Living Well with Pain: Development and Preliminary Evaluation of the Valued Living Scale
Open accessAbstract
OBJECTIVES: Encouraging individuals with chronic pain to focus on nonpain-related goals that are consistent with personal values is a goal of most psychosocial pain interventions. A valid and reliable measure of goal-related variables would be useful to evaluate the importance of these to patient quality of life and as factors that may explain treatment outcome. DESIGN: We developed items for a measure (the Valued Living Scale, VLS) to assess goal importance, success, and confidence with respect to eight value domains and 26 specific values-related goals, and administered these items to individuals with three chronic pain conditions (low back pain, N = 58; fibromyalgia, N = 55; headache, N = 61). RESULTS: Analyses supported: 1) a two-factor model of the VLS items assessing goal-related variables associated with a) health and productivity and b) social relations; 2) VLS scale score reliability, with Cronbach's alphas greater than 0.70; and 3) VLS scale score validity, as indicated by significant associations with pain intensity, depression, and pain interference in the expected directions. CONCLUSIONS: The VLS items can be administered and scored to assess: 1) the importance of as well as 2) confidence in and 3) success in achieving values-consistent goals. The measure can be used by clinicians to monitor and track changes in patient's perceptions about their goals with treatment. Researchers can use the VLS to test theoretical models of the roles that patient perceptions about goal importance, confidence, and success play in chronic pain treatment outcome.
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Encouraging values-based living is linked to better functioning that includes personalized action plans which facilitate the attainment of meaningful goals, despite the presence of chronic pain and potential physical constraints.
“Similarly, several investigations proved that encouraging values-based living is linked to better functioning that includes personalized action plans which facilitate the attainment of meaningful goals, despite the presence of chronic pain and potential physical constraints [109,110,111,112].”
From A Single-Session Process-Based Cognitive-Behavioral Intervention Combined with Multimodal Rehabilitation Treatment for Chronic Pain Associated with Emotional Disorders (2024) · cites this paper as [110]
The Introduction (page not provided) reports that perceived success in living according to one’s values is associated with psychological and physical functioning in people with chronic pain. The Criterion Validity section says information about individual goals can inform a treatment plan that accounts for patient preferences. But this measure-validation study does not show that personalized action plans facilitate goal attainment despite physical constraints, so the citing sentence’s claim that investigations ‘proved’ that outcome goes beyond the source. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThese findings seem conceptually congruent with findings linking increased valued action (and reduced avoidance functioning behaviour) with improved psychological health and functioning in IBD and chronic conditions.
“Moreover, these findings seem conceptually congruent with findings linking increased valued action (and reduced avoidance functioning behaviour) with improved psychological health and functioning in IBD and chronic conditions [33,100,102,103].”
From Brief and Telehealth Acceptance and Commitment Therapy (ACT) Interventions for Stress in Inflammatory Bowel Disease (IBD): A Series of Single Case Experimental Design (SCED) Studies (2022) · cites this paper as [103]
The Introduction and Criterion Validity sections link perceived success in valued goals with psychological functioning, depressive symptoms, and pain interference in people with chronic pain (page numbers unavailable). This supports the chronic-pain portion of the multi-citation sentence, but this paper does not establish that increases in valued action or reductions in avoidance lead to improved outcomes; its analyses are correlational. (LLM, conf=0.85)
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Self-citation
- Authors
- Jensen, M. P., Vowles, K. E., Johnson, L. E., & Gertz, K. J.
- Affiliations
- University of Washington (US)
- University of New Mexico (US)
- Corresponding author
- Jensen, Mark P.
- Venue
- Pain Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-11
- Volume
- 16
- Issue
- 11
- Pages
- 2109-2120
- ISSN
- 1526-2375 (ISSN-L)
- 1526-4637
- OpenAlex
- W2106925916
- Cited by
- 33
- References
- 45
- Citations by year
- 2024: 2 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 7 · 2017: 2 · 2016: 3 · 2015: 2
- FWCI
- 3.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pain Medicine (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- chronic pain, goal importance, low back pain, fibromyalgia, headache, quality of life, scale development, factor structure, depression, pain interference
- MeSH terms
- Chronic Disease, Female, Fibromyalgia, Humans, Male, Pain Measurement, Psychometrics, Surveys and Questionnaires, Reproducibility of Results, Treatment Outcome, Low Back Pain, Chronic Pain
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