Development and Validation of the Italian "Brief Five-Item Chronic Pain Questionnaire" for Epidemiological Studies.
European Health Interview Survey
chronic pain
epidemiology
methodology
questionnaire
survey
Journal
Journal of pain research
ISSN: 1178-7090
Titre abrégé: J Pain Res
Pays: New Zealand
ID NLM: 101540514
Informations de publication
Date de publication:
2022
2022
Historique:
received:
15
02
2022
accepted:
18
06
2022
entrez:
15
7
2022
pubmed:
16
7
2022
medline:
16
7
2022
Statut:
epublish
Résumé
Chronic pain (CP) prevalence estimates addressing a wide phenotype are still quite fragmented and may vary widely due to the lack of standardized tools of investigation. There is an urgent need to update general population CP estimates. For this purpose, the Brief Five-item Chronic Pain Questionnaire was developed through experts' consultations for design and content validity assessment; literature analysis of measures used to investigate CP for general population surveys; understandability evaluation through a survey on a convenience sample of affected and non-affected individuals; reliability assessment by means of two double-wave online surveys carried out by the Italian Twin Registry; criterion and construct validity assessment through the third wave of the 2019 European Health Interview Survey (Ehis). Key dimensions were defined to describe CP main aspects from a public health perspective. Literature analysis showed that validated questionnaires were rarely used to address important public health CP aspects. Understandability of the measure was good. Test-retest analyses showed adequate reliability of the measure: k values were at least "moderate" with highest values regarding CP "occurrence" and "intensity". Correlations of CP with well-known comorbidities (cancer, depression), and specific traits (age, education) as well as of CP and its intensity with "physical pain occurrence and intensity" detected in the Ehis 2019, confirmed, respectively, a good construct and criterion validity. Construct validity was also evaluated through the correlation between "perceived treatment effectiveness" and "interference of pain in daily life activities" as recorded in the Ehis 2019. The designed questionnaire is a brief self-administered measure, particularly suitable to detect persistent states of pain and related intensity in large-scale general population surveys by means of a first filtering item followed by four further items. It is, in fact, designed to detect CP possible underlying causes/triggers, drugs/treatments taking and frequency, and self-perceived effectiveness among CP sufferers. Further validation of the measure in different social and cultural contexts is desirable.
Sections du résumé
Background
UNASSIGNED
Chronic pain (CP) prevalence estimates addressing a wide phenotype are still quite fragmented and may vary widely due to the lack of standardized tools of investigation. There is an urgent need to update general population CP estimates.
Methods
UNASSIGNED
For this purpose, the Brief Five-item Chronic Pain Questionnaire was developed through experts' consultations for design and content validity assessment; literature analysis of measures used to investigate CP for general population surveys; understandability evaluation through a survey on a convenience sample of affected and non-affected individuals; reliability assessment by means of two double-wave online surveys carried out by the Italian Twin Registry; criterion and construct validity assessment through the third wave of the 2019 European Health Interview Survey (Ehis).
Results
UNASSIGNED
Key dimensions were defined to describe CP main aspects from a public health perspective. Literature analysis showed that validated questionnaires were rarely used to address important public health CP aspects. Understandability of the measure was good. Test-retest analyses showed adequate reliability of the measure: k values were at least "moderate" with highest values regarding CP "occurrence" and "intensity". Correlations of CP with well-known comorbidities (cancer, depression), and specific traits (age, education) as well as of CP and its intensity with "physical pain occurrence and intensity" detected in the Ehis 2019, confirmed, respectively, a good construct and criterion validity. Construct validity was also evaluated through the correlation between "perceived treatment effectiveness" and "interference of pain in daily life activities" as recorded in the Ehis 2019.
Conclusion
UNASSIGNED
The designed questionnaire is a brief self-administered measure, particularly suitable to detect persistent states of pain and related intensity in large-scale general population surveys by means of a first filtering item followed by four further items. It is, in fact, designed to detect CP possible underlying causes/triggers, drugs/treatments taking and frequency, and self-perceived effectiveness among CP sufferers. Further validation of the measure in different social and cultural contexts is desirable.
Identifiants
pubmed: 35837542
doi: 10.2147/JPR.S362510
pii: 362510
pmc: PMC9275508
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1897-1913Informations de copyright
© 2022 Toccaceli et al.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest in this work.
