Abstract
Study design
A questionnaire validity study.
Objectives
To perform the translation, cross-cultural adaptation, and analysis of the measurement properties of the Brazilian Portuguese version of the Spinal Cord Injury Pain Instrument (SCIPI) for the screening of neuropathic pain in spinal cord injury.
Setting
Neurorehabilitation hospital in north-eastern Brazil.
Methods
We performed the translation and cross-cultural adaptation of the SCIPI. The pre-final version was applied in 10 patients with spinal cord injury sequelae and pain report. The final version of the SCIPI was applied to 100 patients. The measurement properties evaluated were structural validity, test-retest reliability, internal consistency, construct validity, and diagnostic accuracy.
Results
None of the items in the pre-final version of the SCIPI had any comprehension problems. The one-dimensional structure of the final version of the SCIPI was adequate. There were significant correlations between the SCIPI and the Douleur Neuropathique 4 (rho = 0.546), as well as adequate test-retest reliability (intraclass correlation coefficient = 0.89, kappa ≥ 0.79), internal consistency (Cronbach’s alpha ≥ 0.76), and diagnostic accuracy (area under the curve = 0.860).
Conclusion
The Brazilian version of the SCIPI presents measurement properties that are suitable for measuring neuropathic pain related to spinal cord injury.
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Data availability
The database of the present study is available in Supplement 2.
References
Teixeira MJ, Paiva WS, Assis MS, Fonoff ET, Bor-Seng-Shu E, Cecon AD, et al. Neuropathic pain in patients with spinal cord injury: Report of 213 patients. Arq Neuropsiquiatr. 2013;71:600–3. https://doi.org/10.1590/0004-282X20130103.
Aquarone RL, Faro ACMe, Nogueira PC. Central neuropathic pain: Implications on quality of life of spinal cord injury patients. Rev Dor. 2015;16:280–4. https://doi.org/10.5935/1806-0013.20150057.
Burke D, Lennon O, Fullen BM. Quality of life after spinal cord injury: The impact of pain. Eur J Pain (UK). 2018;22:1662–72. https://doi.org/10.1002/ejp.1248.
Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain 2020;161:1976–82. https://doi.org/10.1097/j.pain.0000000000001939.
de Miguel M, Kraychete DC. Pain in Patients with Spinal Cord Injury: A Review. Braz J Anesthesiol. 2009;59:350–7. https://doi.org/10.1590/s0034-70942009000300011.
Mathieson S, Maher CG, Terwee CB, Folly De Campos T, Lin CWC, et al. Neuropathic pain screening questionnaires have limited measurement properties. A systematic review. J Clin Epidemiol. 2015;68:957–66. https://doi.org/10.1016/j.jclinepi.2015.03.010.
Eckeli FD, Teixeira RA, Gouvêa ÁL. Neuropathic pain evaluation tools. Rev Dor. 2016;17:20–22. https://doi.org/10.5935/1806-0013.20160041.
Bryce TN, Richards JS, Bombardier CH, Dijkers MP, Fann JR, Brooks L, et al. Screening for neuropathic pain after spinal cord injury with the Spinal Cord Injury Pain Instrument (SCIPI): A preliminary validation study. Spinal Cord. 2014;52:407–12. https://doi.org/10.1038/sc.2014.21.
Franz S, Schuld C, Wilder-Smith EP, Heutehaus L, Lang S, Gantz S, et al. Spinal Cord Injury Pain Instrument and painDETECT questionnaire: Convergent construct validity in individuals with Spinal Cord Injury. Eur J Pain (UK). 2017;21:1642–56. https://doi.org/10.1002/ejp.1069.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Philos Pa 1976). 2000;25:3186–91. https://doi.org/10.1080/000163599428823.
Mokkink LB, Prinsen CA, Patrick DL, Alonso J, Bouter LM, de Vet HC, et al. COSMIN study design checklist for patient-reported outcome measurement instruments. Amsterdam, The Netherlands. 2019; 1–32. https://doi.org/10.1136/gutjnl-2020-320729.
