Validation of the Japanese Version of the Patterns of Activity Measure-pain in Individuals with Chronic Pain

Overview

Journal Biopsychosoc Med

Publisher Biomed Central

Date 2022 Sep 3

PMID 36057611

Authors

Kiyoka Enomoto

Tomonori Adachi

Akira Mibu

Katsuyoshi Tanaka

Sei Fukui

Miho Nakanishi

Narihito Iwashita

Jun Sasaki

Tomohiko Nishigami

Affiliations

Soon will be listed here.

Abstract

Background: The Patterns of Activity Measure-Pain (POAM-P) is a self-report questionnaire that measures avoidance, overdoing, and pacing in individuals with chronic pain. We aimed to develop and confirm the psychometric properties of the Japanese version of the POAM-P(POAM-P-J) in Japanese individuals with chronic pain.

Methods: We recruited 147 Japanese individuals with chronic pain (106 women; mean age 64.89 ± 12.13 years). The individuals completed the POAM-P-J, the Brief Pain Inventory (BPI), and the Hospital Anxiety and Depression Scale (HADS). The following psychometric properties of the POAM-P-J were confirmed: structural validity, internal consistency, test-retest reliability, and concurrent validity.

Results: We tested factor structure via confirmatory factor analyses (CFA). We chose the 3-factor model with six covariances. The POAM-P-J's internal consistency and test-retest reliability were acceptable to good (α = 0.79-0.86; ICC = 0.72-0.87). The avoidance and overdoing subscales were positively associated with pain severity, pain interference, and anxiety measures (all p < 0.05), but the pacing subscale was not significantly associated with these pain-related measures.

Conclusions: Although the structural validity of the POAM-P-J remains questionable, its internal consistency, test-retest reliability, and concurrent validity were confirmed. The POAM-P-J is useful in both research and clinical practice for evaluating the activity patterns of Japanese patients with chronic pain.

Citing Articles

Validation and reliability test of Chinese language patient-reported impact of symptoms in schizophrenia scale.

Lin X, Tian H, Wang L, Li R, Ma X, Sun Y Front Psychiatry. 2023; 14:1158937.

PMID: 37293398 PMC: 10244543. DOI: 10.3389/fpsyt.2023.1158937.

References

Vlaeyen J, Linton S . Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000; 85(3):317-332. DOI: 10.1016/S0304-3959(99)00242-0. View

Racine M, Galan S, Vega R, Pires C, Sole E, Nielson W . Pain-related Activity Management Patterns and Function in Patients With Fibromyalgia Syndrome. Clin J Pain. 2017; 34(2):122-129. DOI: 10.1097/AJP.0000000000000526. View

Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D . Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2005; 10(4):287-333. DOI: 10.1016/j.ejpain.2005.06.009. View

McCracken L, Samuel V . The role of avoidance, pacing, and other activity patterns in chronic pain. Pain. 2007; 130(1-2):119-25. DOI: 10.1016/j.pain.2006.11.016. View

Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A . Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005; 8(2):94-104. DOI: 10.1111/j.1524-4733.2005.04054.x. View

Inoue S, Kobayashi F, Nishihara M, Arai Y, Ikemoto T, Kawai T . Chronic Pain in the Japanese Community--Prevalence, Characteristics and Impact on Quality of Life. PLoS One. 2015; 10(6):e0129262. PMC: 4467865. DOI: 10.1371/journal.pone.0129262. View

Cleeland C, Ryan K . Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singap. 1994; 23(2):129-38. View

Kindermans H, Huijnen I, Goossens M, Roelofs J, Verbunt J, Vlaeyen J . "Being" in pain: the role of self-discrepancies in the emotional experience and activity patterns of patients with chronic low back pain. Pain. 2011; 152(2):403-409. DOI: 10.1016/j.pain.2010.11.009. View

Kindermans H, Roelofs J, Goossens M, Huijnen I, Verbunt J, Vlaeyen J . Activity patterns in chronic pain: underlying dimensions and associations with disability and depressed mood. J Pain. 2011; 12(10):1049-58. DOI: 10.1016/j.jpain.2011.04.009. View

10.

Fleiss J, Shrout P . The effects of measurement errors on some multivariate procedures. Am J Public Health. 1977; 67(12):1188-91. PMC: 1653816. DOI: 10.2105/ajph.67.12.1188. View

11.

Cane D, Nielson W, McCarthy M, Mazmanian D . Pain-related activity patterns: measurement, interrelationships, and associations with psychosocial functioning. Clin J Pain. 2012; 29(5):435-42. DOI: 10.1097/AJP.0b013e31825e452f. View

12.

Koo T, Li M . A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med. 2016; 15(2):155-63. PMC: 4913118. DOI: 10.1016/j.jcm.2016.02.012. View

13.

Sparling P, Howard B, Dunstan D, Owen N . Recommendations for physical activity in older adults. BMJ. 2015; 350:h100. DOI: 10.1136/bmj.h100. View

14.

Tunc Suygun E, Toprak Celenay S . Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. Pain Manag Nurs. 2021; 23(2):231-236. DOI: 10.1016/j.pmn.2021.01.008. View

15.

Nakamura M, Nishiwaki Y, Ushida T, Toyama Y . Prevalence and characteristics of chronic musculoskeletal pain in Japan. J Orthop Sci. 2011; 16(4):424-32. PMC: 3140943. DOI: 10.1007/s00776-011-0102-y. View

16.

Zigmond A, SNAITH R . The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67(6):361-70. DOI: 10.1111/j.1600-0447.1983.tb09716.x. View

17.

Esteve R, Ramirez-Maestre C, Peters M, Serrano-Ibanez E, Ruiz-Parraga G, Lopez-Martinez A . Development and Initial Validation of the Activity Patterns Scale in Patients With Chronic Pain. J Pain. 2016; 17(4):451-61. DOI: 10.1016/j.jpain.2015.12.009. View

18.

Luthi F, Vuistiner P, Favre C, Hilfiker R, Leger B . Avoidance, pacing, or persistence in multidisciplinary functional rehabilitation for chronic musculoskeletal pain: An observational study with cross-sectional and longitudinal analyses. PLoS One. 2018; 13(9):e0203329. PMC: 6122830. DOI: 10.1371/journal.pone.0203329. View

19.

Hasenbring M, Verbunt J . Fear-avoidance and endurance-related responses to pain: new models of behavior and their consequences for clinical practice. Clin J Pain. 2010; 26(9):747-53. DOI: 10.1097/AJP.0b013e3181e104f2. View

20.

Hasenbring M, Hallner D, Rusu A . Fear-avoidance- and endurance-related responses to pain: development and validation of the Avoidance-Endurance Questionnaire (AEQ). Eur J Pain. 2008; 13(6):620-8. DOI: 10.1016/j.ejpain.2008.11.001. View