Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2011 Oct;152(10):2301-2311.
doi: 10.1016/j.pain.2011.06.019. Epub 2011 Jul 29.

Readiness to change in pediatric chronic pain: initial validation of adolescent and parent versions of the Pain Stages of Change Questionnaire

Jessica W Guite  1 , Deirdre E Logan, Laura E Simons, Emily A Blood, Robert D Kerns
Affiliations
Comparative Study

Readiness to change in pediatric chronic pain: initial validation of adolescent and parent versions of the Pain Stages of Change Questionnaire

Jessica W Guite et al. Pain. 2011 Oct.

Abstract

Despite the clinical importance of readiness to change in predicting treatment outcomes among adults, no studies have examined this construct among pediatric pain patients. Because parents play a key role in adolescent pain management, both adolescent and parent readiness to adopt a self-management approach to pain merit further study. The primary goal of the current study was to validate adolescent and parent-report adaptations of the adult Pain Stages of Change Questionnaire (PSOCQ). Participants included 259 adolescent patients with chronic pain syndromes and their parents presenting to 2 pediatric pain management clinics. Using confirmatory factor analytic techniques, a 4-factor solution was supported for the parent version (PSOCQ-P) that included Precontemplation, Contemplation, Action, and Maintenance factors, whereas the adolescent version (PSOCQ-A) version supported a three-factor model that combines the Action and Maintenance scales. Within both versions, each of the factors was found to be internally consistent. The PSOCQ-A and PSOCQ-P showed evidence of criterion validity through significant correlations with coping strategies and pain catastrophizing. Stability findings at 4 and 8 weeks after a multidisciplinary pain clinic evaluation are reported. Associations between pediatric PSOCQ scores and demographic, pain, and functional domains were explored to inform future research. Further validation of the PSOCQ-A and PSOCQ-P measures with new, separate samples of pediatric pain patients and parents are needed before use in clinical contexts.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Confirmatory factor analysis for PSOCQ-A, 3-factor modified model
Figure 2
Figure 2
Confirmatory factor analysis of PSOCQ-P, 4-factor modified model
See this image and copyright information in PMC

References

    1. Bentler PM, Bonnett DG. Significance tests and goodness of fit in the analysis of covariance structures. Psychol Bull. 1980;88(3):588–606.
    1. Bibace R, Walsh ME. Development of children's concept of illness. Pediatrics. 1980;66:912–917. - PubMed
    1. Biller N, Arnstein P, Caudill MA, Federman CW, Guberman C. Predicting completion of a cognitive-behavioral pain management program by initial measures of a chronic pain patient' s readiness for change. Clin J Pain. 2000;16(4):352–359. - PubMed
    1. Bryant FB, Yarnold PR. Principal components analysis and exploratory and confirmatory factor analysis. In: Grimm LG, Yarnold RR, editors. Reading and understanding multivariale statistics. American Psychological Association; Washington, DC: 1995. pp. 99–136.
    1. Carr JL, Klaber Moffett JA, Sharp DM, Haines DR. Is the Pain Stages of Change Questionnaire (PSOCQ) a useful tool for predicting participation in a self-management programme? Further evidence of validity, on a sample of UK pain clinic patients. BMC Musculoskeletal Disorders. 2006;7(101):1–7. - PMC - PubMed

Publication types

LinkOut - more resources