Evidence map›Paper›PMID 41073191›Full record

ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2026

Validity of Activity-Based Checks (ABCs) of Pain, A Functional Pain Scale.

Celina G Virgen, Robert Wright, Bryan Renslo, Tuleen Sawaf, Hanna Moradi, Maria Edelen, Jennifer Villwock

Abstract read
In one paragraph

Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Validity of Activity-Based Checks (ABCs) of Pain, A Functional Pain Scale.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Celina G VirgenDepartment of Otolaryngology- Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS. Electronic address: cgarcia11@kumc.edu.
Robert WrightDepartment of Otolaryngology- Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS.
Bryan RensloDepartment of Otolaryngology- Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS.
Tuleen SawafDepartment of Otolaryngology- Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS.
Hanna MoradiSchool of Medicine, University of Kansas, Kansas City, KS.
Maria EdelenThe Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Jennifer VillwockDepartment of Otolaryngology- Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KS.

Funding

RADx-UP: Improving the Response of Local Urban and Rural Communities to Disparities in Covid-19 TestingUL1TR002366 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mario Castro, JAMES STEVEN LEEDER · 2017 to 2026
$44.3M
NCATS NIH HHS UL1 TR002366
6 · The paper itself

Abstract

purposeThe Activity-Based Checks of Pain (ABCs) is a pain assessment tool incorporating activities of daily living and instrumental activities of daily living. This instrument is designed to focus on functional capabilities and limitations due to pain. This study was designed to validate the factorial structure of the ABCs and assess its use in participants with chronic pain.

methodsParticipants were recruited in two phases. Phase one optimized the design of the ABCs, with 297 subjects selecting their preferred icon for each function and rating its understandability. The most preferred and understandable icons were then used in phase two, where 304 participants with chronic pain completed the ABCs, the Patient-Reported Outcomes Measurement Information System (PROMIS) with additional PROMIS items that were analogous to the ABCs functions but not represented in the PROMIS-29, and the Brief Pain Inventory (BPI). Data were analyzed using exploratory factor analysis and confirmatory factor analysis.

resultsFour factor loadings resulted in: multiplanar activities, sitting and/or hip flexor pain, walking and/or ambulation, and pain interference with lightweight unilateral activities. High internal consistency was demonstrated for all four factor loadings (0.623-0.879, 0.577-0.824, 0.512-0.841, 0.519-0.817, respectively). Correlations between items in the ABCs, PROMIS, and BPI resulted in moderate to strong correlations. Test-retest reliability was moderate to strong (intraclass correlation coefficient: 0.74).

conclusionsThe results confirm the ABCs as a valid and reliable tool for assessing the impact of pain on function in patients with chronic pain.

Indexed as

Activities of Daily LivingChronic PainPain MeasurementPsychometricsAdultAgedFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedReproducibility of ResultsSurveys and QuestionnairesABCsChronic painFunctional painPain scaleValidation

Identifiers

PMID41073191
PMCPMC13314020

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.