Ferreira L, Neves AN, Campana MB, Tavares M da CGCF. Guia da AAOS/IWH: sugestões para adaptação transcultural de escalas. Avaliação Psicológica. 2014;13:457–61.
Da Silva Rodrigues EK, De Cássia Registro Fonseca M, Macdermid JC. Brazilian version of the Patient Rated Wrist Evaluation (PRWE-BR): Cross-cultural adaptation, internal consistency, test-retest reliability and construct validity. J Hand Ther. 2015;28:69–76. https://doi.org/10.1016/j.jht.2014.09.008.
Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. MPR-online. 2003;8:23–74.
Fleiss JL. The Design and Analysis of Clinical Experiments. John Wiley & Sons, New York. 1986.
Bassi D, Santos-de-Araújo AD, Camargo PF, Dibai-Filho AV, da Fonseca MA, Mendes RG, et al. Inter and intra-rater reliability of short-term measurement of heart rate variability on rest in diabetic type 2 patients. J Med Syst. 2018; 42:. https://doi.org/10.1007/s10916-018-1101-8.
Sim J, Wright CC. The kappa statistic in reliability studies: Use, interpretation, and sample size requirements. Phys Ther. 2005;85:257–68. https://doi.org/10.1093/ptj/85.3.257.
Prinsen CAC, Mokkink LB, Bouter LM, Alonso J, Patrick DL, de Vet HCW, et al. COSMIN guideline for systematic reviews of patient-reported outcome measures. Qual Life Res. 2018;27:1147–57. https://doi.org/10.1007/s11136-018-1798-3.
Asparouhov T, Muth B, Muthén B. Simple second order chi-square correction. 2010; 1–8.
BROWN TA. Confirmatory factor analysis for applied research. New York, NY US. 2006.
Greiner M, Pfeiffer D, Smith RD, Greiner M, Pfeiffer D, Smith RD. Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Prev Vet Med. 2000;45:23–41. https://doi.org/10.1016/0009-2797(70)90001-3.
Akobeng AK. Understanding diagnostic tests 3: Receiver operating characteristic curves. Acta Paediatr Int J Paediatr. 2007;96:644–7. https://doi.org/10.1111/j.1651-2227.2006.00178.x.
Eusebi P. Diagnostic accuracy measures. Cerebrovasc Dis. 2013;36:267–72. https://doi.org/10.1159/000353863.
Jacob ALO. Uso da Análise Fatorial: Algumas Diretrizes para Pesquisadores. In: Análise fatorial para pesquisadores. LabPAM Saber e Tecnologia, Brasília, 2012
Santos JG, Brito JO, de Andrade DC, Kaziyama VM, Ferreira KA, Souza I, et al. Translation to portuguese and validation of the douleur Neuropathique 4 questionnaire. J Pain. 2010;11:484–90. https://doi.org/10.1016/j.jpain.2009.09.014.
Barbosa M, Bennett MI, Verissimo R, Carvalho D. Cross-cultural psychometric assessment of the leeds assessment of neuropathic symptoms and signs (LANSS) pain scale in the Portuguese population. Pain Pr. 2014;14:620–4. https://doi.org/10.1111/papr.12118.
Acknowledgements
We thank all patients.
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This work was partially supported by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), finance code 001.
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AVDF designed the study; MC and collected the data; MC, AVDF and CAFPG analyzed and interpreted the data; All authors read and approved the final manuscript.
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Cacere, M., Pontes-Silva, A., Fidelis-de-Paula-Gomes, C.A. et al. Translation, cross-cultural adaptation, and analysis of the measurement properties of the Brazilian Portuguese version of the spinal cord injury pain instrument. Spinal Cord 60, 820–825 (2022). https://doi.org/10.1038/s41393-022-00800-2
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DOI: https://doi.org/10.1038/s41393-022-00800-2


