Multidimensional Pain Inventory-Screening Chinese version (MPI-sC): Psychometric testing in terminal cancer patients in Taiwan

Yeur Hur Lai, Shu Liu Guo, Francis J. Keefe, Li Yun Tsai, Shiow Ching Shun, Yu Chien Liao, In Fun Li, Ching Ping Liu, Yun Hsiang Lee

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

Introduction: Cancer pain is identified as a multidimensional experience, but relatively few brief instruments are available for assessing the complex pain-related experiences of terminal cancer patients in Taiwan. The purposes of this study were to (1) translate and examine the feasibility and psychometric characteristics of the eight-item Multidimensional Pain Inventory-Screening Chinese (MPI-sC) when used with patients having terminal cancer and (2) apply the MPI-sC to examine multidimensional pain-related experiences of terminal cancer patients in Taiwan. Materials and methods: The MPI-sC was tested in 106 terminal cancer inpatients at a hospice setting in Taipei. Results: The results showed that the MPI-sC has satisfactory face and content validity, feasibility, acceptable internal consistency reliability (overall Cronbach's alpha of 0.75), and overall support of theoretical assumptions. However, instead of the four-factor structure of the original instrument, we found a three-factor structure (with pain intensity and pain interference merged into one factor) that explained 76.73% of the variance. Close to half the patients (48.1%) had considerable levels of pain interference, and a majority (72.6%) reported not having control in life based on the cut-point of MPI-sC categorization. Conclusion: Our results support the brief MPI-sC as a feasible and valid tool for assessing and representing multidimensional pain experiences in terminal cancer patients. The MPI-sC could help clinicians and researchers assess the complex multidimensional pain experiences of terminal cancer patients, including Chinese-speaking cancer populations.

Original languageEnglish
Pages (from-to)1445-1453
Number of pages9
JournalSupportive Care in Cancer
Volume17
Issue number12
DOIs
Publication statusPublished - Dec 2009
Externally publishedYes

Keywords

  • Affect
  • Cancer
  • Control
  • Interference
  • Multidimensional Pain Inventory-Screening
  • Pain
  • Psychometrics
  • Severity

ASJC Scopus subject areas

  • Oncology

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