Validation of the French Version of the “Patterns of Activity Measure” in patients with chronic musculoskeletal pain
Open accessAbstract
Background. The “Patterns of Activity Measure” (POAM-P) is a self-administered questionnaire that assesses “avoidance”, “pacing” and “overdoing” activity patterns in chronic pain patients.Objectives. To adapt the POAM-P to French (“POAM-P/F”) and test its validity and reliability in Chronic Musculo-Skeletal Pain patients (CMSP).Methods. We followed the recommended procedure for translation of questionnaires. Five hundred and ninety five inpatients, admitted to a tertiary rehab center in the French-speaking part of Switzerland for chronic pain after orthopedic trauma, were included (sex ratio M/F = 4.36, mean age 43±12 ). Face, content and criterion validities, internal consistency and reliability were assessed. Data included: TAMPA Scale for Kinesiophobia (TSK), Chronic Pain Coping Inventory (CPCI), Pain Catastrophizing Scale (PCS), Brief Pain Inventory (BPI), Hospital Anxiety and Depression Scale (HADS).Results. Face and content validities were checked during the translation process. Correlations between POAM-P/F-avoidance and TSK, POAM-P/F-pacing and CPCI-pacing, POAM-P/F-overdoing and CPCI-task persistence were highly significant ( r>0.3 , p<10-2 ). The three subscales demonstrated excellent homogeneity (Cronbach’s alpha coefficients > 0.8) and test-retest reliability (Intraclass Correlation Coefficients > 0.8). They correlated very differently with the other scales.Discussion and Conclusion. The three POAM-P/F subscales clearly assess different behaviors in CMSP. The POAM-P/F is a suitable questionnaire for classifying French speaking CMSP into avoiders, pacers or overdoers.
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Internal structure validity of the POAM-P was not examined in the original study of the scale or in the Dutch adaptation, French adaptation and Spanish translation studies.
“internal structure validity was not examined in the original study of the scale or in the Dutch adaptation, French adaptation, and Spanish translation studies”
From Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. (2022) · cites this paper as Benaim et al., 2017
The Introduction (page unavailable) says the Dutch adaptation confirmed the POAM-P’s three-factor structure, contrary to the claim that internal structure validity was not examined there. The French study’s Methods (page unavailable) also describe a principal component analysis, although it used subscale scores rather than testing the questionnaire’s item-level structure. (LLM, conf=0.90)
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Experimental — accuracy not yet measuredThe negative correlation between pacing and depression and anxiety found in this study supports the original and French adaptation study results.
“This result supports the original and French adaptation study results.”
From Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. (2022) · cites this paper as Benaim et al., 2017
The Discussion (page unavailable) says psychological disturbances were linked to higher avoidance and lower overdoing scores, whereas pacing was linked to higher age. The Results (section 3.2, page unavailable) likewise associate the mood factor with avoidance, not pacing; the French adaptation study therefore does not report the claimed negative correlation between pacing and depression or anxiety. (LLM, conf=0.87)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredThe negative correlation between avoidance and depression and anxiety found in this study differs from the results of the original and French adaptation studies of the scale.
“This relationship was different from the results of original and French adaptation studies”
From Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. (2022) · cites this paper as Benaim et al., 2017
The French adaptation’s Results (section 3.2, page unavailable) place avoidance in the same direction as the psychological scales on a factor strongly associated with anxiety and depression. That supports a contrast with the citing study’s negative correlation. The Introduction describes the original study’s avoidance scores as associated with negative psychosocial outcomes, but does not establish its specific correlations with depression and anxiety. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe positive correlation between overdoing and depression and anxiety supports the original study result of the scale but does not support the French adaptation study result.
“This correlation supports the original study result of the scale but does not support the French adaptation study result.”
From Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. (2022) · cites this paper as Benaim et al., 2017
The Discussion (p. not provided) supports the contrast with the French adaptation: it reports higher psychological disturbances alongside lower overdoing scores. The Introduction (p. not provided) says the original study associated overdoing with negative psychosocial outcomes, but does not specify positive correlations with both depression and anxiety. (LLM, conf=0.82)
Experimental — accuracy not yet measuredIn the French version of the POAM-P, Cronbach alpha values were 0.877 for avoidance, 0.846 for overdoing and 0.891 for pacing.
“In the French version of the scale, Cronbach alpha values were calculated for internal consistency as 0.877 for avoidance, 0.846 for overdoing, and 0.891 for pacing”
From Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. (2022) · cites this paper as Benaim et al., 2017
In the French version of the POAM-P, the ICC was 0.881 for avoidance, 0.731 for overdoing and 0.865 for pacing.
“In the French version of the POAM-P, ICC was calculated as 0.881, 0.731, and 0.865 for avoidance, overdoing, and pacing, respectively”
From Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. (2022) · cites this paper as Benaim et al., 2017
The POAM-P was developed in English, and Dutch and French adaptation studies of it have been conducted.
“POAM-P was developed in English. Thereafter, Dutch and French adaptation studies of POAM-P have been conducted, respectively”
From Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. (2022) · cites this paper as Benaim et al., 2017
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- Authors
- Benaim, C., Léger, B., Vuistiner, P., & Luthi, F.
- Affiliations
- Department of Physical Medicine and Rehabilitation, Orthopaedic Hospital, Lausanne University Hospital, Lausanne, Switzerland
- Clinique Romande de Réadaptation (CH)
- Centre Hospitalier Universitaire Vaudois (CH)
- Venue
- Pain Research and Management
- Publisher
- Wiley
- Published
- 2017
- Volume
- 2017
- Pages
- 1-7
- ISSN
- 1203-6765 (ISSN-L)
- 1918-1523
- PMC
- PMC5309399
- OpenAlex
- W2585082977
- Cited by
- 24
- References
- 34
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 4 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2018: 6
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Pain Research and Management (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- SERVAL (Université de Lausanne) (publishedVersion, other-oa)
- IRIS (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic musculoskeletal pain, French translation, questionnaire validation, activity avoidance, pacing behavior, kinesiophobia, pain coping, pain catastrophizing, orthopedic trauma, rehabilitation
- MeSH terms
- Anxiety, Depression, Disability Evaluation, Female, France, Humans, Male, Pain Measurement, Surveys and Questionnaires, Translating, Reproducibility of Results, Principal Component Analysis, Catastrophization, Diagnostic Self Evaluation, Chronic Pain, Musculoskeletal Pain
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