慢性疼痛活动节奏的内容分析：我们在测量什么，为什么要测量？
A content analysis of activity pacing in chronic pain: what are we measuring and why?
机构信息
*Beryl & Richard Ivey Rheumatology Day Programs, St. Joseph's Health Care London †Lawson Research Institute, University of Western Ontario, London, ON, Canada ‡Department of Physical Medicine and Rehabilitation, University of Washington, Seattle, WA §Department of Clinical Psychological Science, Research Group Behavioral Medicine, Maastricht University, Maastricht, The Netherlands ∥Department of Psychology, Research Group Health Psychology, University of Leuven, Leuven, Belgium.
出版信息
Clin J Pain. 2014 Jul;30(7):639-45. doi: 10.1097/AJP.0000000000000024.
BACKGROUND
Activity pacing is a common intervention for patients with chronic pain. Over the past decade a number of instruments have been developed to measure this construct, but their comparative psychometric properties have not been examined.
OBJECTIVE
To review the psychometric properties of existing measures of activity pacing, and provide suggestions for future research in this emerging area of pain research.
METHODS
A narrative review of current measures of activity pacing followed by a discussion of the conceptual and psychometric challenges in this area.
RESULTS
Although there is evidence supporting activity pacing as a unitary construct, important differences remain among the various measures in terms of their item content and assumptions. All existing activity pacing measures include items that assess activity regulation, but vary in their specific content. Most importantly, questionnaire items often reflect different purposes of pacing behaviors.
DISCUSSION
Current measures of activity pacing are inadequate. New measures are needed that are based on specific theoretical models; these measures should also make the goal or intent of pacing behaviors explicit. Improvements in the assessment of activity pacing will likely lead to a better understanding of the pacing construct and the effects of pacing interventions.
背景
活动节奏调整是慢性疼痛患者的常见干预措施。在过去的十年中，已经开发出许多用于测量该结构的工具，但尚未检查其比较心理测量特性。
目的
回顾现有的活动节奏测量工具的心理测量特性，并为该新兴疼痛研究领域的未来研究提供建议。
方法
对现有的活动节奏测量工具进行叙述性综述，然后讨论该领域的概念和心理测量挑战。
结果
尽管有证据支持活动节奏调整作为一个单一的结构，但在各种测量工具的项目内容和假设方面仍然存在重要差异。所有现有的活动节奏调整测量工具都包含评估活动调节的项目，但具体内容不同。最重要的是，问卷项目通常反映了不同的节奏行为目的。
讨论
目前的活动节奏调整测量工具不够完善。需要基于特定理论模型的新测量工具；这些措施还应明确说明节奏行为的目的或意图。活动节奏调整评估的改进可能会更好地理解节奏调整结构及其对节奏调整干预的影响。
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