Références
J Pain Symptom Manage. 2016 Jun;51(6):1070-1090.e9
pubmed: 27112310
Eur J Pain. 2006 May;10(4):287-333
pubmed: 16095934
Clin Geriatr Med. 2001 Aug;17(3):417-31, v
pubmed: 11459713
Fam Pract. 2001 Jun;18(3):292-9
pubmed: 11356737
BMC Public Health. 2011 Oct 06;11:770
pubmed: 21978149
Ann Acad Med Singap. 1994 Mar;23(2):129-38
pubmed: 8080219
J Rehabil Res Dev. 2006 Jul-Aug;43(4):451-60
pubmed: 17123185
Am J Emerg Med. 2018 Apr;36(4):707-714
pubmed: 29321111
PLoS One. 2019 Oct 17;14(10):e0224084
pubmed: 31622425
Twin Res Hum Genet. 2019 Dec;22(6):572-578
pubmed: 31554534
J Pain Res. 2017 Nov 06;10:2577-2584
pubmed: 29158689
Twin Res Hum Genet. 2012 Feb;15(1):74-8
pubmed: 22784456
PLoS One. 2018 Oct 24;13(10):e0204054
pubmed: 30356236
Pain Med. 2015 Apr;16(4):811-22
pubmed: 25530229
J Pain. 2008 Oct;9(10):883-91
pubmed: 18602869
Lancet. 2015 Aug 22;386(9995):743-800
pubmed: 26063472
Pain. 2011 May;152(5):1096-1103
pubmed: 21450402
J Psychiatr Res. 2010 May;44(7):454-61
pubmed: 20149391
Anesth Analg. 2017 Nov;125(5):1616-1626
pubmed: 28806206
J Health Serv Res Policy. 2000 Oct;5(4):219-21
pubmed: 11184958
Pain. 2011 Jun;152(6):1249-1255
pubmed: 21397401
J Pain. 2009 Jun;10(6):619-27
pubmed: 19398383
Pain. 2011 Oct;152(10):2241-2247
pubmed: 21601986
Ann Oncol. 2009 Aug;20(8):1420-33
pubmed: 19244085
Pain Pract. 2014 Feb;14(2):E51-62
pubmed: 24304963
Saudi J Anaesth. 2017 May;11(Suppl 1):S80-S89
pubmed: 28616007
Eur J Pain. 2010 Apr;14(4):380-6
pubmed: 19726210
Eur J Anaesthesiol. 1998 Jul;15(4):397-408
pubmed: 9699096
BMC Public Health. 2016 Aug 11;16(1):776
pubmed: 27514513
Pain Manag Nurs. 2022 Apr;23(2):158-167
pubmed: 33962870
Pain. 2017 Nov;158(11):2092-2107
pubmed: 28767506
BMJ Open. 2021 Jun 24;11(6):e049390
pubmed: 34168034
Pain. 2005 Jan;113(1-2):9-19
pubmed: 15621359
J Clin Nurs. 2005 Aug;14(7):798-804
pubmed: 16000093
Pain. 2019 Jan;160(1):19-27
pubmed: 30586067
Pain. 1997 Jun;71(2):141-7
pubmed: 9211475
Int J Epidemiol. 2012 Aug;41(4):1002-9
pubmed: 22576952
Pain Manag Nurs. 2006 Mar;7(1):2-11
pubmed: 16490731
Pain. 2002 Sep;99(1-2):299-307
pubmed: 12237208
J Fam Pract. 1991 Feb;32(2):193-9
pubmed: 1990047
J Pain Symptom Manage. 2012 Aug;44(2):239-51
pubmed: 22871508
J Pain. 2010 Nov;11(11):1230-9
pubmed: 20797916
Pain Res Manag. 2017;2017:4643830
pubmed: 29081680
Value Health. 2011 Dec;14(8):1101-8
pubmed: 22152180
Med Care. 1992 Jun;30(6):473-83
pubmed: 1593914
J Pain. 2012 Aug;13(8):773-83
pubmed: 22858343
J Pain Res. 2013 Sep 17;6:705-11
pubmed: 24092996
Clin Rheumatol. 2022 Mar;41(3):831-837
pubmed: 34671855
Pain. 2019 Jan;160(1):38-44
pubmed: 30586069
J Rheumatol. 2001 Jun;28(6):1369-77
pubmed: 11409133
Pain. 2012 Dec;153(12):2332-2338
pubmed: 22959600
Spine (Phila Pa 1976). 2000 Dec 15;25(24):3140-51
pubmed: 11124730
MMWR Morb Mortal Wkly Rep. 2018 Sep 14;67(36):1001-1006
pubmed: 30212442
Pain. 2020 Jan;161(1):83-95
pubmed: 31568237
Biometrics. 1977 Mar;33(1):159-74
pubmed: 843571
Clin J Pain. 2002 Sep-Oct;18(5):275-81
pubmed: 12218497
Cephalalgia. 2020 Apr;40(5):461-469
pubmed: 31744318