 1090-3801 (ISSN-L)
- 1532-2149
- OpenAlex
- W2152763689
- Cited by
- 444
- References
- 42
- Citations by year
- 2026: 31 · 2025: 34 · 2024: 48 · 2023: 36 · 2022: 32 · 2021: 35 · 2020: 27 · 2019: 25 · 2018: 15 · 2017: 27 · 2016: 19 · 2015: 16 · 2014: 19 · 2013: 17 · 2012: 18
- FWCI
- 3.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pfizer Pharmaceuticals
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Keywords
- Brief Pain Inventory-Short Form, osteoarthritis, pain assessment, questionnaire reliability, construct validity, convergent validity, predictive validity, COX-2 inhibitors, nonsteroidal anti-inflammatory drugs, chronic pain
- MeSH terms
- Adult, Aged, Anti-Inflammatory Agents, Non-Steroidal, Chronic Disease, Data Interpretation, Statistical, Female, Humans, Male, Middle Aged, Osteoarthritis, Pain, Pain Measurement, Surveys and Questionnaires, Reproducibility of Results, Treatment Outcome, Cyclooxygenase 2 Inhibitors
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