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Validity and reliability of Spanish PROMIS pediatric pain interference short form
Guillermo Ceniza-Bordallo1, Andrés Gómez Fraile2, Patricia Martín-Casas3
1Doctoral Program in Healthcare, Faculty of Nursing, Physiotherapy and Podiatry. University Complutense of Madrid, 28040 Madrid, Spain; Department of Radiology, Rehabilitation and Physiotherapy. Faculty of Nursing, Physiotherapy and Podiatry, University Complutense of Madrid, 28040 Madrid, Spain.
Insights
The Spanish PROMIS Pediatric Pain Interference (PROMIS-PPI) short form is a valid and reliable tool for assessing pain interference in children and adolescents. This validated scale is recommended for clinical and research use in pediatric populations.
Area of Science:
- Pediatric Psychology
- Health Outcomes Measurement
- Psychometrics
Background:
- Assessing pain interference in pediatric populations is crucial for effective management.
- The PROMIS Pediatric Pain Interference (PROMIS-PPI) short form is a widely used measure.
- Validation of the Spanish version is needed for local application.
Purpose of the Study:
- To analyze the psychometric properties of the Spanish version of the PROMIS Pediatric Pain Interference (PROMIS-PPI) short form.
- To evaluate the validity and reliability of the PROMIS-PPI in Spanish children and adolescents.
Main Methods:
- Exploratory and confirmatory factor analysis to assess scale structure.
- Evaluation of construct validity and convergent validity.
- Reliability testing, including internal consistency (Cronbach's alpha).
Main Results:
- The Spanish PROMIS-PPI maintained the original one-factor model.
- Excellent internal consistency was demonstrated (Cronbach's α = 0.90).
- Convergent validity was supported by moderate correlations with quality of life and pain intensity measures.
Conclusions:
- The Spanish PROMIS-PPI is a valid and reliable psychometric tool.
- Recommended for research and clinical practice in pediatric populations.
- Provides health professionals with a brief, evidence-based tool for assessing pain interference.
Background:
The goal of this study was to analyze psychometric properties of the Spanish PROMIS Pediatric Pain Interference short form (PROMIS-PPI) in a sample of Spanish children and adolescents.
Methods:
In a hospital pediatric sample it was studied the structure scale (exploratory and confirmatory analysis), construct validity, convergent validity, and reliability (internal consistency).
Findings:
163 children and adolescents (mean age 13.3 years; SD 2.01; 39.26% female) with and without chronic pain completed measures pertaining to their pain experience. Psychometric analysis showed the PROMIS-PPI Spanish version maintains the original one-factor model of the scale, excellent internal consistency (Cronbach's α coefficient 0.90 (95% CI 0.88-0.92)), and convergent validity (showed a positive, significant, and moderate magnitude correlation [r from 0.330 to 0.604] with pediatric quality of life, child and parent pain intensity, and showed a low correlation with the number of medical consultations in the last year).
Discussion:
The Spanish PROMIS-PPI scale is a valid and reliable tool. It is recommended for research and clinical care in pediatric populations.
Application To Practice:
The results provide evidence that the Spanish version of PROMIS-PPI is valid and reliable tool. Health professionals who work with children in risk to develop persistent pain, will have access to short tool with highest evidence, for assess pain interference.

