Comparative responsiveness of pain measures in cancer patients
Open accessAbstract
Unlabelled Brief measures to assess and monitor pain in cancer patients are available, but few head-to-head psychometric comparisons of different measures have been reported. Baseline and 3-month data were analyzed from 274 patients enrolled in the Indiana Cancer Pain and Depression (INCPAD) trial. Participants completed the Brief Pain Inventory (BPI), the PEG (a 3-item abbreviated version of the BPI), the short form (SF)-36 pain scale, and a pain global rating of change measure. The global rating was used as the criterion for standardized response mean and receiver operating characteristic curve analyses. To assess responsiveness to the trial intervention, we evaluated standardized effect size statistics stratified by trial arm. All measures were responsive to global improvement, discriminated between participants with and without improvement, and detected a significant intervention treatment effect. Short and longer measures were similarly responsive. Also, composite measures that combined pain severity and interference into a single score (BPI total, PEG, SF-36 pain) performed comparably to separate measures of each domain (BPI severity and BPI interference).Perspective Pain measures as brief as 2 or 3 items that provide a single score are responsive in patients with cancer-related pain. Ultra-brief measures offer a valid and efficient means of assessing and monitoring pain for the clinical management as well as research of cancer-related pain.
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The PEG is a validated three-item measure of pain intensity and interference with internal consistency between .73 and .89.
“The validated 3-item PEG score, is the average of pain intensity (P), interference with enjoyment in life (E), and interference with general activity (G) over the past week (Cronbach’s α = .73-.89).42–45”
From Improving well-being for individuals with persistent pain after surgery for breast cancer, lobular carcinoma in situ, or ductal carcinoma in situ: A randomized clinical trial (2022) · cites this paper as [44]
The Methods (Outcome Assessment) confirm that PEG averages three past-week items: pain intensity, interference with enjoyment of life, and interference with general activity. The Results (Internal Reliability and Interscale Correlations) report Cronbach’s α of .69 for PEG, not .73–.89; those values are reported for other scales. (LLM, conf=0.91)
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Validating the Functional Pain Scale for Hospitalized Adults
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- Authors
- Kroenke, K., Theobald, D., Wu, J., Tu, W., & Krebs, E. E.
- Affiliations
- Regenstrief Institute (US)
- Indiana University Indianapolis (US)
- Corresponding author
- Kroenke, Kurt
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2012-08
- Volume
- 13
- Issue
- 8
- Pages
- 764-772
- ISSN
- 1526-5900 (ISSN-L)
- PMC
- PMC4269348
- OpenAlex
- W2074167004
- Cited by
- 49
- References
- 63
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 5 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 7 · 2018: 8 · 2017: 4 · 2016: 3 · 2015: 8 · 2014: 1 · 2013: 2
- FWCI
- 4.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- PMC
- Funders
- National Institute of Mental Health (MH 071268, R01MH071268)
- National Cancer Institute (R01CA115369)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- cancer pain, pain assessment, Brief Pain Inventory, responsiveness, psychometric comparison, standardized response mean, receiver operating characteristic, pain intensity, pain interference
- MeSH terms
- Adult, Aged, Aged, 80 and over, Depression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neoplasms, Pain, Pain Measurement, Psychometrics, ROC Curve, Reproducibility of Results, Outcome Assessment, Health Care
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