Pain intensity rating training: results from an exploratory study of the ACTTION PROTECCT system

Affiliations

Affiliation

¹ Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA School of Professional Psychology, Pacific University, Hillsboro, OR, USA Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA Evidera, Seattle, WA, USA LORA Group, LLC, Royal Oak, MD, USA University of Maryland, Baltimore, MD, USA Department of Pediatrics, Dalhousie University, Halifax, NS, Canada Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada Centre for Pediatric Pain Research, IWK Health Center, Halifax, NS, Canada Palm Beach Gardens, FL, USA American Chronic Pain Association, Rocklin, CA, USA Desjardins Associates, Maplewood, NJ, USA Johnson & Johnson, Titusville, NJ, USA Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA, USA Department of Anesthesia, University of Pennsylvania, Philadelphia, PA, USA Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, ON, Canada Department of Biomedical & Molecular Sciences, Queen's University, Kingston, ON, Canada Jazz Pharmaceuticals, Palo Alto, CA, USA Purdue Pharma L.P., Stamford, CT, USA VA Connecticut Healthcare System, West Haven, CT, USA Department of Psychiatry, Yale University, New Haven, CT, USA Department of Neurology, Yale University, New Haven, CT, USA Department of Psychology, Yale University, New Haven, CT, USA Collegium Pharmaceutical, Inc, Canton, MA, USA Analgesic Concepts, Arlington, VA, USA Pfizer, Inc, New York, NY, USA Division of Immunology/Rheumatology, Stanford University, Palo Alto, CA, USA Chronic Pain Research Alliance, North Kingstown, RI, USA vZenium LLC, Arlington, MA, USA Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Center for Human Experimental Therapeutics, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

PMID: 27058680
DOI: 10.1097/j.pain.0000000000000502

Randomized Controlled Trial

Pain intensity rating training: results from an exploratory study of the ACTTION PROTECCT system

Shannon M Smith et al. Pain. 2016 May.

. 2016 May;157(5):1056-1064.

doi: 10.1097/j.pain.0000000000000502.

Affiliation

¹ Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA School of Professional Psychology, Pacific University, Hillsboro, OR, USA Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA Evidera, Seattle, WA, USA LORA Group, LLC, Royal Oak, MD, USA University of Maryland, Baltimore, MD, USA Department of Pediatrics, Dalhousie University, Halifax, NS, Canada Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada Centre for Pediatric Pain Research, IWK Health Center, Halifax, NS, Canada Palm Beach Gardens, FL, USA American Chronic Pain Association, Rocklin, CA, USA Desjardins Associates, Maplewood, NJ, USA Johnson & Johnson, Titusville, NJ, USA Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA, USA Department of Anesthesia, University of Pennsylvania, Philadelphia, PA, USA Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, ON, Canada Department of Biomedical & Molecular Sciences, Queen's University, Kingston, ON, Canada Jazz Pharmaceuticals, Palo Alto, CA, USA Purdue Pharma L.P., Stamford, CT, USA VA Connecticut Healthcare System, West Haven, CT, USA Department of Psychiatry, Yale University, New Haven, CT, USA Department of Neurology, Yale University, New Haven, CT, USA Department of Psychology, Yale University, New Haven, CT, USA Collegium Pharmaceutical, Inc, Canton, MA, USA Analgesic Concepts, Arlington, VA, USA Pfizer, Inc, New York, NY, USA Division of Immunology/Rheumatology, Stanford University, Palo Alto, CA, USA Chronic Pain Research Alliance, North Kingstown, RI, USA vZenium LLC, Arlington, MA, USA Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Center for Human Experimental Therapeutics, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

PMID: 27058680
DOI: 10.1097/j.pain.0000000000000502

Abstract

Clinical trial participants often require additional instruction to prevent idiosyncratic interpretations regarding completion of patient-reported outcomes. The Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public-private partnership developed a training system with specific, standardized guidance regarding daily average pain intensity ratings. A 3-week exploratory study among participants with low-back pain, osteoarthritis of the knee or hip, and painful diabetic peripheral neuropathy was conducted, randomly assigning participants to 1 of 3 groups: training with human pain assessment (T+); training with automated pain assessment (T); or no training with automated pain assessment (C). Although most measures of validity and reliability did not reveal significant differences between groups, some benefit was observed in discriminant validity, amount of missing data, and ranking order of least, worst, and average pain intensity ratings for participants in Group T+ compared with the other groups. Prediction of greater reliability in average pain intensity ratings in Group T+ compared with the other groups was not supported, which might indicate that training produces ratings that reflect the reality of temporal pain fluctuations. Results of this novel study suggest the need to test the training system in a prospective analgesic treatment trial.

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Comment in

Bias and reliability in pain ratings.
Morley S. Morley S. Pain. 2016 May;157(5):993-994. doi: 10.1097/j.pain.0000000000000448. Pain. 2016. PMID: 27081835 No abstract available.

References

1. Broderick JE, Stone AA, Calvanese P, Schwartz JE, Turk DC. Recalled pain ratings: a complex and poorly defined task. J Pain 2006;7:142–9.
1. Buysse DJ, Yu L, Moul DE, Germain A, Stover A, Dodds NE, Johnston KL, Shablesky-Cade MA, Pilkonis PA. Development and validation of patient-reported outcome measures for sleep disturbance and sleep-related impairments. Sleep 2010;33:781–92.
1. Cella D, Riley W, Stone A, Rothrock N, Reeve B, Yount S, Amtmann D, Bode R, Buysse D, Choi S, Cook K, Devellis R, Dewalt D, Fries JF, Gershon R, Hahn EA, Lai JS, Pilkonis P, Revicki D, Rose M, Weinfurt K, Hays R. The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008. J Clin Epidemiol 2010;63:1179–94.
1. Dannecker EA, George SZ, Robinson ME. Influence and stability of pain scale anchors for an investigation of cold pressor pain tolerance. J Pain 2007;8:476–82.
1. Daut RL, Cleeland CS, Flanery RC. Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. PAIN 1983;17:197–210.

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Pain intensity rating training: results from an exploratory study of the ACTTION PROTECCT system

Affiliation

Pain intensity rating training: results from an exploratory study of the ACTTION PROTECCT system

Authors

Affiliation

Abstract

Comment in

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical