• Anna L Kratz, Ivan R Molton, Mark P Jensen, Dawn M Ehde, and Warren R Nielson.
• Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98104, USA. alkratz@uw.edu
• Ann Behav Med. 2011 Jun 1; 41 (3): 391-400.

BackgroundGrowing evidence suggests that motivation to engage in pain-coping strategies is a key predictor of how well a person adjusts to pain. According to the Motivational Model of Pain Self-Management, readiness to engage in pain self-management behaviors is influenced by beliefs about the importance of the behavior (importance) and the ability to carry out the behavior (self-efficacy).PurposeThe purpose of this study was to test the Motivational Model of Pain Self-Management for exercise and task persistence pain-coping behaviors in a sample of 114 individuals with multiple sclerosis and chronic pain.MethodsMeasures included the Multidimensional Pain Readiness to Change Questionnaire-2 and measures of importance, self-efficacy, and coping behavior duration. Tests of mediation were conducted with two path analyses, one for each coping behavior.ResultsThe effects of importance and self-efficacy beliefs on coping behaviors were mediated or partially mediated by readiness to engage in those behaviors.ConclusionsThese findings provide support for the Motivational Model of Pain Self-Management and have important implications for the development of treatments for chronic pain.

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