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An Objective Pain Score for Chronic Pain Clinic Patients
Agnes K Pace1,2, Melanio Bruceta1, John Donovan3
1Department of Anesthesiology & Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Pain Research & Management
|February 25, 2021
Summary
This study validated the Chronic Pain Behavioral Pain Scale for Adults (CBPS) against the Numeric Rating Scale (NRS) in chronic pain patients. The CBPS demonstrated acceptable reliability and validity, showing potential as an objective pain assessment tool.
Area of Science:
- Pain Management
- Clinical Assessment
- Psychometrics
Background:
- The Numeric Rating Scale (NRS) is widely used but subjective.
- Objective pain scales are less common in outpatient chronic pain settings.
- Evaluating objective measures is crucial for comprehensive pain assessment.
Purpose of the Study:
- To assess the reliability and validity of the Chronic Pain Behavioral Pain Scale for Adults (CBPS).
- To compare the CBPS with the traditional NRS in adult chronic pain patients.
- To establish an objective pain scale for outpatient use.
Main Methods:
- Cross-sectional study design.
- Patients assessed pre- and post-procedure using CBPS and NRS by a researcher and nurse.
- Analysis of interrater reliability, concurrent validity, and construct validity.
Main Results:
- Fair-good interrater reliability for CBPS (kappa 0.59-0.65).
- Moderate concurrent validity for postprocedure measurements (correlation 0.67-0.68).
- Significant reduction in pain scores (CBPS and NRS) postprocedure (p < 0.001).
Conclusions:
- The CBPS demonstrates interrater reliability, concurrent validity, and construct validity.
- The CBPS shows potential as an objective measure in chronic pain assessment.
- Further research is needed to confirm long-term benefits and effectiveness.
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