• 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


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

Number of Items



No special equipment is required.


  • 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.



Training Required



Currently unavailable.

# of studies reporting psychometric properties: 2


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).


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)


  • MPRCQ total scores correlated significantly and:
    • Moderately with the SOPA (Survey of Pain Attitudes) subscale of control (r = 0.51, P = 0.0001)
    • Lowly with SOPA subscale of harm (r = -0.24, P = 0.03).
  • 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)


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.


Dr. Vanessa Noonan, Matthew Querée, Risa Fox

Date Last Updated

22 August 2020


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.


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.