Validity of the Brief Pain Inventory for Use in Documenting the Outcomes of Patients With Noncancer Pain

OBJECTIVES:The Brief Pain Inventory (BPI) is a short, self-administered questionnaire that was developed for use in cancer patients. While most empirical research with the BPI has been in pain of that etiology, the questionnaire is increasingly evident in published studies of patients with non-cance...

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Veröffentlicht in:The Clinical journal of pain 2004-09, Vol.20 (5), p.309-318
Hauptverfasser: Keller, San, Bann, Carla M, Dodd, Sheri L, Schein, Jeff, Mendoza, Tito R, Cleeland, Charles S
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container_end_page 318
container_issue 5
container_start_page 309
container_title The Clinical journal of pain
container_volume 20
creator Keller, San
Bann, Carla M
Dodd, Sheri L
Schein, Jeff
Mendoza, Tito R
Cleeland, Charles S
description OBJECTIVES:The Brief Pain Inventory (BPI) is a short, self-administered questionnaire that was developed for use in cancer patients. While most empirical research with the BPI has been in pain of that etiology, the questionnaire is increasingly evident in published studies of patients with non-cancer pain. The current research addresses the need for formal evaluation of the reliability and validity of the BPI for use in non-cancer pain patients. METHODS:Approximately 250 patients with arthritis or low back pain (LBP) self-administered a number of generic and condition-specific health status measures (including the BPI) in the clinic of their primary care provider at 2 time pointsthe initial clinic visit and the first visit following treatment. RESULTS:The reliability of BPI data collected from non-cancer pain patients was comparable to that reported in the literature for cancer patients and sufficient for group-level analyses (coefficient alphas were greater than 0.70). The factor structure of the BPI was replicated in this sample and the relationship of the BPI to generic measures of pain was strong. The BPI exhibited similar relationships to general and condition-specific measures of health as did a generic pain scale (SF-36 Bodily Pain). Finally, the BPI discriminated among levels of condition severity and was sensitive to change in condition over time in arthritis and LBP patients. DISCUSSION:Results support the validity of the BPI as a measure of pain in patients without cancer and, in particular, as a measure of pain for arthritis and LBP patients.
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While most empirical research with the BPI has been in pain of that etiology, the questionnaire is increasingly evident in published studies of patients with non-cancer pain. The current research addresses the need for formal evaluation of the reliability and validity of the BPI for use in non-cancer pain patients. METHODS:Approximately 250 patients with arthritis or low back pain (LBP) self-administered a number of generic and condition-specific health status measures (including the BPI) in the clinic of their primary care provider at 2 time pointsthe initial clinic visit and the first visit following treatment. RESULTS:The reliability of BPI data collected from non-cancer pain patients was comparable to that reported in the literature for cancer patients and sufficient for group-level analyses (coefficient alphas were greater than 0.70). The factor structure of the BPI was replicated in this sample and the relationship of the BPI to generic measures of pain was strong. The BPI exhibited similar relationships to general and condition-specific measures of health as did a generic pain scale (SF-36 Bodily Pain). Finally, the BPI discriminated among levels of condition severity and was sensitive to change in condition over time in arthritis and LBP patients. DISCUSSION:Results support the validity of the BPI as a measure of pain in patients without cancer and, in particular, as a measure of pain for arthritis and LBP patients.</description><identifier>ISSN: 0749-8047</identifier><identifier>EISSN: 1536-5409</identifier><identifier>DOI: 10.1097/00002508-200409000-00005</identifier><identifier>PMID: 15322437</identifier><identifier>CODEN: CJPAEU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arthritis - complications ; Biological and medical sciences ; Factor Analysis, Statistical ; Female ; Fundamental and applied biological sciences. 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While most empirical research with the BPI has been in pain of that etiology, the questionnaire is increasingly evident in published studies of patients with non-cancer pain. The current research addresses the need for formal evaluation of the reliability and validity of the BPI for use in non-cancer pain patients. METHODS:Approximately 250 patients with arthritis or low back pain (LBP) self-administered a number of generic and condition-specific health status measures (including the BPI) in the clinic of their primary care provider at 2 time pointsthe initial clinic visit and the first visit following treatment. RESULTS:The reliability of BPI data collected from non-cancer pain patients was comparable to that reported in the literature for cancer patients and sufficient for group-level analyses (coefficient alphas were greater than 0.70). The factor structure of the BPI was replicated in this sample and the relationship of the BPI to generic measures of pain was strong. The BPI exhibited similar relationships to general and condition-specific measures of health as did a generic pain scale (SF-36 Bodily Pain). Finally, the BPI discriminated among levels of condition severity and was sensitive to change in condition over time in arthritis and LBP patients. DISCUSSION:Results support the validity of the BPI as a measure of pain in patients without cancer and, in particular, as a measure of pain for arthritis and LBP patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis - complications</subject><subject>Biological and medical sciences</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Neurology</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pain - diagnosis</subject><subject>Pain - etiology</subject><subject>Pain Measurement - methods</subject><subject>Reproducibility of Results</subject><subject>Severity of Illness Index</subject><subject>Sickness Impact Profile</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. 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Psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Neurology</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pain - diagnosis</topic><topic>Pain - etiology</topic><topic>Pain Measurement - methods</topic><topic>Reproducibility of Results</topic><topic>Severity of Illness Index</topic><topic>Sickness Impact Profile</topic><topic>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</topic><topic>Surveys and Questionnaires</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keller, San</creatorcontrib><creatorcontrib>Bann, Carla M</creatorcontrib><creatorcontrib>Dodd, Sheri L</creatorcontrib><creatorcontrib>Schein, Jeff</creatorcontrib><creatorcontrib>Mendoza, Tito R</creatorcontrib><creatorcontrib>Cleeland, Charles S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Clinical journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keller, San</au><au>Bann, Carla M</au><au>Dodd, Sheri L</au><au>Schein, Jeff</au><au>Mendoza, Tito R</au><au>Cleeland, Charles S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validity of the Brief Pain Inventory for Use in Documenting the Outcomes of Patients With Noncancer Pain</atitle><jtitle>The Clinical journal of pain</jtitle><addtitle>Clin J Pain</addtitle><date>2004-09</date><risdate>2004</risdate><volume>20</volume><issue>5</issue><spage>309</spage><epage>318</epage><pages>309-318</pages><issn>0749-8047</issn><eissn>1536-5409</eissn><coden>CJPAEU</coden><abstract>OBJECTIVES:The Brief Pain Inventory (BPI) is a short, self-administered questionnaire that was developed for use in cancer patients. 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subjects Adolescent
Adult
Aged
Aged, 80 and over
Arthritis - complications
Biological and medical sciences
Factor Analysis, Statistical
Female
Fundamental and applied biological sciences. Psychology
Humans
Male
Medical sciences
Middle Aged
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Neurology
Outcome Assessment (Health Care)
Pain - diagnosis
Pain - etiology
Pain Measurement - methods
Reproducibility of Results
Severity of Illness Index
Sickness Impact Profile
Somesthesis and somesthetic pathways (proprioception, exteroception, nociception)
interoception
electrolocation. Sensory receptors
Surveys and Questionnaires
Vertebrates: nervous system and sense organs
title Validity of the Brief Pain Inventory for Use in Documenting the Outcomes of Patients With Noncancer Pain
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