Concurrent Validity of the Defense and Veterans Pain Rating Scale in VA Outpatients

Nassif, Thomas H.; Hull, Amanda; Holliday, Stephanie Brooks; Sullivan, Patrick; Sandbrink, Friedhelm

doi:10.1111/pme.12866

Cited by 57 publications

(39 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nonetheless, we do know that our patients' ocular symptoms returned to baseline by the first day follow-up. This is not surprising given that an animal model of TENS has noted that the effects on dorsal horn cells are short lasting (59). Additionally, we used a single waveform and electrode location and it is not known if these are optimal for trigeminal mediated ocular pain.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Noninvasive Electrical Stimulation for the Treatment of Chronic Ocular Pain and Photophobia

Sivanesan

Levitt

Sarantopoulos

et al. 2018

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

Our data indicate that TENS may similarly provide analgesia in patients with dry eye symptoms as it does for many other chronic pain conditions. Furthermore, the noted effect on symptoms of photophobia and dryness suggest that all may be linked by similar trigeminal-thalamic-cortical pathways. Prospective studies with electrical stimulation of dry eye are needed to further elucidate its benefit and mechanism of action.

show abstract

Section: Discussionmentioning

confidence: 98%

“…The Defense and Veterans Pain Rating Scale (DVPRS), developed by the Army Surgeon General Pain Management Task Force (37,59). …”

Section: Figurementioning

confidence: 99%

Noninvasive Electrical Stimulation for the Treatment of Chronic Ocular Pain and Photophobia

Sivanesan

Levitt

Sarantopoulos

et al. 2018

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

show abstract

“…The Defense and Veterans Pain Rating Scale (DVPRS) augments the traditional NRS with functional impact descriptors, color coding, and pictorial facial images . The use of functional impact descriptors in conjunction with each number on the scale may help patients anchor their pain experience in a way that contextualizes the subjective pain experience and provides useful information to the clinician regarding the need and type of intervention.…”

Section: Discussionmentioning

confidence: 99%

“Sometimes you wonder, is this really true?”: Clinician assessment of patients' subjective experience of pain

Ahluwalia

Giannitrapani

Dobscha

et al. 2019

Evaluation Clinical Practice

View full text Add to dashboard Cite

Background: Pain is a subjective experience that must be translated by clinicians into an objective assessment to guide intervention.Objective: To understand how patients' subjective experience of pain is translated by primary care clinicians into an objective clinical assessment of pain to effectively guide intervention. Methods:We conducted nine multidisciplinary focus groups with a combined total of 60 Veteran affair (VA) primary care providers and staff from two large VA medical centers in California and Oregon. We used content analysis methods to identify key themes pertaining to clinical assessment of a subjective experience. Results:We present four emergent themes. Theme 1: Pain is a highly individualized and subjective experience not adequately captured by a simple numeric scale; Theme 2: Conflict commonly exists between the patient's reported experience of pain and the clinician's observations and expectations of pain; Theme 3: Providers attempt to recalibrate the patient's reported experience to reflect their own understanding of pain; and Theme 4: Providers perceive that some patients may overreport their pain because they do not know how to standardize their subjective experience. Conclusions:A persistent challenge to pain assessment and management is how clinicians reconcile a patient's subjective self-reported experience with their own clinical assessment and personal biases. Future work should explore these themes from the patient perspective.

show abstract

“…The study co-primary endpoints are average pain intensity over the previous 7 days measured by the Defense and Veterans Pain Rating Scale (DVPRS; Fig. 2 ) [ 69 , 70 ] and back-related function measured by the Roland Morris Disability Questionnaire (RMDQ; scores range from 0–23 with higher scores reflecting poorer function) [ 71 , 72 ]. We hypothesize that (1) 12 weeks of weekly yoga will be more effective than education for improving low back pain intensity and back-related function and (2) yoga will be superior compared to education for reducing PTSS in the subset of participants with comorbid PTSS at baseline.…”

Section: Methodsmentioning

confidence: 99%

“…2 Defense and Veterans Pain Rating Scale. The Defense and Veterans Pain Rating Scale (DVPRS), developed by the Army Surgeon General Pain Management Task Force, is a validated patient-reported pain assessment tool [ 69 , 70 ]. This integrated graphic tool incorporates a numerical rating scale, descriptors for each numerical rating, “traffic light” color-coding, and a faces scale …”

Section: Methodsmentioning

confidence: 99%

Yoga versus education for Veterans with chronic low back pain: study protocol for a randomized controlled trial

Saper

Lemaster

Elwy

et al. 2016

Trials

View full text Add to dashboard Cite

BackgroundChronic low back pain is the most frequent pain condition in Veterans and causes substantial suffering, decreased functional capacity, and lower quality of life. Symptoms of post-traumatic stress, depression, and mild traumatic brain injury are highly prevalent in Veterans with back pain. Yoga for low back pain has been demonstrated to be effective for civilians in randomized controlled trials. However, it is unknown if results from previously published trials generalize to military populations.Methods/designThis study is a parallel randomized controlled trial comparing yoga to education for 120 Veterans with chronic low back pain. Participants are Veterans ≥18 years old with low back pain present on at least half the days in the past six months and a self-reported average pain intensity in the previous week of ≥4 on a 0–10 scale. The 24-week study has an initial 12-week intervention period, where participants are randomized equally into (1) a standardized weekly group yoga class with home practice or (2) education delivered with a self-care book. Primary outcome measures are change at 12 weeks in low back pain intensity measured by the Defense and Veterans Pain Rating Scale (0–10) and back-related function using the 23-point Roland Morris Disability Questionnaire. In the subsequent 12-week follow-up period, yoga participants are encouraged to continue home yoga practice and education participants continue following recommendations from the book. Qualitative interviews with Veterans in the yoga group and their partners explore the impact of chronic low back pain and yoga on family relationships. We also assess cost-effectiveness from three perspectives: the Veteran, the Veterans Health Administration, and society using electronic medical records, self-reported cost data, and study records.DiscussionThis study will help determine if yoga can become an effective treatment for Veterans with chronic low back pain and psychological comorbidities.Trial RegistrationClinicalTrials.gov: NCT02224183Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-016-1321-5) contains supplementary material, which is available to authorized users.

show abstract

Concurrent Validity of the Defense and Veterans Pain Rating Scale in VA Outpatients

Cited by 57 publications

References 17 publications

Noninvasive Electrical Stimulation for the Treatment of Chronic Ocular Pain and Photophobia

Noninvasive Electrical Stimulation for the Treatment of Chronic Ocular Pain and Photophobia

“Sometimes you wonder, is this really true?”: Clinician assessment of patients' subjective experience of pain

Yoga versus education for Veterans with chronic low back pain: study protocol for a randomized controlled trial

Contact Info

Product

Resources

About