Validation of the Japanese version of the patterns of activity measure-pain in individuals with chronic pain

Kiyoka Enomoto; Tomonori Adachi; Akira Mibu; Katsuyoshi Tanaka; Sei Fukui; Miho Nakanishi; Narihito Iwashita; Jun Sasaki; Tomohiko Nishigami

doi:10.1186/s13030-022-00248-z

Validation of the Japanese version of the patterns of activity measure-pain in individuals with chronic pain

Biopsychosoc Med. 2022 Sep 4;16(1):19. doi: 10.1186/s13030-022-00248-z.

Authors

Kiyoka Enomoto^{1

2}, Tomonori Adachi^{3

4}, Akira Mibu⁵, Katsuyoshi Tanaka⁶, Sei Fukui^{4

7}, Miho Nakanishi^{4

7}, Narihito Iwashita^{4

7}, Jun Sasaki¹, Tomohiko Nishigami⁸

Affiliations

¹ Graduate School of Human Sciences, Osaka University, Osaka, Japan.
² Japan Society for the Promotion of Science, Tokyo, Japan.
³ Graduate School of Human Development and Environment, Kobe University, Hyogo, Japan.
⁴ Pain Management Clinic, Shiga University of Medical Science Hospital, Shiga, Japan.
⁵ Department of Physical Therapy, Konan Women's University, Hyogo, Japan.
⁶ Department of Physical Therapy, School of Health Science, Bukkyo University, Kyoto, Japan.
⁷ Department of Anesthesiology, Shiga University of Medical Science, Shiga, Japan.
⁸ Department of Physical Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima, 1-1, Gakuen-chou, Mihara, Hiroshima, 723-0053, Japan. tomon@pu-hiroshima.ac.jp.

Abstract

Background: The Patterns of Activity Measure-Pain (POAM-P) is a self-report questionnaire that measures avoidance, overdoing, and pacing in individuals with chronic pain. We aimed to develop and confirm the psychometric properties of the Japanese version of the POAM-P(POAM-P-J) in Japanese individuals with chronic pain.

Methods: We recruited 147 Japanese individuals with chronic pain (106 women; mean age 64.89 ± 12.13 years). The individuals completed the POAM-P-J, the Brief Pain Inventory (BPI), and the Hospital Anxiety and Depression Scale (HADS). The following psychometric properties of the POAM-P-J were confirmed: structural validity, internal consistency, test-retest reliability, and concurrent validity.

Results: We tested factor structure via confirmatory factor analyses (CFA). We chose the 3-factor model with six covariances. The POAM-P-J's internal consistency and test-retest reliability were acceptable to good (α = 0.79-0.86; ICC = 0.72-0.87). The avoidance and overdoing subscales were positively associated with pain severity, pain interference, and anxiety measures (all p < 0.05), but the pacing subscale was not significantly associated with these pain-related measures.

Conclusions: Although the structural validity of the POAM-P-J remains questionable, its internal consistency, test-retest reliability, and concurrent validity were confirmed. The POAM-P-J is useful in both research and clinical practice for evaluating the activity patterns of Japanese patients with chronic pain.

Keywords: Activity pattern; Avoidance; Chronic pain; Overdoing; Pacing.

Grants and funding

19J20623/japan society for the promotion of science