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Resumen: En este trabajo se presenta el proceso de creación de la Escala sobre Habilidades de Comunicación en Profesionales de la Salud, EHC-PS. Este aspecto no se muestra en los procesos de elaboración de instrumentos a pesar de ser considerado una parte fundamental. Por esto, se muestra todo el proceso de creación de la escala, desde la definición operacional del constructo a medir, avalada por un grupo de expertos, como el proceso de creación de los ítems siguiendo las tablas de especificaciones de la escala y de los ítems. Además, se incluye la fase de evaluación cualitativa de los ítems creados por parte del grupo de expertos como los ensayos preliminares de la escala, aspectos fundamentales para la obtención de evidencias de validez de contenido y consenso en el futuro instrumento de medida. Los resultados obtenidos muestran que los expertos valoraron positivamente la definición realizada del constructo, así como los ítems creados a partir de dicha definición, que se modificaron y eliminaron según dichos resultados. Palabras clave: Comunicación; salud; habilidades de comunicación; profesionales de la salud; estudio instrumental. Title: Creation of the communication skills scale in health professionals, CSS-HP.Abstract: This work presents the process of creating the scale on communication skills scale in health professionals, CSS-HP. This aspect is not shown in the process of developing tools despite being considered a fundamental part. For this, it shows the entire process of creating the scale, from the operational definition of the construct to measure, backed by a group of experts, as the process of creating the items following the specification tables of the scale and items. It also includes qualitative evaluation phase of the items created by the group of experts and preliminary trials of the scale, fundamental aspects for obtaining content and consensus validity evidence on the future tool. The results show that experts appreciated positively the construct definition made and items created from that definition, which were modified and eliminated according to these results.

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Findings supported the reliability and validity of the ARSW to assess withdrawal of prescription opioids in individuals with chronic noncancer pain. The instrument can be applied indistinctly in men and women. An increase in the ARSW scores could be used as an indicator of potential risk of prescription opioid-use disorder during long-term treatments.

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Theoretical Framework: The goal of this study is to evaluate the effectiveness of a group intervention program in chronic pain. Methods: The sample consists of 42 participants, patients of the Pain Unit at the General University Hospital of Alicante. Only 30 completed the study. Subjects voluntarily completed a battery of questionnaires before and after the application of the program. In the study were measured the pain level as dependent variable and as independent variables the quality of life, anxiety, depression, sleep architecture and selfefficacy. Results: The program evaluation results show some improvements in almost all variables, and also differences in the effectiveness of the program between chronic pain patients and fibromyalgia patients. Conclusion: From the results we can conclude that both clinical entities are equivalent but respond in a different way because they are based on medical conditions with different intensity.