4-Item Pain Intensity Measure (P4): Difference between revisions

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== Summary  ==
== Summary  ==


The P4 consists of 4 items that address pain intensity in the morning, afternoon, evening, and with activity over the past 2 days. Each item is scored on a 0-to-10 NPRS, therefore the total P4 scores can vary from 0 (no pain) to 40 (the highest possible pain level). Most patients can complete the P4 in less than a minute and clinicians can score the measure in 5 seconds without the use of computational aids.
The P4 consists of 4 items that address pain intensity in the morning, afternoon, evening, and with activity over the past 2 days. Each item is scored on a 0-to-10 NPRS, therefore the total P4 scores can vary from 0 (no pain) to 40 (the highest possible pain level). Most patients can complete the P4 in less than a minute and clinicians can score the measure in 5 seconds without the use of computational aids.  


The purpose of developing this questionnaire was to attempt assessing change better than the two difference versions of a single-item NPRS.
The purpose of developing this questionnaire was to attempt assessing change better than the two difference versions of a single-item NPRS.  


== Intended Population  ==
== Intended Population  ==


Those over the age of 16 with non-chronic musculoskeletal pain. It has also been shown to be valid when used in conjunction with the WOMAC in people with osteoarthritis awaiting total knee or total hip replacements.<ref name="Stratford 2009">Stratford PW, Dogra M, Woodhouse L, Kennedy DM, Spadoni GF. Validating Self-Report Measures of Pain and Function in Patients Undergoing Hip or Knee Arthroplasty. Physiother Can, 2009: 61; 189-194.</ref>
Those over the age of 16 with non-chronic musculoskeletal pain. It has also been shown to be valid when used in conjunction with the WOMAC in people with osteoarthritis awaiting total knee or total hip replacements.<ref name="Stratford 2009">Stratford PW, Dogra M, Woodhouse L, Kennedy DM, Spadoni GF. Validating Self-Report Measures of Pain and Function in Patients Undergoing Hip or Knee Arthroplasty. Physiother Can, 2009: 61; 189-194.</ref>  


== Method of Use  ==
== Method of Use  ==


[[Image:P4 Questionnaire.png|center|500x178px]]
[[Image:P4 Questionnaire.png|center|500x178px]]  


<br>


 
Patients are asked to circle a single number that corresponds to their pain at each time of day and with activity over the previous 2 days.  
Patients are asked to circle a single number that corresponds to their pain at each time of day and with activity over the previous 2 days.
 
== Reference<br>  ==


== Evidence  ==
== Evidence  ==
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=== Responsiveness  ===
=== Responsiveness  ===


=== Miscellaneous<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span><br>  ===
=== Miscellaneous<br>  ===


== Links  ==
== Links  ==

Revision as of 03:25, 7 March 2014

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Evan Thomas, Andeela Hafeez, WikiSysop and Melissa Coetsee  

Summary[edit | edit source]

The P4 consists of 4 items that address pain intensity in the morning, afternoon, evening, and with activity over the past 2 days. Each item is scored on a 0-to-10 NPRS, therefore the total P4 scores can vary from 0 (no pain) to 40 (the highest possible pain level). Most patients can complete the P4 in less than a minute and clinicians can score the measure in 5 seconds without the use of computational aids.

The purpose of developing this questionnaire was to attempt assessing change better than the two difference versions of a single-item NPRS.

Intended Population[edit | edit source]

Those over the age of 16 with non-chronic musculoskeletal pain. It has also been shown to be valid when used in conjunction with the WOMAC in people with osteoarthritis awaiting total knee or total hip replacements.[1]

Method of Use[edit | edit source]

P4 Questionnaire.png


Patients are asked to circle a single number that corresponds to their pain at each time of day and with activity over the previous 2 days.

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous
[edit | edit source]

Links[edit | edit source]

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

  1. Stratford PW, Dogra M, Woodhouse L, Kennedy DM, Spadoni GF. Validating Self-Report Measures of Pain and Function in Patients Undergoing Hip or Knee Arthroplasty. Physiother Can, 2009: 61; 189-194.