The promis r pain interference instruments adult and child measure the selfreported consequences of pain on relevant aspects of a persons life and may include the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities. To evaluate the correspondence between the pspi and participants selfreported pain intensity, the selfreport. Development and psychometric analysis of the promis pain behavior item bank. Development of promis pain measures for children and adolescents is ongoing, with an available, calibrated pain interference item bank 15. Pain intensity measure for persons with dementia pimd. Guideline for prescribing opioids to treat pain in injured. Result of assessment using a standardized pain assessment tool. The last item for asks patients to rate their pain intensity right now. Recently, the patientreported outcomes measurement information system promis has been suggested to be more accurate in measuring pain. Each item is scored on a 0to10 nprs, therefore the total p4 scores can vary from 0 no pain to 40 the highest possible pain level. Authors, chen wh, revicki d, amtmann d, jensen mp, keefe. What number best describes your pain on average in the past week.
The use of unidimensional pain scales such as the numerical rating scale nrs, verbal rating scale vrs, or visual analogue scale vas is recommended for assessment of pain intensity pi. Index of self regulation isr brics ninr index of selfregulation isr. As the populationages, physical andcognitive function can decline pain becomes more prevalent. Chronic pain association has created a 10item quality of life scale for people with pain, which helps correlate the graded chronic pain scale with actual daily activities 19. Apart from promis, validated pediatric pain intensity measures using both numeric and visual response scales are available. Qualitative evaluation of pediatric pain behavior, quality. All 5 pain scales were effective in discriminating different levels of pain sensation.
Promis fatigue, pain intensity, pain interference, pain behavior, physical function, depression, anxiety, and anger scales demonstrate ecological validity. The pain intensity nrs can be used as measure of pain severity, or can be used as part of the promis global scale. The painrelated domains include items for pain intensity. The pain intensity measure for persons with dementia pimd was developed to identify a parsimonious set of items from existing measures to best predict pain intensity in persons with dementia. Developed and validated with stateofthescience methods to be psychometrically sound and. Pain intensity was assessed using the promis pain intensity short form 3a, 25 which consists of 3 items that assess worst, average, and current pain on a 5point likert scale 1 no pain, 5. Linear regression analyzed predictive relationships, controlling for effects of gender and ethnicity. Optimizing acute postoperative dental pain management. The patient reported outcomes measurement information system.
Utility of the promis pediatric pain interference scale in. Pain intensity pain intensity was assessed with the patient reported outcome measurement information system promis scale v1. The vas consists of a horizontal line 100 mm in length, with the end points no pain and worst imaginable pain placed at each end of the line. The promis measure includes the typical 0to10 numeric rating scale nrs for pain intensity. Promis measures of physical function, fatigue, pain interference. Apr 20, 2019 clinical importance of changes in chronic pain intensity measured on an 11point numerical pain rating scale pain 94 2001 149158 is a paper written by john t. The promis 29, a generic healthrelated quality of life survey, assesses each of the 7 promis domains with 4 questions. Patients are usually able to provide quantitative pain intensity estimates relatively quickly, and most measures of pain intensity tend to be closely related to one another. Description the nprs is an elevenpoint scale from 0 to 10. Click on the request pdf button for promis or neuroqol on the right hand side of the page. It is also possible that the non pain intensity factors that contribute to intensity ratings differ between scales. Pain behavior scores were strongly related to pain intensity and moderately.
Clinical importance of changes in chronic pain intensity measured on an 11point numerical pain rating scale pain 94 2001 149158 is a paper written by john t. The promisr pain intensity instrument assesses how much a person hurts. Comparison of selected pain assessment tools for use with the elderly. The pro rosetta stone prosetta stone developed and applied methods to link the patientreported outcomes measurement information system with other related instruments e. The vrs is a 5point scale consisting of a list of phrases no pain, mild pain, moderate pain, intense pain, maximum pain that describe increasing levels of pain intensity. Use of the new pediatric promis measures of pain and. The percentage of agreement between child and parent. Validity of four pain intensity rating scales sciencedirect. Adam pi pain intensity questionnaire supplement v1 public. Adults 66 years ofage orolderas december31 the measurementyear. There is no single primary source document for the 0to10 nrs of pain intensity, but dworkin et al. Promis pain interference is superior vs numeric pain rating.
Request pdf on jan 1, 2012, wenhung chen and others published development and analysis of promis pain intensity scale find, read and cite all the. The promis set of instruments also includes a single item pain intensity scale, which is very similar to commonly used pain assessments. There is also one 11point rating scale for pain intensity. I would like you to rate your pain on a scale from zero to ten. Scoring manuals are available for the domains listed below. This symptom assessment tool measures three items on 5point scales. In addition, all participants completed the promis average pain intensity item based on a 0 to 10 numeric rating scale and verbal pain rating scale none to very severe. Please respond to each item by checking one box per row author. The p4 consists of 4 items that address pain intensity in the morning, afternoon, evening, and with activity over the past 2 days. Patients are usually able to provide quantitative pain intensity estimates relatively quickly, and most measures of. Promis pain intensity item global07 promis pain intensity item global07 promis pain intensity item global07 promis. The promis r pain intensity instrument assesses how much a person hurts.
Promis gh patientreported outcomes measurement information. The patient reported outcomes measurement information. Promis 29 profile v2 university of nebraska medical center. Use the following statements to ask the person to rate their pain. It is important to properly instruct the person in how to rate their pain. Brics ninr neuroqol positive affect and wellbeing short form. Pdf psychometric properties of nepali versions of promis.
