• Ali Asghari.
• Department of Psychology, Shahed University, Tehran, Iran. asghari7a@gmail.com
• Arch Iran Med. 2011 Sep 1;14(5):327-31.

BackgroundChronic pain can be associated with limitations in patient function. Assessment of pain-related limitations is one of the important outcome domains that should be considered when designing chronic pain clinical trials. Although a validated instrument for the assessment of pain-related disability in Iranian chronic low back pain (CLBP) patients exists, to date there is no psychometrically sound instrument to measure pain-related physical disability amongst Iranian chronic pain patients suffering from pain in other parts of their bodies.MethodsSix hundred chronic pain patients completed the Modified version of the Roland-Morris disability questionnaire (M-RMDQ) in addition to questionnaires on demographic variables, pain intensity and depression.ResultsInternal consistency, test-retest reliability, and concurrent and predictive validity were calculated for the M-RMDQ. Internal consistency of the M-RMDQ items was acceptable (Cronbach's alpha=0.88). Test-retest reliability with a mean 36-day interval between assessments in 76 chronic pain patients was high (ICC=0.90). Concurrent validity was confirmed via significant correlations between the scores of M-RMDQ, depression and pain intensity. Predictive validity of the M-RMDQ was confirmed as it successfully differentiated pain clinic chronic pain patients from the non-pain clinic chronic pain population.ConclusionThe M-RMDQ has adequate reliability and validity and can be used as a sound measure of physical disability associated with chronic pain among the Iranian population.

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