Browsing by Subject "Questionnaires"
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Item Additional Validation of the Pain Medication Questionnaire in a Sample of Patients with Chronic Pain(2009-09-04) Buelow, Amanda; Silver, CherylThe present study represents an initial stage in the formal attempt to aid in developing a psychometrically sound, self-report screen tool used for assessing potential pain medication misuse risk. This study follows previous studies of Adams and colleagues (2004) and Holmes and colleagues (2006). The Pain Medication Questionnaire (PMQ), initially a 26-item instrument, was studied as a 23-item questionnaire designed to measure risk for opioid misuse. This revised PMQ showed good reliability and validity. This study also examined the ability of the revised PMQ to predict pain medication misuse in a heterogeneous sample of chronic pain patients. The PMQ was administered to 1,540 patients at a pain center that provided interdisciplinary pain management, including medication, psychological, and physical therapy disciplines. The risk of a patient's pain medication misuse, as predicted by the PMQ, was found to significantly decrease following interdisciplinary intervention. Cut-off scores were created from the distributed PMQ scores by assessing a frequency scatter plot and determined that those participants with scores below a 21 on the PMQ made up the lowest (L-PMQ) group, scores including and between 21 to 30 on the PMQ made up the middle (M-PMQ) group, and scores above 30 made up the highest (H-PMQ) group. A comparison using the H-PMQ and L-PMQ groups revealed that those participants in the H-PMQ group, after completing an interdisciplinary treatment program, had significantly decreased PMQ scores at post-treatment. In addition, the H-PMQ group was significantly associated with greater levels of non-compliance or drop out from treatment, early pain medication refill requests, and endorsement of having a history of alcohol abuse or history of rehab for alcohol or drugs. Finally, the present study also examined the relationship of total PMQ score with measures of physical impairment and perceived pain. Findings suggest that higher scores on the PMQ are minimally associated with higher levels of impairment of physical functioning and perceived pain.Item An Evaluation of the Predictive Validity of the Pain Medication Questionnaire With a Heterogeneous Group of Chronic Pain Patients(2006-08-11) Dowling, Leah Suzanne; Stowell, Anna W.The Pain Medication Questionnaire (PMQ) was initially developed by Adams and colleagues (2004) as a 26-item self-report assessment to screen for opioid medication misuse. The PMQ has demonstrated good reliability and validity, and was predictive of early termination from treatment and identified patients who demonstrated maximal benefit from interdisciplinary treatment (Holmes et al., 2006). This current study explored whether or not the initial PMQ score would accurately predict the development of aberrant opioid medication use behaviors relative to specific behavioral indices (i.e., request for early refills, use of a medication agreement) and a physician rating of medication misuse behaviors. Patients fell into two groups according to their initial score on the PMQ based on the median score of 25. Patients with higher PMQ (H-PMQ) scores reported greater levels of perceived disability and decreased physical and mental functioning. Total scores from the PMQ were moderately correlated with initial measures of physical and psychosocial functioning, and observed problematic medication use behaviors observed by physicians during evaluation. However, higher PMQ scores did not significantly predict the use of a medication agreement or requests for early refills. Five patients were identified from the H-PMQ group that demonstrated problematic opioid medication use that fell outside of the realm of early refill requests. These included utilizing leftover pain medications, taking narcotic medication prescribed to a family member, prescription forgery, and referral for detoxification. Although these patients varied on demographic variables, they each had a PMQ total score greater than 30. Indicating that although a PMQ total score ≥ 25 is indicative of problematic use, a score ≥ 30 suggests that a patient should be closely monitored when prescribed and opioid medication. Overall, this study demonstrated that a patient's self-report is significantly correlated with problematic behaviors observed by physicians. Therefore, when utilized in a busy clinic setting, the PMQ will aide in the identification of specific problematic behaviors and beliefs at the outset of treatment that may hinder successful treatment of a patient's pain condition.Item Parents' likelihood of participating in their child's speech-language treatment(Texas Tech University, 2003-05) Vetter, Tiffany SuzanneThis study investigated the likelihood of eighty-four parents indicating they would participate in their child's speech-language treatment. One questionnaire was used to gather identifying information while a second questionnaire requested that parents indicate their likelihood of completing homework with their children and other tasks associated with homework. Parents stated they would be likely to complete homework assignments up to every day of the week and were more likely to complete homework lasting 15 and 30 minutes as compared to 45 and 60 minutes. This likelihood decreased as the number and time per assignment increased. In addition, parents stated they would be more likely to maintain written homework records, participate in individual training programs, and learn treatment techniques to use at home compared to videotaping themselves and participating in group training programs. Finally, parents perceived that completing homework with their children would lead to greater improvements in treatment.Item Reliability and validity of the global physical activity questionnaire (GPAQ) and its utility: a review of the literature(2016-08) Matthews, Kristen Marie; Keating, Xiaofen; Castelli, DarlaObjective: To analyze the literature on the Global Physical Activity Questionnaire in regards to its reliability, validity, and utility. Methods: A review of the literature was performed in June 2016 using the following databases: PubMed and EBSCOhost Research Databases. Articles that analyzed the reliability and validity of the GPAQ internally, in comparison to other questionnaires, or in a country context were included. The following data were coded for each article: number of participants, mean age, validity measure(s), validity, and reliability. Frequency counts and mean values of reliability and validity were calculated. Results: Specific populations yielded different results in terms of the reliability and validity of the GPAQ. Overall, the GPAQ has been found to have similar, if not better, reliability and validity than other questionnaires that aim to measure physical activity, such as the International Physical Activity Questionnaire (IPAQ), Madras Diabetes Research Foundation- Physical Activity Questionnaire (MPAQ), Total Energy Expenditure Questionnaire (TEEQ), etc. Conclusions: The reliability and validity of the GPAQ are fairly acceptable in different populations. However, the GPAQ’s utility can be increased if its cultural relativity is improved throughout the world.