The Complementary Health Approaches for Pain Survey (CHAPS): Validity testing and characteristics of a rural population with pain
Date
2018Journal
PLoS ONEPublisher
Public Library of ScienceType
Review
Metadata
Show full item recordAbstract
Objectives Little is known about patterns and correlates of Complementary Health Approaches (CHAs) in chronic pain populations, particularly in rural, underserved communities. This article details the development and implementation of a new survey instrument designed to address this gap, the Complementary Health Approaches for Pain Survey (CHAPS). Design Following pilot-testing using pre-specified criteria to assess quality and comprehension in our target population, and after feedback regarding face-validity from content experts and stakeholders, the final cross-sectional self-report survey required 10–12 minutes to complete. It contained 69 demographic, lifestyle and health-related factors, and utilized a Transtheoretical Model (TTM) underpinning to assess short- and long-term use of 12 CHAs for pain management. Twenty additional items on pain severity, feelings, clinical outcomes, and activities were assessed using the Short-Form Global Pain Scale (SF-GPS); Internal reliability was assessed using Cronbach’s alpha. Settings/location Investigators conducted consecutive sampling in four West Virginia pain management and rheumatology practices. Participants 301 Appalachian adult patients seeking conventional care for pain management. Results Response rates were high (88% ± 4.1%). High quality and comprehension deemed the CHAPS an appropriate measurement tool in a rural population with pain. Missing data were unrelated to patient characteristics. Participants predominantly experienced chronic pain (93%), had five or more health conditions (56%, Mean = 5.4±3.1), were white (92%), female (57%), and middle-aged (Mean = 55.6 (SD = 13.6) years). Over 40% were disabled (43%) and/or obese (44%, Mean BMI = 33.4±31.5). Additionally, 44% used opioids, 31% used other prescription medications, and 66% used at least one CHA for pain, with 48% using CHAs for greater than 6 months. There was high internal reliability of the SF-GPS (alpha = .93) and satisfactory internal reliability for each of the five TTM stages across (all) twelve CHAs: precontemplation (0.89), contemplation (0.72), preparation (0.75), action (0.70), and maintenance (0.70). Conclusions The CHAPS is the first comprehensive measurement tool to assess CHA use specifically for pain management. Ease of administration in a population with pain support further use in population- and clinic-based studies in similar populations. Copyright 2018 Feinberg et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Keyword
Complementary Health Approaches (CHAs)Chronic Pain
Rural Population
Surveys and Questionnaires
Identifier to cite or link to this item
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046463054&doi=10.1371%2fjournal.pone.0196390&partnerID=40&md5=bbd12b9ad60f7cc8a99e9f937aa4a3c2; http://hdl.handle.net/10713/9084ae974a485f413a2113503eed53cd6c53
10.1371/journal.pone.0196390
Scopus Count
Collections
Related articles
- The Hausa 12-item short-form health survey (SF-12): Translation, cross-cultural adaptation and validation in mixed urban and rural Nigerian populations with chronic low back pain.
- Authors: Ibrahim AA, Akindele MO, Ganiyu SO, Kaka B, Abdullahi BB, Sulaiman SK, Fatoye F
- Issue date: 2020
- Correlates of Manual Therapy and Acupuncture Use Among Rural Patients Seeking Conventional Pain Management: A Cross-sectional Study.
- Authors: Feinberg TM, Coleman B, Innes KE, Kerns RD, Jackson B, Lisi A, Majoris N, Brandt C
- Issue date: 2021 May
- Development and validation of the Treatment Expectations in Chronic Pain Scale.
- Authors: Pagé MG, Ziemianski D, Martel MO, Shir Y
- Issue date: 2019 Sep
- Use of Complementary Health Approaches for Chronic Low-Back Pain: A Pain Research Registry-Based Study.
- Authors: Licciardone JC, Pandya V
- Issue date: 2020 May
- Use of Self-management Interventions for Chronic Pain Management: A Comparison between Rural and Nonrural Residents.
- Authors: Eaton LH, Langford DJ, Meins AR, Rue T, Tauben DJ, Doorenbos AZ
- Issue date: 2018 Feb