Japanese cross-cultural validation study of the Pain Stage of Change Questionnaire. (March 2019)

• Record Type: Journal Article
• Authors: Adachi, Tomonori; Sunohara, Momoka; Enomoto, Kiyoka; Sasaki, Keitaro; Sakaue, Gaku; Fujita, Yoshitsugu; Mizuno, Yasuyuki; Okamoto, Yoshiaki; Miki, Kenji; Yukioka, Masao; Nitta, Kazuhito; Iwashita, Narihito; Kitagawa, Hirotoshi; Shibata, Masahiko; Sasaki, Jun; Jensen, Mark P.; Fukui, Sei
• Is Part Of: Pain reports. Volume 4:Number 2(2019)
• Publication Date: 2019-03
• Subjects: Readiness to change -- Motivation -- Chronic pain -- Cross-cultural validation
• DOI: 10.1097/PR9.0000000000000711
• Languages: English
• ISSNs: 2471-2531

Abstract

Abstract: Introduction: Although evidence supports efficacy of treatments that enhance self-management of chronic pain, the efficacy of these treatments has been hypothesized to be influenced by patient readiness for self-management. The Pain Stage of Change Questionnaire (PSOCQ) is a reliable and valid measure of patient readiness to self-manage pain. However, there is not yet a Japanese version of the PSOCQ (PSOCQ-J), which limits our ability to evaluate the role of readiness for pain self-management in function and treatment response in Japanese patients with chronic pain. Objective: Here, we sought to develop the PSOCQ-J and evaluate its psychometric properties. Methods: We recruited 201 patients with chronic pain. The study participants were asked to complete the PSOCQ-J and other measures assessing pain severity, pain interference, catastrophizing, self-efficacy, and pain coping strategies. Results: The results supported a 4-factor structure of the PSOCQ-J. We also found good to excellent internal consistencies and good test–retest reliabilities for the 4 scales. The Precontemplation scale had weak to moderate positive correlations with measures of pain-related dysfunction and maladaptive coping. The Action and Maintenance scales had weak to moderate positive correlations with measures of self-efficacy and adaptive coping. The Contemplation scale had weak positive correlations with measures of pain interference and both adaptive and maladaptive coping. Conclusions: The PSOCQ-J demonstrated adequate psychometric properties in a sample of Japanese patients with chronic pain. This measure can be used to evaluate the role that readiness to self-manage pain may play in adjustment to chronic pain in Japanese pain populations.