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Test-retest and interrater reliability of experimental within-subject variability of pain reports as assessed by the focused analgesia selection test

dc.contributor.authorAgostinho, Mariana
dc.contributor.authorShani, Adi
dc.contributor.authorCanaipa, Rita
dc.contributor.authorTreister, Roi
dc.date.accessioned2024-09-18T17:15:47Z
dc.date.available2024-09-18T17:15:47Z
dc.date.issued2024-10
dc.description.abstractIntroduction: Within-subject variability (WSV) of pain intensity reports has been shown to predict the placebo response. The focused analgesia selection test (FAST), which allows to experimentally assess WSV of pain reports, has been used as a screening tool to identify participants who are likely to have a strong placebo response in drug-development clinical trials. Yet, the reliability of FAST has not been reported. Objectives: To assess test–retest and interrater reliability of the FAST outcomes. To mimic pharma-sponsored clinical trials, we enlisted inexperienced assessors who underwent limited training. Methods: Healthy volunteers performed the FAST twice within a week and were randomly assigned to either the test–retest group or the interrater group. T-tests, partial Pearson correlations, intraclass correlations (ICC), and Bland–Altman plots were generated to assess FAST outcomes’ reliability. Results: Sixty-three participants completed the study and were assigned to the test–retest (N 5 33) or interrater (N 5 30) arms. No statistically significant differences in the FAST outcomes were detected between the 2 sessions, except for the FAST covariance (FAST CoV) in the interrater assessment (P 5 0.009). Test–retest reliabilities of the FAST-main outcomes were r 5 0.461, ICC 5 0.385 for the FAST R2 and r 5 0.605, ICC 5 0.539 for the FAST ICC and in the interrater cohort, they were FAST R2 : r 5 0.321, ICC 5 0.337 and FAST ICC: r 5 0.355, ICC 5 0.330. Conclusion: Using inexperienced assessors, the FAST outcomes test–retest ranged from moderate to strong, whereas the interrater reliability ranged from weak to poor. These results highlight the importance of adequately training study staff members before using this tool in multicentre clinical trials.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1097/PR9.0000000000001175pt_PT
dc.identifier.eid85201779533
dc.identifier.pmcPMC11332713
dc.identifier.pmid39161417
dc.identifier.urihttp://hdl.handle.net/10400.14/46610
dc.identifier.wos001292439300001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectBaseline pain fluctuationspt_PT
dc.subjectClinical trialspt_PT
dc.subjectPlacebopt_PT
dc.subjectQuantitative sensory testingpt_PT
dc.subjectVariabilitypt_PT
dc.titleTest-retest and interrater reliability of experimental within-subject variability of pain reports as assessed by the focused analgesia selection testpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue5pt_PT
oaire.citation.titlePain Reportspt_PT
oaire.citation.volume9pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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