+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A comparison of the Hopkins Pain Rating Instrument with standard visual analogue and verbal descriptor scales in patients with cancer pain

A comparison of the Hopkins Pain Rating Instrument with standard visual analogue and verbal descriptor scales in patients with cancer pain

Journal of Pain and Symptom Management 7(4): 196-203

A self-contained, portable, pain rating instrument that provides an immediate result for documentation purposes was developed to improve pain assessment in cancer patients. The Hopkins Pain Rating Instrument (HPRI) is a 5 x 20 cm plastic visual analogue scale (VAS) with a sliding marker that moves within a groove that measures 10 cm. The side facing the patient resembles a traditional VAS while the opposite side is marked in cm to quantify pain intensity. This psychometric study, which employed a descriptive correlational design, evaluated the reliability and validity of the HPRI by comparing it with a traditional VAS and verbal descriptor scale (VDS). Outpatients with and without pain and inpatients with pain rated their major pain site with the three instruments, which were presented in random order. This was followed by a mental status exam and re-rating of pain with the same instruments to assess test--retest reliability. Completing the study were 71 patients with a variety of cancers and a mean age of 52.8 years. Of these patients, 68% had pain and 54% were receiving opioid analgesics. The most common pain sites were the back, leg, and epigastric areas. On initial and repeat testing, there were high correlations between the HPRI and the VAS (r = 0.99, P less than 0.0001) and the VDS (r = 0.85, P less than 0.0001). The correlation coefficients for test--retest reliability for the HPRI, VAS, and VDS were 0.97, 0.97, and 0.94 (P less than 0.001).

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 039050847

Download citation: RISBibTeXText

PMID: 1517641

DOI: 10.1016/0885-3924(92)90075-s

Related references

Comparison of Visual Analogue Scales (VAS) and Verbal Rating Scales (VRS) as Assessment Tools of Pain Intensity and Pain Unpleasantness. PhysioTherapy 82(11): 638-0, 1996

Acceptability of visual analogue scales in the clinical setting: a comparison with verbal rating scales in postoperative pain. Methods and Findings in Experimental and Clinical Pharmacology 11(2): 123-127, 1989

Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. Journal of Pain and Symptom Management 41(6): 1073-1093, 2011

Problems associated with pain measurement in arthritis: comparison of the visual analogue and verbal rating scales. Clinical and Experimental Rheumatology 2(3): 231-234, 1984

A descriptive study of the use of visual analogue scales and verbal rating scales for the assessment of postoperative pain in orthopedic patients. Journal of Pain and Symptom Management 18(6): 438-446, 1999

Lack of interchangeability between visual analogue and verbal rating pain scales: a cross sectional description of pain etiology groups. Bmc Medical Research Methodology 5: 31, 2005

Pain measurement scales: a comparison of the visual analogue and faces rating scales in measuring pressure ulcer pain. Journal of Wound Ostomy and Continence Nursing 28(6): 290-296, 2001

Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain. Health and Quality of Life Outcomes 8: 42, 2010

Comparability of visual analogue and verbal rating scales in measuring the pain of rheumatoid arthritis. Arthritis & Rheumatism 35(9 Suppl. ): S176, 1992

The Assessment of Acute Pain in Pre-Hospital Care Using Verbal Numerical Rating and Visual Analogue Scales. Journal of Emergency Medicine 49(3): 287-293, 2015

Comparison of fixed interval and visual analogue scales for rating chronic pain. European Journal of Clinical Pharmacology 8(6): 415-420, 1975

Patient-controlled epidural diamorphine for post-operative pain: Verbal rating and visual analogue assessments of pain. European Journal of Anaesthesiology 13(2): 117-129, 1996

Comparison of verbal and visual analogue scales for measuring the intensity and unpleasantness of experimental pain. Pain 37(3): 295-304, 1989

A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales. Pain. 56(2): 217-226, 1994

Comparative responsiveness of verbal and numerical rating scales to measure pain intensity in patients with chronic pain. Journal of Pain 14(12): 1653-1662, 2013