Perceptual and Motor Skills, 1990, 71, 722.
@ P e r c e p ~ dand Motor Skills 1990
ACTIVITIES O F DAILY LIVING SCALE FOR PATIENTS WITH CHRONIC PAIN ' STEVEN J. LINTON 0rebro Medical Center Sz~mmary.-10 questions measuring daily living activities of chronic pain patients were developed for 30 chronic pain patients. Test-retest reliability was .89, and internal consistency was .75. Validity, measured by global ratings (r = .63) and those by significant others (r = .77) was satisfactory. This Activities of Daily Living Scale seems to be reliable and valid for use in clinical and research settings. There is a recognized need for standardized instruments to assess activity impairments and evaluate treatment improvements in patients with chronic pain. Consequently, an activities of daily living (ADL) scale was developed for use with pain sufferers. Patients rate their ability to participate in 10 everyday activities on a 0-10-point scale. Thirty patients with ckonic musculoskeletal pain completed this schedule on two separate occasions one week apart, and they made a global rating of rheir activity level. In addition, for each patient a significant other made ratings concerning the patient> ability to participate in the same 10 activities o n a s i d a r schedule. -
Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
-
--
Item-total Score r
--
Test-retest r
Sitting Car riding Dressiig Sleeping Sex W a k (1 k . ) House work Get-up (from chair/bed) Shopping Light work
The table summarizes the results of the validity and reliability measures. Test-retest reliability was high (over-all .89). Moreover, internal consistency (item-total rs) was also good as all correlations were significant and ranging from .58 to .90. Validity, as estimated by both the Pearson correlation between the patients' ADL scores and the significant others' ratings (r = .77, p = ,004) as well as by the correlation between the ADL score and the global rating (r = .63, p < ,001) was satisfactory. This ADL schedule for patients with chronic pain therefore appears to be a valid and reliable instrument and may be used in screening patients and in evaluating treatment ou [come. Accepted September 28, 1990.
'Address correspondence .yo S. J. Linton, Department of Occupational Medicine, Orebro Medical Center, S-701 85 Orebro, Sweden.
@ P e r c e p ~ dand Motor Skills 1990
ACTIVITIES O F DAILY LIVING SCALE FOR PATIENTS WITH CHRONIC PAIN ' STEVEN J. LINTON 0rebro Medical Center Sz~mmary.-10 questions measuring daily living activities of chronic pain patients were developed for 30 chronic pain patients. Test-retest reliability was .89, and internal consistency was .75. Validity, measured by global ratings (r = .63) and those by significant others (r = .77) was satisfactory. This Activities of Daily Living Scale seems to be reliable and valid for use in clinical and research settings. There is a recognized need for standardized instruments to assess activity impairments and evaluate treatment improvements in patients with chronic pain. Consequently, an activities of daily living (ADL) scale was developed for use with pain sufferers. Patients rate their ability to participate in 10 everyday activities on a 0-10-point scale. Thirty patients with ckonic musculoskeletal pain completed this schedule on two separate occasions one week apart, and they made a global rating of rheir activity level. In addition, for each patient a significant other made ratings concerning the patient> ability to participate in the same 10 activities o n a s i d a r schedule. -
Item 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
-
--
Item-total Score r
--
Test-retest r
Sitting Car riding Dressiig Sleeping Sex W a k (1 k . ) House work Get-up (from chair/bed) Shopping Light work
The table summarizes the results of the validity and reliability measures. Test-retest reliability was high (over-all .89). Moreover, internal consistency (item-total rs) was also good as all correlations were significant and ranging from .58 to .90. Validity, as estimated by both the Pearson correlation between the patients' ADL scores and the significant others' ratings (r = .77, p = ,004) as well as by the correlation between the ADL score and the global rating (r = .63, p < ,001) was satisfactory. This ADL schedule for patients with chronic pain therefore appears to be a valid and reliable instrument and may be used in screening patients and in evaluating treatment ou [come. Accepted September 28, 1990.
'Address correspondence .yo S. J. Linton, Department of Occupational Medicine, Orebro Medical Center, S-701 85 Orebro, Sweden.
