Validation of CARE Scale-7 in treatment-seeking patients with chronic pain: measurement of sex invariance
| العنوان: | Validation of CARE Scale-7 in treatment-seeking patients with chronic pain: measurement of sex invariance |
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| المؤلفون: | Beth D. Darnall, Anna C. Wilson, Maisa S. Ziadni, Dokyoung S. You, Abby L Chen |
| المصدر: | PAIN Reports, Vol 5, Iss 6, p e862 (2020) Pain Reports |
| بيانات النشر: | Wolters Kluwer, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | General Section, media_common.quotation_subject, Relationship guilt, Chronic pain, Interpersonal communication, lcsh:RD78.3-87.3, medicine, media_common, Treatment seeking, business.industry, Sex invariance, medicine.disease, Confirmatory factor analysis, Anesthesiology and Pain Medicine, Pain Clinics, Convergent validity, Worry, lcsh:Anesthesiology, Pain catastrophizing, Self-care, business, Clinical psychology, Research Paper |
| الوصف: | Supplemental Digital Content is Available in the Text. The CARE Scale-7 is the first validated instrument to assess self-care difficulty in both sexes and may promote individualized care planning among chronic pain patients. Objectives: Social and interpersonal factors impact the trajectory of chronic pain. We previously developed and validated a 2-factor, 7-item measure to assess interpersonal factors, including relationship guilt and worry and difficulty prioritizing self-care in chronic pain. Here, we confirm the factor structure and examine the sex invariance of the two-factor structure of the CARE Scale-7. Methods: Data were collected as part of routine clinical care at a tertiary pain clinic using the Collaborative Health Outcomes Information Registry. Patient participants (67% women) were predominantly middle-aged (M = 50.9 years, SD = 17.8), married (55.2%), and White/non-Hispanic (55.7%). Data included demographics, pain characteristics, CARE Scale-7, pain catastrophizing, and Patient-Reported Outcomes Measurement Information System psychological and physical function measures. Confirmatory factor analysis was conducted to validate the factor structure of the CARE Scale, and a stepwise approach to measurement invariances by sex examined configural, metric, and scalar invariance. Results: Internal consistency of the scale items ensured suitability for factor analyses. Confirmatory factor analysis findings revealed an overall good fit of the 2-factor model among males and females and that CARE Scale-7 is in fact sex invariant. Finally, CARE Scale-7 showed convergent validity with pain-related outcomes. Discussion: The CARE Scale is the first validated instrument to assess self-care in both sexes among patients with chronic pain. The subscale of difficulty prioritizing self-care emerged as a potentially unique factor that should be integrated in clinical assessment. CARE Scale may facilitate standardized measurement in research and clinical contexts, which may inform a comprehensive treatment focus that integrates individualized self-care planning. |
| اللغة: | English |
| تدمد: | 2471-2531 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0f424f71625bd2442c809e2b5b97c3e6 http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000862 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....0f424f71625bd2442c809e2b5b97c3e6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 24712531 |
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