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Psychometric Properties of the Pain Stages of Change Questionnaire: New Insights on the Measurement of Readiness to Change in Adolescents, Mothers, and Fathers. J Pain 2015 Jul;16(7):645-56

Date

04/12/2015

Pubmed ID

25863171

DOI

10.1016/j.jpain.2015.03.012

Scopus ID

2-s2.0-84937637808   4 Citations

Abstract

UNLABELLED: There is increasing interest in the measurement of "readiness to change," or willingness to engage in a self-management approach to pain coping, as a predictor of treatment response in pediatric pain populations. The primary aim of the present study was to provide cross-validation of the Pain Stages of Change Questionnaire-Adolescent and -Parent versions in a new, independent pediatric chronic pain sample by examining aspects of reliability, validity, and generalizability of the factor structures identified in the initial validation study. Secondary aims were to 1) expand upon previously identified differences between the Pain Stages of Change Questionnaire-Adolescent and -Parent versions and 2) examine previously unreported aspects of father data. Although slight differences emerged, the factor structures identified in the initial validation were largely replicated, suggesting that the psychometric properties of the measure are robust across pediatric outpatient chronic pain samples. Variability between parent and adolescent reports suggests that there may be meaningful differences in the interpretation of each measure and that factors other than readiness to change may influence response patterns. Findings highlight the need for more fine-tuned analyses of the way the construct operates in youth with pediatric pain and their parents.

PERSPECTIVE: Findings provide further validation of the Pain Stages of Change Questionnaire-Adolescent and -Parent versions measures in a new outpatient pediatric chronic pain sample. Previously uninvestigated father data showed good reliability and patterns of findings similar to validated mother reports. Moreover, the study suggests that the adolescent and parent versions may function in meaningfully different ways.

Author List

Evans JR, Jastrowski Mano K, Guite JW, Weisman SJ, Hainsworth KR

Authors

Keri Hainsworth PhD Associate Professor in the Anesthesiology department at Medical College of Wisconsin
Steven J. Weisman MD Professor in the Anesthesiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Anxiety
Catastrophization
Chronic Pain
Disabled Persons
Factor Analysis, Statistical
Fathers
Female
Follow-Up Studies
Humans
Male
Mothers
Pain Measurement
Parent-Child Relations
Psychometrics
Reproducibility of Results
Self Care
Surveys and Questionnaires
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