Partly as a result of accrediting organization requirements, it is routinely monitored. Position statement patientreported outcomes measures. Qualitative studies have reported that some individuals consider non pain intensity factors when rating pain intensity. The patientreported outcomes measurement information. Patientreported outcomes of pain and physical functioning in. Relationship of promis pain interference and physical. Pdf promis fatigue, pain intensity, pain interference. Studies comparing numerical rating scales, verbal rating.
Information was also collected on a number of chronic medical conditions in the wave i sample and on different chronic pain conditions in the acpa sample. Promis fatigue, pain intensity, pain interference, pain. The numeric pain rating scale nprs is a popular method to assess pain. The patientreported outcomes measurement information system. Patientreported outcomes of pain and physical functioning. The scale most preferred to represent pain intensity in both cohorts of subjects wasthe scale most preferred to represent pain intensity in both cohorts of subjects was the nrs, followed by the vds.
This is one of four important measures to help ensure that older adults receive the care they need to optimize quality of life. Apr 16, 20 the domains reported are pain intensity, pain interference, fatigue, and physical functioning the promis pain intensity measure is a single numerical rating scale with 7. Use of the new pediatric promis measures of pain and physical. Brics ninr 36item short form health survey sf version 1. The higher the total score, the more severe the symptom. Methods forty youth with juvenile fibromyalgia jfm were randomized to either cbt only or a combined cbt and neuromuscular exercise group i. Pain interference promis cancer pain interference 4 0 3 5 4, 6 a, 6b, 8 20 8 8 pain intensity 3 pain quality neuropathic pain 5 pain quality nociceptive pain 5 physical activity 10 4, 8 10 4, 8 physical function promis cancer physical function 165 45. Standardized response means, standardized effect sizes, and receiver operating curve. Promis scoring manuals describe how individual promis instruments are scored. Initial validation of the patient reported outcomes measurement information system pediatric pain intensity scale in juvenile idiopathic arthritis, juvenile fibromyalgia and sickle cell disease abstract. The reins pro group chose the numeric rating scale 11.
Most patients can complete the p4 in less than a minute and clinicians can score the measure in 5 seconds without the use of. The current study tested the utility of the promis pediatric pain interference ppi in relation to the widelyused functional disability inventory fdi in a small scale clinical trial. Selfreport measures assessing pain, painrelated beliefs. Promis measures of physical function, fatigue, pain interference, depression, and anxiety were administered at enrollment in the study and at followup 612 weeks. Morgan e, mara c, huang b, carle a, goldschneider k, dampier c, kashikarzuck s. Comparative responsiveness of the promis pain interference. Pain intensity was assessed using the promis pain intensity short form 3a, 25 which consists of 3 items that assess worst, average, and current pain on a 5point likert scale 1 no pain, 5 very severe pain. An anatomically based measure of pain intensity, the pspi, was used to train automatic detectors of pain intensity. In addition to the three item banks related to pain pain interference, pain quality, and pain behavior, six items were identi. To compare the sensitivity to change and the responsiveness to intervention of the promis pain interference short forms, brief pain inventory bpi, 3item peg scale, and sf36 bodily pain subscale in a sample of patients with persistent musculoskeletal pain of moderate severity. Initial validation of the patient reported outcomes. Additional information about how they compare with other measures is included. Subgroup analyses on the promis pf and pi scores were assessed using race and gender groupings. The promis 29 is a publicly available, free to use, generic health related quality of.
It can be used with the general population and with individuals living with chronic conditions. Summed scores are converted to a tscore metric with mean 50, sd 10. Pain intensity 3 pain quality neuropathic pain 5 pain quality nociceptive pain 5. Scatter plots of the promis pain interference and the promis physical function as well as the promis pain interference and age were generated.
We included prospective studies of patients with acute pain, regardless of age, clinical condition, and intervention, in which pain intensity was assessed on a onedimensional scale, e. Some promis forms are imbedded in electronic systems. Promis measures of pain, fatigue, negative affect, physical. A threeitem scale assessing pain intensity and interference 1. Tables 1 through 4 list the calibrated promis item banks or scales, item pools, short forms, and profiles. Psychometric properties of nepali versions of promis short form measures of pain intensity, pain interference, pain behaviour, depression, and sleep disturbance. The original short form 6b was constructed by the domain team with a focus on representing the range of the trait and also representing the content of the item bank. Pain thermometer chronic pain grade visual analogue scale promis pain intensity scale pictorial pain scales faces pain scale, wongbaker pain scale pain assessment in advanced dementia painad scale face, legs, activity, cry consolability flacc scale verbal descriptor scales 57 word scales, present pain inventory. Pain intensity measures may be influenced by non pain intensity factors. The pimd is a sevenitem observational scale for pain intensity developed by evaluating 140items across 12published pain scales. The numeric pain rating scale nprs measures the subjective intensity of pain. Development and analysis of promis pain intensity scale.
The promis scores are weighted tscore calibrated so that the mean of 50 and standard deviation sd of 10 being the mean and sd of the samples derived from u. Respondents are asked to make a mark on the line that best represents the level of pain intensity that they are experiencing. A preliminary question was how well the pspi correlated with the selfreport measures of pain. There are multiple domains of pain that can be measured, such as intensity, interference with function, and behaviors related to pain. The patientreported outcomes measurement information system promis developed and tested its. Permission is granted for clinicians and researchers to freely use the defense and veterans pain rating scale dvprs as is, without alteration. Respondents select the single phrase that best characterizes their pain intensity. All measures had cronbachs alpha and irt reliability 0. Development and psychometric analysis of the promis pain. A threeitem scale assessing pain intensity and interference. The promis pain intensity scale provides a measure of characteristic pain that could be useful in clinical and research settings. Although it is not a promis multiitem scale, we included it in this study given the widespread use of the item in medical research. The promis pf cat and le cat focus on the domain of physical function alone. In addition to promis measures, participants rated their levels of change with respect to each outcome.
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