Development and validation of the Pain Outcomes Questionnaire-VA

Clark, Michael E.; Gironda, R.; Young, Robert W.

doi:10.1682/jrrd.2003.09.0381

Cited by 118 publications

(86 citation statements)

References 51 publications

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“…This is similar to Keogh et al's finding, where females returned to baseline levels of pain intensity versus males [20]. While both sexes had statistically significant decreases in pain intensity at discharge, the effect sizes for females were medium, indicating a clinically significant change [29], whereas the effect size for males was small, meaning females actually made greater gains while in the program but were unable to maintain them. At 3 mo, effect sizes were small across sexes; however, it is important to note that the treatment modality is a tertiary-level inpatient pain rehabilitation program in which the population served represents those individuals who have the most chronic and treatment-refractory conditions.…”

Section: Discussionsupporting

confidence: 86%

“…Pain treatment outcomes were assessed using the Pain Outcomes Questionnaire-VA (POQ-VA) [29], which is a multidomain pain assessment instrument developed and validated specifically for Veterans. The POQ-VA assesses treatment outcomes across the major pain-related domains of functioning identified by the Rehabilitation Accreditation Commission (2002) as essential for comprehensive outcome measurement [29].…”

Section: Methodsmentioning

confidence: 99%

“…The POQ-VA assesses treatment outcomes across the major pain-related domains of functioning identified by the Rehabilitation Accreditation Commission (2002) as essential for comprehensive outcome measurement [29]. POQ-VA scales include interference with mobility, negative affect, vitality (i.e., strength and endurance), and pain-related fear (i.e., avoidance motivated by fear of pain or reinjury).…”

Section: Methodsmentioning

confidence: 99%

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Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation

2016

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Abstract-The improved management of pain among the growing number of female Veterans receiving care through the Veterans Health Administration has been established as a priority, but studies suggest that females may respond differently to pain treatment. This study explored differences between female and male Veterans engaged in a Chronic Pain Rehabilitation Program and determined how female and male Veterans change following participation. Veterans (N = 324) in a 3 wk inpatient program completed self-report measures at admission, discharge, and 3 mo follow-up. Participants were 21% female (n = 67) and 79% male (n = 257). Compared with males, females were younger and less likely to be white or married/partnered. Females reported shorter pain duration and were more likely to have primary head or limb pain. At admission, fewer females were prescribed opioids than males and at lower doses. After opioid cessation in the program, however, there were no significant differences in use between the sexes at follow-up. Improvements in a range of domains were sustained at follow-up for both sexes, but females did not maintain gains in pain intensity or sleep while males reported more painrelated fear at discharge and follow-up. This study adds to the literature on sex-specific variations in chronic pain and implications for treatment.

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Section: Discussionsupporting

confidence: 86%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation

2016

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“…2 For evaluation of pain, the Pain Outcomes Questionnaire (POQ-VA) was used. 9 It is a primary pain outcome tool comprising 19 items examining pain history, average pain intensity, pain interference, emotional distress, painrelated fear, satisfaction with treatment and medication use. The numerical rating scale ranges from 0 (no pain interference) to 10 (significant pain interference).…”

Section: Self Report Measuresmentioning

confidence: 99%

Spasticity changes in SCI following a dynamic standing program using the Segway

et al. 2012

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Study design: A pilot prospective pre-and post-intervention study. Objectives: To determine whether a dynamic standing program using the Segway Personal Transporter results in any measurable physiological effects in individuals with spinal cord injury (SCI) using both qualitative and quantitative measures of spasticity, pain and fatigue. Setting: International Collaboration of Repair Discoveries (ICORD) Research Centre, Vancouver, BC, Canada. Methods: Eight individuals with SCI ASIA (American Spinal Injury Association) A-D, who could stand with or without the assistance of bracing or supports, participated in a 4-week dynamic standing program using a Segway (3 per week, 30-min sessions). The main outcome was spasticity as measured by the Modified Ashworth Scale (MAS). Secondary measures included the SCI-Spasticity Evaluation Tool, Pain Outcomes Questionnaire, and Fatigue Severity Scale. Results: The dynamic standing sessions were associated with immediate improvements in spasticity (MAS) (Po0.001) and selfreported pain (Po0.05). Fatigue levels decreased, however this was not significant. There is little evidence to suggest that these beneficial outcomes may have lasting effects. Conclusions: Dynamic standing on the Segway may be effective for short-term spasticity reduction and decreased pain and fatigue. Future work should examine a larger sample size and help to propose mechanisms for potential reductions in spasticity.

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“…Results of these studies are often significant in terms of their implications for clinical practice and health policy, not only for the VHA, but also for the broader healthcare delivery system. Studies by Clark et al have reported on pain treatment outcome measures that were specifically developed and normed on veteran samples [11]. Several investigators have examined the role of psychological factors in the management of persistent pain among veteran samples [12][13][14].…”

Section: Peer-reviewed Publicationsmentioning

confidence: 99%