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Reliability and Validity of the Spanish Version of the Medical Outcomes Study Pain Severity Scale in Mexican Patients With Rheumatic Diseases.
Horta-Baas, Gabriel.
Afiliação
  • Horta-Baas G; From the Servicio de Reumatología, Hospital General Regional número 1, Delegación Yucatán, Instituto Mexicano del Seguro Social, Mérida, Yucatán; and Programa de Maestría y Doctorado en Ciencias Médicas, Odontológicas y de la Salud, Doctorado en Ciencias Médicas, Universidad Nacional Autónoma de Mexico, Ciudad de México, México.
J Clin Rheumatol ; 27(6S): S308-S315, 2021 Sep 01.
Article em En | MEDLINE | ID: mdl-34525003
OBJECTIVE: To evaluate the reliability and validity of the Spanish version of the Medical Outcomes Study Pain Severity Scale (MOS-PSS) in patients with rheumatic diseases. METHODS: A cross-sectional study was carried out from January 2019 to March 2020 using a nonprobabilistic sampling of consecutive cases. The internal consistency of the scale was evaluated through the Cronbach α coefficient and by the item response theory reliability coefficient. Construct validity was evaluated by factor analysis; relationships between MOS-PSS and visual numeric scale for pain, numeric rating scale for pain, and verbal rating scale for pain; and differences between relevant groups. Item response theory-based methods were used to assess item performance. RESULTS: A clinical sample of 796 outpatients was recruited. Most patients presented moderate to severe pain. Two subscale solutions showed a good model fit in confirmatory factor analysis. The overall model fit of multidimensional generalized partial credit model showed to be adequate. The most discriminating item was "average pain intensity." Evidence revealed disordered thresholds in 2 items. Collapsing categories resulted in ordered thresholds for all items and significantly improving the overall model fit. The MOS-PSS and modified MOS-PSS yielded high reliability. Both scales were very strongly correlated with numeric rating scale for pain, visual numeric scale for pain, and verbal rating scale for pain (ρ ≥ 0.85). All hypotheses related to subgroups comparison were fulfilled. CONCLUSIONS: Overall, the Spanish version of the MOS-PSS showed good reliability and construct validity. Nevertheless, the statistical evidence from this study would suggest the modified MOS-PSS should be the version of choice for measuring pain in Mexican patients with rheumatic diseases.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor / Doenças Reumáticas Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Mexico Idioma: En Revista: J Clin Rheumatol Assunto da revista: FISIOLOGIA / ORTOPEDIA / REUMATOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor / Doenças Reumáticas Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Mexico Idioma: En Revista: J Clin Rheumatol Assunto da revista: FISIOLOGIA / ORTOPEDIA / REUMATOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos