Systematic review: Issues in measuring clinically meaningful change in self-reported chronic pediatric pain intensity

John V. Lavigne*

*Corresponding author for this work

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Objective This report examined limitations in our ability to assess clinically significant change (CSC) in randomized controlled trials of treatments of self-reported pediatric chronic pain intensity. Methods The following were reviewed: (a) approaches to assessing CSC; (b) approaches to assessing CSC used in psychological treatment studies of self-reported pediatric chronic pain intensity included in a recent systematic review; (c) the role of test-retest reliability in distribution-based CSC measures; (d) the test-retest reliability of recommended chronic pain measures. Results and Conclusions Existing studies do not assess whether a CSC occurred or use procedures that did not account for measurement error and true score fluctuations unrelated to treatment, possibly resulting in overestimating CSCs. Distribution-based approaches to assessing CSCs that address these problems require knowing test-retest reliability of the chronic pain measure at appropriate intervals. Available information raises concern about our ability to estimate CSC reliably. Recommendations are made for future research.

Original languageEnglish (US)
Pages (from-to)715-734
Number of pages20
JournalJournal of pediatric psychology
Volume41
Issue number7
DOIs
StatePublished - Jan 1 2016

Keywords

  • Chronic and recurrent pain
  • Clinical significance
  • Pain

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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