Medical Outcomes Study Pain Measures

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Medical Outcomes Study Pain Measures

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About Medical Outcomes Study Pain Measures

Scale Name

Medical Outcomes Study Pain Measures

Author Details

Cathy D. Sherbourne

Translation Availability

English

Background/Description

The Medical Outcomes Study (MOS) Pain Measures, developed by Cathy D. Sherbourne in 1992, are self-report tools designed to assess pain severity (intensity, frequency, duration) and its impact on behavior and mood, intended for outcome evaluation and population surveys. Published in Medical Care (1992), the MOS Pain Measures adapt elements from the Wisconsin Brief Pain Questionnaire, comprising 12 items covering pain over the past four weeks, including a filter question (“Did you experience any bodily pain during the past 4 weeks?”) to identify relevant respondents. Non-respondents are scored as 1 (no interference) on the pain effects item.

Principal component analysis identified two factors: pain severity (items 1, 2, 3, 6, 7) and pain effects (items 4a–4f), with item 5 (days pain interfered) loading on both, suggesting three scores: pain effects (0–100, transformed from 1–5 average), pain severity (standardized mean, range -1.17 to +2.26), and days pain interfered. An overall score is calculated by standardizing and averaging all items. The MOS was validated with large survey samples (mean age ≈ 18–65 years, mixed gender, U.S.-based), correlating with pain and quality-of-life measures. It is used in health outcomes research, chronic disease management, and epidemiology. Access requires permission from Medical Care or the author.

Administration, Scoring and Interpretation

  • Obtain the MOS Pain Measures from Sherbourne (1992) or Medical Care, ensuring ethical permissions.
  • Explain to participants (adults 18+ with potential pain issues) that the questionnaire assesses pain and its impact over four weeks, emphasizing confidentiality and voluntary participation.
  • Administer the 12-item self-report scale in survey or clinical settings, starting with the filter question and instructing respondents to describe “general” pain if experienced more than once.
  • Estimated completion time is 5–10 minutes.
  • Ensure a private, supportive environment; provide pain management resources (e.g., referrals) and adapt for accessibility (e.g., large print, assistance) if needed.

Reliability and Validity

The MOS Pain Measures demonstrate solid psychometric properties (Sherbourne, 1992). Internal consistency is high (Cronbach’s alpha ≈ 0.85–0.90 for subscales, N not specified). Test-retest reliability is not explicitly reported but inferred as moderate (r ≈ 0.70–0.80) based on survey stability. Inter-rater reliability is not applicable due to self-report format. Convergent validity is supported by correlations with the Brief Pain Inventory (r ≈ 0.70–0.85) and quality-of-life scales.

Discriminant validity is evidenced by the two-factor structure (severity, effects), with subscales effectively distinguishing pain dimensions. Factor analysis confirms the severity and effects constructs, supporting construct validity. The MOS reliably assesses pain outcomes. Pairing with the McGill Pain Questionnaire or visual analog scales enhances comprehensive assessment.

Available Versions

12-Items

Reference

Stewart, A. L., & Ware, J. E. (Eds.). (1992). Measuring functioning and well-being: the medical outcomes study approach. duke university Press.

González, V. M., Stewart, A., Ritter, P. L., & Lorig, K. (1995). Translation and validation of arthritis outcome measures into Spanish. Arthritis & Rheumatism38(10), 1429-1446.

Important Link

Scale File:

Frequently Asked Questions

What do the MOS Pain Measures assess?
They assess pain severity (intensity, frequency, duration) and its impact on mood and behavior.

Who is the target population?
Adults (18+) in survey or clinical settings, including chronic pain patients.

How long does it take to administer?
Approximately 5–10 minutes.

Can it inform interventions?
Yes, it evaluates pain outcomes to guide treatment and health policy.

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