- 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:
- Exercise
- Task persistence
- Relaxation
- Cognitive control
- Pacing
- Avoiding pain contingent rest
- Avoiding asking for assistance
- Assertive communication
- 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
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).
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 = 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)
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, Risa Fox
Date Last Updated
22 August 2020
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