Multidimensional Pain Readiness to Change Questionnaire (MPRCQ2)

Download Clinical Summary PDF

Tool Description

  • Measure of readiness to adopt various pain management and coping strategies.
  • Made up of two sections and nine subscales.  The first section concerns the use  of adaptive coping behaviours while the second addresses stopping maladaptive coping behaviours.
    The 9 sub-scales include:
    1) Exercise
    2) Task persistence
    3) Relaxation
    4) Cognitive control
    5) Pacing
    6) Avoiding pain contingent rest
    7) Avoiding asking for assistance
    8) Assertive communication
    9) Use of proper body mechanics.

ICF Domain:

Body Function – Subcategory: Sensory Functions

Number of Items:

69

Brief Instructions for Administration & Scoring

Administration:

  • Participants rate each of the 69 statements on a scale of 1-7.

Equipment: No special equipment is required.

Scoring:

  • Mean scores are calculated for each of the 9 subscales by summing the responses for each statement and dividing by the number of items.
  • Subscale scores range from 1 to 7.
  • A total score (9-63) can be calculated by summing scores from each of the 9 primary scales.

Interpretability

MCID: not established in SCI
SEM: not established in SCI
MDC: not established in SCI

  • No cut-off or normative scores have been established for the SCI population
  • The MPRCQ2 has been tested in other populations (fibromyalgia and arthritis) so meaningful comparisons can be made.
  • Published data for the SCI population is available for comparison (see the Interpretability section of the Study Details sheet).

Languages:

English.

Training Required:

None.

Availability:

See the ‘How-to use’ page of this tool.

Clinical Considerations

  • The MPRCQ2 is more practical to use than the original MPRCQ as the statements have been simplified and the number of response items expanded from 6 to 7 options, which provides a more accurate assessment along the readiness to change continuum. It is easily administered and easy to score. The multidimensional subscales allow specific aspects of readiness to change to be examined.
  • Answering the questions do not represent a significant burden to SCI patients. A self-administered format is recommended but an interviewer or proxy could be used in the case of severe physical disability

Measurement Property Summary

# of studies reporting psychometric properties: 2

Reliability:

  • Internal consistency of the MPRCQ2 is Low to High (Pacing – α=0.64 to Ignore Pain- α=0.91 and Cognitive Control – α=0.91).

[Nielson et al. 2003, Nielson et al. 2008]

Validity:

  • MPRCQ total scores correlated significantly and:
    • Moderately with the SOPA (Survey of Pain Attitudes) subscale of control (r=0.51, P=.0001)
    • Lowly with SOPA subscale of harm (r=-0.24, P=.03).
  • MPRCQ total scores correlated significantly and:
    • Lowly with the PSOCQ (Pain Stages of Change Questionnaire) subscale of contemplation (r=0.29, P<.006)
    • Moderately with the PSOCQ subscale of action (r=0.60, P<.0001)
    • Moderately with the PSOCQ subscale of maintenance (r=0.66, P<.0001).

[Nielson et al. 2003, Nielson et al. 2008]

Responsiveness:

No values were reported for the responsiveness of the MPRCQ2 for the SCI population.

Floor/ceiling effect:

No values were reported for the presence of floor/ceiling effects in the MPRCQ2 for the SCI population.

Reviewer

Dr. Vanessa Noonan, Matthew Querée

Date Last Updated:

Mar 23, 2017

Download the measure

Download Worksheet:

Worksheet Document

Video

n/a

Scoring

  • Higher scores indicate a greater use of adaptive coping behaviours (or less use of maladaptive ones).

Equipment Needed

Scoring of the MPRCQ2 is done simply by summing the responses (1–7) for each of the above scales and subscales and dividing by the number of items.

Refer to excel titled “Worksheet_MPRCQ2” for scoring sheet.

1. Exercise: (1 + 7 + 12 + 21 + 34 + 44 + 51) / 7 =

The Total MPRCQ2 score is the sum of the 9 primary scales.

There are 2 sections to the MPRCQ2 with different rating systems.

MPRCQ2:

Nielson WR, Jensen MP, Kerns RD. Initial development and validation of a multidimensional pain readiness to change questionnaire. J Pain, 2003; 4(3): 148-58.
http://www.ncbi.nlm.nih.gov/pubmed/14622712

Nielson WR, Jensen MP, Ehde DM, Kerns RD, Molton IR. Further Development of the Multidimensional Pain Readiness to Change Questionnaire: The MPRCQ2. Journal of Pain 2008;9(6): 552-565.
http://www.ncbi.nlm.nih.gov/pubmed/18337183