Pain Outcomes Questionnaire Expanded Analysis

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GOOD PSYCHOLOGY
Pain Outcomes
Questionnaire Expanded
Analysis
Confidential Analysis for TCC
By Lisa Samuel, Ph.D
7/23/2012
This document is private and confidential. It contains two statistical analyses of the data at intake and
then both 6 months and 12 months. Frequencies, descriptive statistics and repeated measures t-tests
are included. Additionally, the report contains graphical analyses using SPSS and statistical
interpretations.
Pain Outcomes Questionnaire Statistical Analysis
Research Question: will the implementation of TCC’s coaching program affect those suffering with
chronic pain using the Pain Outcomes Questionnaire as the measurement system.
Null hypothesis: Implementation of the coaching program will not affect the total scores on the POQ
Alternative hypothesis: Implementation of the coaching program will affect the total scores on the
POQ.
Method: Data was collected using the POQ. Measurements were taken before the coaching began with
a total of 14 participants from intake to 6 month follow up and13 participants from intake to 12 months.
Data from the POQ was entered into SPSS software. Descriptive statistics, frequencies and repeated
measure t-tests were performed on both sets of data. Frequency data was performed on the entire
data set (n = 14).
Intake to 6 Months Results:
Years of Education
Cumulative
Frequency
Valid
Percent
Valid Percent
Percent
12
5
35.7
35.7
35.7
13
2
14.3
14.3
50.0
14
2
14.3
14.3
64.3
15
2
14.3
14.3
78.6
16
2
14.3
14.3
92.9
18
1
7.1
7.1
100.0
14
100.0
100.0
Total
Gender
Cumulative
Frequency
Valid
Female
Percent
Valid Percent
Percent
11
78.6
78.6
78.6
Male
3
21.4
21.4
100.0
Total
14
100.0
100.0
LKSamuel, Ph.D., Good Psychology
Page 1
Marital Status
Cumulative
Frequency
Valid
Married
Unmarried
Total
Percent
Valid Percent
Percent
10
71.4
71.4
71.4
4
28.6
28.6
100.0
14
100.0
100.0
LKSamuel, Ph.D., Good Psychology
Page 2
LKSamuel, Ph.D., Good Psychology
Page 3
A paired-sample t test was conducted to evaluate whether there was a reduction in scores on the POQ
upon completing 6 months of coaching. The results indicated that there was a significant change in
the POQ scores from with the POQ scores at 6 months (M = 42.6 , SD = 23.5), t(13) = 6.8, p < .000. The
95% confidence interval for the mean difference between the two ratings resulted in a reduction of 42
points on the POQ. Additionally, 7 of the 8 of the subscales were statistically significant which
included Pain (p < .000), Mobility (p < .000), Activities of Daily Living (p < .000),Vitality (p < .000),
Negative Affect (p < .000) and Fear (p < .000). Healthcare Visits was not statistically significant (p<
.147)
Using the rating scale from the outpatient POQ, these results can be interpreted as follows: After 6
months of coaching, the total scores on the POQ dropped from the 50-74% range of pain to 10-24%
range.
From a preliminary data analysis it was also noted that all the mean scores for all the subscales
decreased.
Paired Samples Statistics
Mean
Pair 1
Pair 2
Pair 3
Pair 4
N
Std. Deviation
Std. Error Mean
Health Care Visits
6.93
14
5.929
1.584
Health Care Visits 6 Mos
4.00
14
3.637
.972
Pain
6.93
14
1.207
.322
Pain 6 Mos
4.43
14
2.138
.571
Mobility
19.57
14
10.301
2.753
Mobility 6 Mos
11.29
14
10.336
2.762
Activities of Daily Living
7.43
14
8.206
2.193
Activities of Daily Living 6
2.71
14
3.474
.928
Vitality
21.07
14
6.534
1.746
Vitality 6 Mos
12.43
14
5.473
1.463
Negative Affect
29.79
14
11.859
3.170
Negative Affect 6 Mos
14.86
14
10.376
2.773
Fear
11.14
14
3.371
.901
Fear 6 Mos
5.21
14
3.599
.962
Total Score
89.07
14
26.354
7.043
Total Score 6 Mos
46.43
14
26.413
7.059
Mos
Pair 5
Pair 6
Pair 7
Pair 8
LKSamuel, Ph.D., Good Psychology
Page 4
Paired Samples Test
Paired Differences
95% Confidence
Mean
Pair 1
Health Care Visits - Health
Std.
Interval of the
Sig.
Std.
