Pain Management Unit, Queen Elizabeth II Health Sciences Centre, Halifax, NS.
Department of Psychology, Lakehead University, Thunder Bay, ON, Canada.
Clin J Pain. 2020 Sep;36(9):675-682. doi: 10.1097/AJP.0000000000000853.
There has been growing interest in examining pain-related activity patterns and their relationships to psychosocial functioning. The Patterns of Activity Measure-Pain (POAM-P) is frequently used to measure 3 pain-related activity patterns: avoidance, overdoing, and pacing. Although the POAM-P possesses excellent psychometric properties, its length may limit its utility where multiple measures of functioning are required or the time available for assessment is limited. The present studies describe the development and evaluation of a short-form version of this measure.
In Study 1, 775 individuals with ongoing pain completed the original POAM-P at the start of a treatment program. Item analyses were conducted to construct a short-form of the POAM-P. In Study 2, a separate sample of 171 individuals completed the original and short-form of the POAM-P, and measures of psychosocial functioning. Correlations between the short-form and original, and between the short-form and measures of psychosocial functioning were examined to evaluate the reliability and validity of the short-form.
The 3 scales of the short-form were found to have excellent internal consistency and correlated well with corresponding scales on the original POAM-P. Correlations between scales on the short-form and measures of psychosocial functioning supported the construct validity of the measure.
The short-form of the POAM-P possesses good psychometric properties and correlates well with the long-form of the measure. It appears to be a promising addition to existing measures of pain-related activity. It may be useful as an addition to questionnaire batteries that comprehensively assess the psychosocial functioning of individuals with ongoing pain.
人们对检查与疼痛相关的活动模式及其与心理社会功能的关系越来越感兴趣。活动模式量表-疼痛(POAM-P)常用于测量 3 种与疼痛相关的活动模式:回避、过度活动和调整节奏。尽管 POAM-P 具有出色的心理测量学特性,但由于需要多个功能测量或评估时间有限,其长度可能会限制其使用。本研究描述了该测量工具的简短版本的开发和评估。
在研究 1 中,775 名持续疼痛的个体在治疗计划开始时完成了原始 POAM-P。进行项目分析以构建 POAM-P 的简短版本。在研究 2 中,171 名个体分别完成了原始和简短的 POAM-P 以及心理社会功能的测量。检查简短形式与原始形式之间以及简短形式与心理社会功能测量之间的相关性,以评估简短形式的可靠性和有效性。
简短形式的 3 个量表具有极好的内部一致性,与原始 POAM-P 的相应量表相关性良好。简短形式量表与心理社会功能测量之间的相关性支持了该测量的结构有效性。
POAM-P 的简短形式具有良好的心理测量特性,与该测量的长式相关性良好。它似乎是现有与疼痛相关的活动测量工具的一个有前途的补充。它可能对全面评估持续疼痛个体的心理社会功能的问卷组合有用。