• 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

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.

ICF Domain

Body Function ▶ Sensory Functions

Administration

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

Number of Items

69

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.

Languages

English

Training Required

None

Availability

Currently unavailable.

# of studies reporting psychometric properties: 2

Interpretability

  • Mean (SD) total score: 38.82 (7.87).

(Nielson et al. 2008; n=127 with SCI, mean (SD) age: 44.82 (14.48) years; no information on injury type or chronicity; MPRCQ2)

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

Reliability – Moderate to High

Internal consistency of the MPRCQ2 is Moderate to High (Task persistency – α = 0.75 to Cognitive control – α = 0.91).

(MPRCQ2; Nielson et al. 2008; n=127 with SCI, mean (SD) age: 44.82 (14.48) years; no information on injury type or chronicity)

Validity – Low to Moderate

  • Low correlation with Exercise and CPCI subscales:
    CPCI Relaxation = 0.29
    CPCI Pacing = 0.28
  • Low to Moderate correlation with Cognitive Control and CPCI subscales:
    CPCI Self-Statements: r = 0.31
    CPCI Pacing: r = 0.36
    CSQ Catastrophizing: r = -0.26
    CSQ Ignore Sensations: r = 0.43
  • Low correlation with Body Mechanics and CPCI Pacing:
    CPCI Pacing: r = -0.26
  • Moderate correlation with Pacing and CPCI Pacing:
    CPCI Pacing: r = 0.59

(MPRCQ2; Nielson et al. 2008; n=127 with SCI, mean (SD) age: 44.82 (14.48) years; no information on injury type or chronicity)

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. Carlos L. Cano-Herrera, Elsa Sun

Date Last Updated

31 December 2024

MPRCQ:

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

MPRCQ2:

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

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