Error
Difference
(2-
Deviation
Mean
Lower
Upper
t
df
tailed)
2.929
7.098
1.897
-1.170
7.027 1.544
13
.147
Care Visits 6 Mos
Pair 2
Pain - Pain 6 Mos
2.500
2.139
.572
1.265
3.735 4.372
13
.001
Pair 3
Mobility - Mobility 6 Mos
8.286
7.363
1.968
4.034
12.537 4.210
13
.001
Pair 4
Activities of Daily Living -
4.714
5.327
1.424
1.639
7.790 3.311
13
.006
8.643
4.634
1.239
5.967
11.319 6.978
13
.000
14.929
10.543
2.818
8.841
21.016 5.298
13
.000
5.929
5.863
1.567
2.543
9.314 3.783
13
.002
42.643
23.572
6.300
29.033
56.253 6.769
13
.000
Activities of Daily Living 6
Mos
Pair 5
Vitality - Vitality 6 Mos
Pair 6
Negative Affect - Negative
Affect 6 Mos
Pair 7
Fear - Fear 6 Mos
Pair 8
Total Score - Total Score 6
Mos
Graphical Display for Intake to 6 Months
LKSamuel, Ph.D., Good Psychology
Page 5
100
80
60
40
6 months
20
Intake
0
6 months
25
20
15
Series1
10
5
0
Mobility
LKSamuel, Ph.D., Good Psychology
Mobility 6 mos
Page 6
25
20
15
Series1
10
5
0
Vitality
Vitality 6 mos
12
10
8
6
Series1
4
2
0
Fear
LKSamuel, Ph.D., Good Psychology
Fear 6 mos
Page 7
8
7
6
5
4
Series1
3
2
1
0
HCVisits
HCVisits 6 mos
8
7
6
5
4
Series1
3
2
1
0
Pain
LKSamuel, Ph.D., Good Psychology
Pain 6 mos
Page 8
8
7
6
5
4
Series1
3
2
1
0
ADL
ADL 6 mos
100
90
80
70
60
50
Series1
40
30
20
10
0
TotalScore
LKSamuel, Ph.D., Good Psychology
TotalScore 6 mos
Page 9
Intake to 12 Months Data Analysis
A paired-sample t test was conducted to evaluate whether there was a reduction in scores on the POQ
upon completing 12 months of coaching. The results indicated that there was a significant change in
the POQ scores from intake to 12 months (M = 29.8, SD = 17.8 ), t(12) = 9.4, p < .001. The 95%
confidence interval for the mean difference between the two ratings resulted in a reduction of 59
points on the POQ. Additionally, all 7 subscales were statistically significant which included Health
Care Visits (p < .02), Pain (p < .00), Mobility (p < .00), Vitality (p < .00), Negative Affect (p < .01) and
Fear (p < .00).
Using the rating scale from the outpatient POQ, these results can be interpreted as follows: After 12
months of coaching, the total scores on the POQ dropped from the 50-74% range of pain to 10-24%
range.
From a preliminary data analysis it was also noted that all the mean scores for all the subscales
decreased.
Paired Samples Statistics
Mean
Pair 1
Pair 2
Pair 3
Pair 4
N
Std. Deviation
Std. Error Mean
Health Care Visits
7.90
10
6.082
1.923
Health Care Visits 12 mos
2.10
10
2.726
.862
Pain
7.33
12
1.073
.310
Pain 12 Mos
3.92
12
2.610
.753
20.50
12
10.300
2.973
Mobility 12 Mos
8.33
12
10.165
2.934
Activities of Daily Living
8.75
12
9.574
2.764
Activities of Daily Living 12
2.58
12
4.621
1.334
21.00
12
5.461
1.576
Vitality 12 Mos
8.58
12
3.777
1.090
Negative Affect
28.00
12
10.770
3.109
Negative Affect 12 Mos
8.17
12
4.668
1.347
Fear
9.92
12
3.777
1.090
Fear 12 Mos
2.17
12
1.850
.534
Total Score
88.67
12
28.564
8.246
Total Score 12 Mos
29.83
12
17.806
5.140
Mobility
Mos
Pair 5
Pair 6
Pair 7
Pair 8
Vitality
Paired Samples Test
Paired Differences
LKSamuel, Ph.D., Good Psychology
Page 10
Mean
Pair 1
Health Care Visits - Health
Std. Deviation
Std. Error Mean
5.800
6.877
2.175
3.417
2.429
.701
Care Visits 12 mos
Pair 2
Pain - Pain 12 Mos
Pair 3
Mobility - Mobility 12 Mos
12.167
7.987
2.306
Pair 4
Activities of Daily Living -
6.167
7.408
2.139
Activities of Daily Living 12
Mos
Pair 5
Vitality - Vitality 12 Mos
12.417
4.926
1.422
Pair 6
Negative Affect - Negative
19.833
11.900
3.435
7.750
4.245
1.226
58.833
21.586
6.231
Affect 12 Mos
Pair 7
Fear - Fear 12 Mos
Pair 8
Total Score - Total Score 12
Mos
LKSamuel, Ph.D., Good Psychology
Page 11
Paired Samples Test
df
Pair 1
Health Care Visits - Health
Sig. (2-tailed)
9
.026
Care Visits 12 mos
Pair 2
Pain - Pain 12 Mos
11
.000
Pair 3
Mobility - Mobility 12 Mos
11
.000
Pair 4
Activities of Daily Living -
11
.015
Activities of Daily Living 12
Mos
Pair 5
Vitality - Vitality 12 Mos
11
.000
Pair 6
Negative Affect - Negative
11
.000
Affect 12 Mos
Pair 7
Fear - Fear 12 Mos
11
.000
Pair 8
Total Score - Total Score 12
11
.000
Mos
Graphical Display for Intake to 12 Months
LKSamuel, Ph.D., Good Psychology
Page 12
100
90
80
70
60
50
40
Intake
30
12 months
20
10
0
100
80
60
40
12 months
20
Intake
0
12 months
LKSamuel, Ph.D., Good Psychology
Page 13
8
7
6
5
4
Series1
3
2
1
0
Pain
Pain 12 mos
25
20
15
Series1
10
5
0
Vitality
LKSamuel, Ph.D., Good Psychology
Vitality 12 mos
Page 14
9
8
7
6
5
Series1
4
3
2
1
0
HCVisits
HCVisits 12 mos
30
25
20
15
Series1
10
5
0
NA
LKSamuel, Ph.D., Good Psychology
NA 12 mos
Page 15
12
10
8
6
Series1
4
2
0
Fear
Fear 12 mos
10
9
8
7
6
5
Series1
4
3
2
1
0
ADL
LKSamuel, Ph.D., Good Psychology
ADL 12 mos
Page 16
100
90
80
70
60
50
Series1
40
30
20
10
0
TotalScore
LKSamuel, Ph.D., Good Psychology
TotalScore 12 mos
Page 17
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