Highlights
- •Cross-validation of the Pain Stages of Change Questionnaire–Adolescent and –Parent versions was supported.
- •Factor structures differed for parents (4 factors) and adolescents (3 factors).
- •Father data showed good reliability, and patterns were similar to mother data.
- •Parent and adolescent versions may tap different aspects of readiness to change.
Abstract
There is increasing interest in the measurement of “readiness to change,” or willingness
to engage in a self-management approach to pain coping, as a predictor of treatment
response in pediatric pain populations. The primary aim of the present study was to
provide cross-validation of the Pain Stages of Change Questionnaire–Adolescent and
–Parent versions in a new, independent pediatric chronic pain sample by examining
aspects of reliability, validity, and generalizability of the factor structures identified
in the initial validation study. Secondary aims were to 1) expand upon previously
identified differences between the Pain Stages of Change Questionnaire–Adolescent
and –Parent versions and 2) examine previously unreported aspects of father data.
Although slight differences emerged, the factor structures identified in the initial
validation were largely replicated, suggesting that the psychometric properties of
the measure are robust across pediatric outpatient chronic pain samples. Variability
between parent and adolescent reports suggests that there may be meaningful differences
in the interpretation of each measure and that factors other than readiness to change
may influence response patterns. Findings highlight the need for more fine-tuned analyses
of the way the construct operates in youth with pediatric pain and their parents.
Perspective
Findings provide further validation of the Pain Stages of Change Questionnaire–Adolescent
and –Parent versions measures in a new outpatient pediatric chronic pain sample. Previously
uninvestigated father data showed good reliability and patterns of findings similar
to validated mother reports. Moreover, the study suggests that the adolescent and
parent versions may function in meaningfully different ways.
Key words
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Article info
Publication history
Published online: April 08, 2015
Accepted:
March 28,
2015
Received in revised form:
March 13,
2015
Received:
August 9,
2014
Footnotes
J.R.E. is now at Cleveland Clinic, Cleveland, Ohio.
The authors have no funding sources or conflicts of interests to declare.
Identification
Copyright
© 2015 American Pain Society. Published by Elsevier Inc. All rights reserved.
