PTOTRNSurveyPain management nursing : official journal of the American Society of Pain Management Nurses2026

Validity of Activity-Based Checks (ABCs) of Pain, A Functional Pain Scale.

Celina G Virgen, Robert Wright, Bryan Renslo and 4 others

PMID 41073191

WHAT IT FOUND

A visual pain scale grouped activities into four areas and agreed with established pain measures.

It had moderate stability over two weeks. It may help pain management teams assess how pain limits daily tasks, not how well treatment works.

Key findings

01The ABCs items grouped into four areas: complex multiplanar activities, sitting or hip flexor, walking or ambulation, and lightweight unilateral activities.

02The total ABCs score showed moderate two-week stability, with a value of 0.74.

03The ABCs showed moderate to strong relationships with the comparison pain scales.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs

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What it does not show

Participants were recruited online and reported chronic pain themselves; the paper does not confirm diagnoses or pain causes. The study tested the scale's structure and consistency, not whether using it improves pain assessment, treatment decisions, or patient outcomes. The number of participants who completed the 2-week test-retest is not stated in the supplied text. The cohorts were mostly white and English-speaking adults in the United States, so the results may not represent all clinical pain populations. Some activities may not apply to every patient, and the scale was not tested in a specific clinic setting.

Declared interests

The supplied publication types list NIH extramural research support. No author conflict statement is included in the supplied text.

The easy way to misread this

Do not read this as proof that the ABCs improves pain care. It was validated in online self-report surveys of people with chronic pain, not in a trial of treatment decisions or patient outcomes.

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