Comparison of Average Weekly Pain Using Recalled Paper and Momentary Assessment Electronic Diary Reports in Children With Arthritis

作者:Stinson Jennifer N*; Jibb Lindsay A; Lalloo Chitra; Feldman Brian M; McGrath Patrick J; Petroz Guy C; Streiner David; Dupuis Annie; Gill Navreet; Stevens Bonnie J
来源:The Clinical Journal of Pain, 2014, 30(12): 1044-1050.
DOI:10.1097/AJP.0000000000000072

摘要

Objective: The current study investigated the construct validity of a multidimensional pain diary for youth with juvenile idiopathic arthritis and also compared participants%26apos; responses on electronic and retrospective diary measures. The purpose of the latter part of this study was to compare absolute agreement, between-person and within-person consistency and judged change in weekly pain between these 2 methods of assessing pain. %26lt;br%26gt;Methods: A total of 70 adolescents with juvenile idiopathic arthritis completed both weekly recalled and momentary reports of pain over a 2-week period and assessed their change in pain over the 2-week period using a 5-point global change in pain scale. The Pearson correlations and intraclass correlation coefficients were computed to demonstrate 3 different ways of comparing the measures on both between-person and within-person basis. %26lt;br%26gt;Results: Momentary ratings of pain episodes were consistently greater than weekly ratings of recalled pain. Moderate to strong consistency and agreement correlations were computed for between-person momentary and recalled pain intensity. However, these correlations were much weaker when the within-person data were analyzed. The judged change in pain across weeks was significantly associated with computed change in both average momentary and recalled pain. %26lt;br%26gt;Discussion: This is one of the few studies to explore the relationship between the measurement methods of pain recall and momentary assessment in adolescents. The poor within-person correlations observed have important implications for research design and practice in pediatric pain.

  • 出版日期2014-12