Cited by 168Pain Management and Opioid UsePediatric Pain Management TechniquesMusculoskeletal pain and rehabilitation

Psychometric testing of the defense and veterans pain rating scale (DVPRS): a new pain scale for military population

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Polomano, Rosemary C., Galloway, Kevin T., Kent, Michael L., Brandon-Edwards, Hisani, Kwon, Kyung “Nancy”, Morales, Carlos, Buckenmaier, Chester ‘Trip’·2016·Pain Medicine

Abstract

OBJECTIVE: The Defense and Veterans Pain Rating Scale (DVPRS 2.0) is a pain assessment tool that utilizes a numerical rating scale enhanced by functional word descriptors, color coding, and pictorial facial expressions matched to pain levels. Four supplemental questions measure how much pain interferes with usual activity and sleep, and affects mood and contributes to stress. METHODS: Psychometric testing was performed on a revised DVPRS 2.0 using data from 307 active duty service members and Veterans experiencing acute or chronic pain. A new set of facial representations designating pain levels was tested. RESULTS: Results demonstrated acceptable internal consistency reliability (Cronbach's alpha = 0.871) and test-retest reliability (r = 0.637 to r = 0.774) for the five items. Excellent interrater agreement was established for correctly ordering faces depicting pain levels and aligning them on the pain intensity scale (Kendall's coefficient of concordance, W = 0.95 and 0.959, respectively). Construct validity was supported by an exploratory principal component factor analysis and known groups validity testing. Most participants, 70.9%, felt that the DVPRS was superior to other pain rating scales. CONSCLUSION: The DVPRS 2.0 is a reliable and valid instrument that provides standard language and metrics to communicate pain and related outcomes.

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  1. Stratford PW, Spadoni G. The reliability, consist- ency, and clinical application of a numeric pain rat- ing scale. Physiother Can 2001;53:88-91.

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Authors
Polomano, R. C., Galloway, K. T., Kent, M. L., Brandon-Edwards, H., Kwon, K. “., Morales, C., & Buckenmaier, C. ‘.
Affiliations
  • University of Pennsylvania (US)
  • Henry M. Jackson Foundation (US)
  • Walter Reed National Military Medical Center (US)
Venue
Pain Medicine
Published
2016-06-06
Volume
17
Issue
8
Pages
1505-1519
ISSN
  • 1526-2375 (ISSN-L)
  • 1526-4637
OpenAlex
W2414119946
Cited by
168
References
43
Citations by year
2026: 22 · 2025: 16 · 2024: 19 · 2023: 19 · 2022: 20 · 2021: 28 · 2020: 15 · 2019: 11 · 2018: 11 · 2017: 6
FWCI
13.65
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • Pain Medicine (publishedVersion, public-domain)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • Henry M. Jackson Foundation
  • Telemedicine and Advanced Technology Research Center
Topics
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
pain scales, pain assessment, military personnel, veterans, chronic pain, acute pain, facial expressions, numerical rating scale, psychometric validation, reliability statistics, construct validity, known-groups validity
MeSH terms
Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Pain Measurement, Psychometrics, Veterans, Reproducibility of Results, Young Adult

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