Reliability and validity of the Brief Pain Inventory in individuals with chronic obstructive pulmonary disease

Chen, Y.-W.; HajGhanbari, Bahareh; Road, Jeremy; Camp, Patricia; Reid, W. Darlene

doi:10.1002/ejp.1258

Cited by 17 publications

(13 citation statements)

References 41 publications

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“…The Brief Pain Inventory (BPI) [19] was also administered to a subgroup of participants (n = 98) in Study 3 [15] to further characterize pain. The BPI assesses pain intensity and pain interference over a recall period of one day.…”

Section: Pain and Dyspneamentioning

confidence: 99%

Co-occurrence of pain and dyspnea in Veterans with COPD: Relationship to functional status and a pilot study of neural correlates using structural and functional magnetic resonance imaging

et al. 2021

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Persons with COPD experience co-occurring dyspnea and pain. Little is known about the relationship between symptom co-occurrence with physical activity (PA) and exercise. Novel diagnostic tools are needed for accurate symptom discrimination. In this secondary analysis, we examined relationships between baseline assessments of pain, dyspnea, objectively measured PA, and exercise capacity in persons with COPD who previously enrolled in three PA studies. Pain was assessed with the bodily pain domain of the Veterans RAND-36 (VR-36), and dyspnea with the modified Medical Research Council (mMRC) scale. Average daily step count was assessed with the Omron HJ-720ITC or FitBit Zip pedometer, and exercise capacity with 6-minute walk test (6MWT). We also conducted a pilot neuroimaging study. Neuroimaging data were acquired on a Siemens 3-Tesla Magnetom Prismafit whole-body scanner. Analysis of variance assessed trends in daily step count and 6MWT distance across categories of co-occurring pain and dyspnea. General linear models examined relationships between cortical thickness and resting state functional connectivity (fc) with symptoms and functional status. In 373 Veterans, 98% were male with mean age 70.5± 8.3 years and FEV1% predicted 59 ± 21%. Compared to those with no co-occurrence of pain and dyspnea, those with co-occurrence walked 1,291–1,444 fewer steps per day and had an 80–85 m lower 6MWT distance. Ten males participated in the pilot neuroimaging study. Predominant findings were that lower cortical thickness and greater fc were associated with higher pain and dyspnea, p<0.05. Greater cortical thickness and lower fc were associated with higher daily step count and 6MWT distance, p<0.05. Regional patterns of associations differed for pain and dyspnea, suggesting that cortical thickness and fc may discriminate symptoms. Co-occurring dyspnea and pain in COPD are associated with significant reductions in PA and exercise capacity. It may be feasible for neuroimaging markers to discriminate between pain and dyspnea.

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Section: Pain and Dyspneamentioning

confidence: 99%

Co-occurrence of pain and dyspnea in Veterans with COPD: Relationship to functional status and a pilot study of neural correlates using structural and functional magnetic resonance imaging

et al. 2021

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“…Although the domain evaluates both pain severity and interference, a more comprehensive and detailed survey that has previously been validated in people with COPD, like the Brief Pain Inventory, would likely be helpful in assessing pain with more granularity. 49 Our population consisted of older, Caucasian men recruited from a single geographical location, limiting generalizability and underscoring the need for research including a more racially diverse population especially given that the perception of pain may be mediated through gender and cultural perspectives.…”

Section: Discussionmentioning

confidence: 99%

Pain in Veterans with COPD: Relationship with Physical Activity and Exercise Capacity

Raphaely

Mongiardo

Goldstein

et al. 2021

Preprint

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Background: Pain is a common but underappreciated symptom experienced by people with Chronic Obstructive Pulmonary Disease (COPD). The relationships between pain and physical activity (PA) and exercise capacity are poorly understood. Methods: This retrospective secondary analysis included three cohorts of Veterans with COPD and objective measures of PA (daily step counts) and exercise capacity (6-minute walk test [6MWT] distance) who participated in longitudinal studies evaluating PA. Pain was assessed using the Bodily Pain (BP) domain of the Veterans RAND-36. In two cohorts, participants were randomly assigned to a web-based, pedometer-mediated PA intervention which has previously been demonstrated to improve PA. Results: Three-hundred and seventy-three (373) unique study participants were included in this analysis. Eighty-three percent (n=311) of the population reported at least mild pain and/or at least a little bit of interference due to pain at baseline. Cross-sectionally, greater BP was associated with lower 6MWT distance (β=0.51; 95% CI 0.20, 0.82; p=0.0013). Longitudinally, worsening BP was associated with a decline in 6MWT distance (β=0.30; 95% CI 0.03, 0.58; p=0.0312). There was no association between baseline BP and baseline daily step counts, baseline BP and change in PA, or change in BP and change in PA. Compared to usual care, our PA intervention improved BP scores (β=6.17; 95% CI 1.84, 10.45; p=0.0054). BP scores did not affect the impact of the intervention on daily step counts.Conclusion: Pain is highly prevalent and significantly associated with lower exercise capacity among Veterans with COPD. Worsening pain co-occurred with decline in exercise capacity but not PA. Our intervention reduced pain, although pain did not affect the impact of the intervention on PA.

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“…Similar to the stated inability of van Dam van Isselt et al (2014) to identify a single study reporting a specific intervention strategy to manage pain in people with COPD [3], we also failed to identify such studies. However, the rehabilitation community is clearly working towards this through the confirmation of appropriate pain assessment instruments [86] and qualitative explorations of the pain experiences in people with COPD in order to develop a pain management program specific to this population [87,88].…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of Pain in Clinical Practice Guidelines for Management of COPD: A Case for Including Chronic Pain?

et al. 2019

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Chronic pain is highly prevalent and more common in people with chronic obstructive pulmonary disease (COPD) than people of similar age/sex in the general population. This systematic review aimed to describe how frequently and in which contexts pain is considered in the clinical practice guidelines (CPGs) for the broad management of COPD. Databases (Medline, Scopus, CiNAHL, EMbase, and clinical guideline) and websites were searched to identify current versions of COPD CPGs published in any language since 2006. Data on the frequency, context, and specific recommendations or strategies for the assessment or management of pain were extracted, collated, and reported descriptively. Of the 41 CPGs (English n = 20) reviewed, 16 (39%) did not mention pain. Within the remaining 25 CPGs, pain was mentioned 67 times (ranging from 1 to 10 mentions in a single CPG). The most frequent contexts for mentioning pain were as a potential side effect of specific pharmacotherapies (22 mentions in 13 CPGs), as part of differential diagnosis (14 mentions in 10 CPGs), and end of life or palliative care management (7 mentions in 6 CPGs). In people with COPD, chronic pain is common; adversely impacts quality of life, mood, breathlessness, and participation in activities of daily living; and warrants consideration within CPGs for COPD.

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Reliability and validity of the Brief Pain Inventory in individuals with chronic obstructive pulmonary disease

Abstract: This study formally established the reliability and validity of the BPI in individuals with COPD, which have not been determined in this patient group. The results of this study provide strong evidence that assessment results from this pain questionnaire are reliable and valid.

Cited by 17 publications

References 41 publications

Co-occurrence of pain and dyspnea in Veterans with COPD: Relationship to functional status and a pilot study of neural correlates using structural and functional magnetic resonance imaging

Co-occurrence of pain and dyspnea in Veterans with COPD: Relationship to functional status and a pilot study of neural correlates using structural and functional magnetic resonance imaging

Pain in Veterans with COPD: Relationship with Physical Activity and Exercise Capacity

Systematic Review of Pain in Clinical Practice Guidelines for Management of COPD: A Case for Including Chronic Pain?

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