TY - JOUR
T1 - A comparison of the Hopkins Pain Rating Instrument with standard visual analogue and verbal descriptor scales in patients with cancer pain
AU - Grossman, Stuart A.
AU - Sheidler, Vivian R.
AU - McGuire, Deborah B.
AU - Geer, Carol
AU - Santor, Deborah
AU - Piantadosi, Steven
PY - 1992/5
Y1 - 1992/5
N2 - A self-contained, portable, pain rating instrument that provides an immediate result for documentation purposes was developed to improve pain assessment in cancer patients. The Hopkins Pain Rating Instrument (HPRI) is a 5 × 20 cm plastic visual analogue scale (VAS) with a sliding marker that moves within a groove that measures 10 cm. The side facing the patient resembles a traditional VAS while the opposite side is marked in cm to quantify pain intensity. This psychometric study, which employed a descriptive correlational design, evaluated the reliability and validity of the HPRI by comparing it with a traditional VAS and verbal descriptor scale (VDS). Outpatients with and without pain and inpatients with pain rated their major pain site with the three instruments, which were presented in random order. This was followed by a mental status exam and re-rating of pain with the same instruments to assess test-retest reliability. Completing the study were 71 patients with a variety of cancers and a mean age of 52.8 years. Of these patients, 68% hadpain and 54% were receiving opioid analgesics. The most common pain sites were the back, leg, and epigastric areas. On initial and repeat testing, there were high correlations between the HPRI and the VAS (r = 0.99, P < 0.0001) and the VDS (r = 0.85, P < 0.0001). The correlation coefficients for test-retest reliability for the HPRI, VAS, and VDS were 0.97, 0.97, and 0.94 (P < 0.001). The HPRI appears to be a reliable and valid tool to measure pain intensity. It should facilitate the documentation of cancer pain and the monitoring of pain relief interventions, thereby improving patient care.
AB - A self-contained, portable, pain rating instrument that provides an immediate result for documentation purposes was developed to improve pain assessment in cancer patients. The Hopkins Pain Rating Instrument (HPRI) is a 5 × 20 cm plastic visual analogue scale (VAS) with a sliding marker that moves within a groove that measures 10 cm. The side facing the patient resembles a traditional VAS while the opposite side is marked in cm to quantify pain intensity. This psychometric study, which employed a descriptive correlational design, evaluated the reliability and validity of the HPRI by comparing it with a traditional VAS and verbal descriptor scale (VDS). Outpatients with and without pain and inpatients with pain rated their major pain site with the three instruments, which were presented in random order. This was followed by a mental status exam and re-rating of pain with the same instruments to assess test-retest reliability. Completing the study were 71 patients with a variety of cancers and a mean age of 52.8 years. Of these patients, 68% hadpain and 54% were receiving opioid analgesics. The most common pain sites were the back, leg, and epigastric areas. On initial and repeat testing, there were high correlations between the HPRI and the VAS (r = 0.99, P < 0.0001) and the VDS (r = 0.85, P < 0.0001). The correlation coefficients for test-retest reliability for the HPRI, VAS, and VDS were 0.97, 0.97, and 0.94 (P < 0.001). The HPRI appears to be a reliable and valid tool to measure pain intensity. It should facilitate the documentation of cancer pain and the monitoring of pain relief interventions, thereby improving patient care.
KW - Pain assessment
KW - cancer pain
KW - verbal descriptor scale
KW - visual analogue scale
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U2 - 10.1016/0885-3924(92)90075-S
DO - 10.1016/0885-3924(92)90075-S
M3 - Article
C2 - 1517641
AN - SCOPUS:0026691867
SN - 0885-3924
VL - 7
SP - 196
EP - 203
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
IS - 4
ER -