Brief Pain Inventory Pain Interference Subscale: Assessing Interference With Daily Living Activities in Older Adults With Multisite Musculoskeletal Pain

Abstract

ObjectivesThis study aims to determine domains of pain interference in daily routines assessed using the Brief Pain Inventory, in relation to multisite musculoskeletal pain among older adults living in the community.DesignThe MOBILIZE Boston Study is a population-based study of 749 adults aged 70 and older.MeasurementsChronic musculoskeletal pain was assessed using a joint pain questionnaire and grouped as: no pain, single-site and multisite pain. The Brief Pain Inventory pain interference (PI) sub-scale assessed level of pain interference (0–10 rating) in 7 domains including general activity, mood, walking, work, relationships with people, sleep, and enjoyment of life. Interference ratings were grouped as: none (0), mild (>0 and ≤ 2), and moderate to severe (>2) PI.ResultsPI was more common among women and those with less education compared to others. Older adults with chronic conditions such as osteoarthritis, depression, spinal stenosis, peripheral artery disease, and asthma/lung disease were more likely than their peers to report PI (p < 0.05). Multisite musculoskeletal pain was strongly associated with pain interference in all domains (p < 0.05). More than half of older adults with multisite musculoskeletal pain reported moderate to severe PI with general activity and walking. The highest prevalence of moderate to severe PI (score >2) in general activity was seen in participants with depression (62%), knee and hand osteoarthritis (71%) and peripheral artery disease (65%).ConclusionGreater attention to PI and PI domains such as general activity and walking, could aid in efforts to reduce the overall impact of multisite musculoskeletal pain among older adults.

The effect of the application of Kinesio Tape on pain relief in musculoskeletal disorders

“…In all seven domains of pain impairment, there was a statistically significant difference compared to the tested groups. The results of our study are not consistent with the results of the MOBILIZE study, conducted in Boston on 749 people over 70 years of age, in which the presence and intensity of pain affected two domains in particular -"general activities" and "walking" (14). Iliffe et al indicated in their study that chronic pain has a variety of effects on daily life and activities, including functional limitations, fatigue, sleep problems, and depressive mood, which significantly affect quality of life (15).…”

“…The questions are worded to capture the variability of pain over time, including worst pain, least pain, average pain, and current pain. The questionnaire also includes questions about the number and type of current treatments and their perceived effectiveness, the degree to which pain affects general activity, mood, ability to walk, normal work, relationships with others, sleep, and enjoyment of life, on a 1-10 point scale (14). Because the questionnaire is licensed material, written consent was required for its use in the study.…”

Comparison of time‐matched aerobic, resistance or combined exercise training in women living with obesity: The EXOFFIT study

“…A cut‐off was used to differentiate between high (≥7) and low (<7) interference levels 24 . Participants' musculoskeletal pain distribution was categorized into seven sites and the number of sites was grouped as no pain, single site pain, or multisite pain (≥2 sites) 25 …”

“… 24 Participants' musculoskeletal pain distribution was categorized into seven sites and the number of sites was grouped as no pain, single site pain, or multisite pain (≥2 sites). 25 c For EQ‐ED‐EL, an index was derived using the value set for Ireland. 31 …”

“…Secondary outcomes are reported as means with standard deviation (SD) or numbers and percentages. All self‐reported outcomes were scored in line with guidelines and previous literature 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 (see Table 4 for additional detail).…”