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  4. Measuring pain phenomena after spinal cord injury: Development and psychometric properties of the SCI-QOL Pain Interference and Pain Behavior assessment tools

Measuring pain phenomena after spinal cord injury: Development and psychometric properties of the SCI-QOL Pain Interference and Pain Behavior assessment tools

The Journal of Spinal Cord Medicine, 2018 · DOI: 10.1080/10790268.2017.1279805 · Published: May 1, 2018

Spinal Cord InjuryMental HealthPain Management

Simple Explanation

This paper describes the creation and testing of new questionnaires to measure how pain affects life and behavior after a spinal cord injury (SCI). These are called the SCI-QOL Pain Interference item bank and the SCI-QOL Pain Behavior scale. The questionnaires were developed by talking to people with SCI and SCI specialists, then tested with a large group of individuals with SCI. The questionnaires were refined to ensure they accurately measured pain interference and behavior specifically for the SCI population. The resulting questionnaires can be used to better understand and assess pain in individuals with SCI, and to track the effectiveness of pain treatments. The SCI-QOL Pain Interference item bank is available as a computer adaptive test or short form.

Study Duration
Not specified
Participants
757 adults with traumatic SCI
Evidence Level
Not specified

Key Findings

  • 1
    The SCI-QOL Pain Interference item bank and the SCI-QOL Pain Behavior scale demonstrated robust psychometric properties.
  • 2
    Confirmatory factor analyses confirmed that each set of items was unidimensional, and item response theory analyses were used to estimate slopes and thresholds for the items.
  • 3
    The SCI-QOL Pain Interference item bank is available as a computer adaptive test or short form for research and clinical applications, and scores are transformed to the PROMIS metric.

Research Summary

This study developed and validated the SCI-QOL Pain Interference item bank and the SCI-QOL Pain Behavior scale, which are optimized for individuals with SCI. The measures were developed using qualitative methods and refined through psychometric testing with a large sample of individuals with traumatic SCI. The resulting instruments demonstrated strong psychometric properties and can be used in research and clinical settings to assess pain interference and behavior in individuals with SCI.

Practical Implications

Improved Pain Assessment

The SCI-QOL Pain Interference and Pain Behavior tools offer a more accurate and relevant way to assess pain in individuals with SCI, taking into account their unique challenges and experiences.

Tailored Interventions

By using these tools, clinicians and researchers can better understand how pain affects individuals with SCI, leading to more targeted and effective interventions.

Enhanced Research

The availability of these validated measures will facilitate research on pain management and quality of life in the SCI population, potentially leading to new treatments and strategies.

Study Limitations

  • 1
    Not all dimensions of pain were assessed (e.g., pain intensity).
  • 2
    Types of pain (e.g., musculoskeletal versus neuropathic) were not differentiated.
  • 3
    The sample, while large and heterogeneous, may not be representative of all individuals living with SCI in the United States.

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