Follick Michael J, Ahern David K, Laser-Wolston Nancy
Brown University Program in Medicine, The Miriam Hospital Chronic Pain Research Unit, 164 Summit Avenue, Providence, RI 02906 U.S.A.
Pain. 1984 Aug;19(4):373-382. doi: 10.1016/0304-3959(84)90083-6.
The present study examined the reliability and validity of a daily activity diary for chronic pain patients. The diary assesses various postures and activities including time spent lying, sitting, or standing/walking, the use of pain relief devices, time spent in pain relief activities, and the use of analgesic medications. The methodology compared patient self-report on the daily activity diary to spouse observations of the same activities. In addition, patient self-report of uptime/downtime was compared to the objective assessment of uptime/downtime by an automated electromechanical device. Reliability coefficients for the daily activity diary categories were all positive and statistically reliable as were correlations between patient and spouse ratings on lying down time, time spent standing/walking, and pain intensity. Also, patient self-report of medication use correlated significantly with spouse pill count. Finally, the correlation between patient report of lying down time and downtime as measured by the electromechanical monitor was also positive and highly significant. These results indicate that the daily activity diary is a reliable and valid instrument for the assessment of daily activity patterns of chronic pain patients in their natural environment. These results are discussed in relation to other research and the use of daily diaries for assessment and treatment outcome research with this population.
本研究检验了慢性疼痛患者日常活动日记的信度和效度。该日记评估各种姿势和活动，包括躺卧、坐立或站立/行走所花费的时间、止痛设备的使用情况、止痛活动所花费的时间以及止痛药物的使用情况。研究方法将患者在日常活动日记上的自我报告与配偶对相同活动的观察进行了比较。此外，还将患者对活动时间/休息时间的自我报告与通过自动化机电设备对活动时间/休息时间的客观评估进行了比较。日常活动日记各分类的信度系数均为正值且具有统计学可靠性，患者与配偶在躺卧时间、站立/行走时间以及疼痛强度方面的评分相关性也如此。此外，患者对药物使用的自我报告与配偶清点的药丸数量显著相关。最后，通过机电监测仪测量的患者躺卧时间报告与休息时间之间的相关性也为正值且高度显著。这些结果表明，日常活动日记是一种可靠且有效的工具，可用于评估慢性疼痛患者在自然环境中的日常活动模式。结合其他研究以及使用日常日记对该人群进行评估和治疗效果研究的情况，对这些结果进行了讨论。
