Comparative responsiveness of the PROMIS pain interference short forms, brief pain inventory, PEG, and SF-36 bodily pain subscale

Kean, Jacob; Monahan, Patrick O.; Kroenke, Kurt; Wu, Jingwei; Yu, Zhangsheng; Stump, Tim E.; Krebs, Erin E.

doi:10.1097/mlr.0000000000000497

Cited by 116Musculoskeletal pain and rehabilitationPain Management and Opioid UseHealth Systems, Economic Evaluations, Quality of Life

Comparative responsiveness of the PROMIS pain interference short forms, brief pain inventory, PEG, and SF-36 bodily pain subscale

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Kean, Jacob, Monahan, Patrick O., Kroenke, Kurt, Wu, Jingwei, Yu, Zhangsheng, Stump, Tim E., Krebs, Erin E.·2016·Medical Care

DOI 10.1097/mlr.0000000000000497PMC PMC4792763

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Abstract

PURPOSE: To compare the sensitivity to change and the responsiveness to intervention of the PROMIS Pain Interference short forms, Brief Pain Inventory (BPI), 3-item PEG scale, and SF-36 Bodily Pain subscale in a sample of patients with persistent musculoskeletal pain of moderate severity. METHODS: Standardized response means, standardized effect sizes, and receiver operating curve analyses were used to assess change between baseline and 3-month assessments in 250 participants who participated in a randomized clinical effectiveness trial of collaborative telecare management for moderate to severe and persistent musculoskeletal pain. RESULTS: The BPI, PEG, and SF-36 Bodily Pain measures were more sensitive to patient-reported global change than the PROMIS Pain Interference short forms, especially for the clinically improved group, for which the change detected by the PROMIS short forms was not statistically significant. The BPI was more responsive to the clinical intervention than the SF-36 Bodily Pain and PROMIS Pain Interference measures. Post hoc analyses exploring these findings did not suggest that differences in content or rating scale structure (number of response options or anchoring language) adequately explained the observed differences in the detection of change. CONCLUSIONS: In this clinical trial, the BPI and PEG measures were better able to detect change than the SF-36 Bodily Pain and PROMIS Pain Interference measures.

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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 [43]
The Methods > Measures section describes the PEG as a validated three-item measure with one average-pain item and two interference items, scored as their mean. Our copy does not give a Cronbach’s α range of .73–.89 or specify the past-week recall period; searches for those details did not find them. No page number is available in the indexed passages. (LLM, conf=0.88)
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Authors: Kean, J., Monahan, P. O., Kroenke, K., Wu, J., Yu, Z., Stump, T. E., & Krebs, E. E.
Affiliations: University of Minnesota (US)
ORCID: Kean, Jacob
Monahan, Patrick O.
Kroenke, Kurt
Wu, Jingwei
Yu, Zhangsheng
Krebs, Erin E.
Venue: Medical Care
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-04
Volume: 54
Issue: 4
Pages: 414-421
ISSN: 0025-7079 (ISSN-L)
DOI: 10.1097/mlr.0000000000000497
PMC: PMC4792763
OpenAlex: W2266967734
Cited by: 116
References: 27
Citations by year: 2026: 9 · 2025: 14 · 2024: 12 · 2023: 15 · 2022: 17 · 2021: 12 · 2020: 5 · 2019: 11 · 2018: 14 · 2017: 4 · 2016: 2
FWCI: 8.36
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Medical Care (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
IUScholarWorks (Indiana University) (submittedVersion)
Purdue University Indianapolis (Indiana University) (submittedVersion)
Funders: U.S. Department of Veterans Affairs (IIR 07-119, IK2 RX000879)
National Institutes of Health (UL1TR001108)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR064081)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords: PROMIS pain interference, Brief Pain Inventory, pain interference, responsiveness to intervention, chronic musculoskeletal pain, patient-reported outcomes, standardized response mean, receiver operating characteristic
MeSH terms: Adult, Aged, Female, Humans, Male, Middle Aged, Pain Measurement, ROC Curve, Sensitivity and Specificity, Telemedicine, Comparative Effectiveness Research, Musculoskeletal Pain

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Comparative responsiveness of the PROMIS pain interference short forms, brief pain inventory, PEG, and SF-36 bodily pain subscale

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