title: Further evaluation of the Motivational Model of Pain Self-Management: coping with chronic pain in multiple sclerosis.
abstract: BACKGROUND
  Growing 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).
  
  
  OBJECTIVE
  The 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.
  
  
  METHODS
  Measures 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.
  
  
  RESULTS
  The effects of importance and self-efficacy beliefs on coping behaviors were mediated or partially mediated by readiness to engage in those behaviors.
  
  
  CONCLUSIONS
  These findings provide support for the Motivational Model of Pain Self-Management and have important implications for the development of treatments for chronic pain.
authors.affiliation: Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98104, USA. alkratz@uw.edu
authors.forename: Anna L
authors.initials: AL
authors.lastname: Kratz
authors.forename: Ivan R
authors.initials: IR
authors.lastname: Molton
authors.forename: Mark P
authors.initials: MP
authors.lastname: Jensen
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Ehde
authors.forename: Warren R
authors.initials: WR
authors.lastname: Nielson
mesh_terms: D000223:Adaptation, Psychological; D001294:Attitude to Health; D002908:Chronic Disease; D015444:Exercise / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009042:Motivation; D009103:Multiple Sclerosis / Q000150:complications / Q000523:psychology*; D010146:Pain / Q000150:complications / Q000523:psychology*; D059408:Pain Management; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D057566:Self Report; D013647:Task Performance and Analysis