About this trial
The purpose of this study is to perform the Turkish cross-cultural adaptation of the Pain and Smoking Inventory (PSI) and to comprehensively evaluate its reliability, validity, and psychometric properties among daily cigarette smokers with chronic pain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18 years and older.
Having a diagnosis of chronic pain that has persisted for at least 3 months.
Smoking at least 5 cigarettes per day (within the last 30 days).
Being able to read and write in Turkish.
Disqualifiers
Having a diagnosis of active psychosis or severe depression.
Having a diagnosis of cognitive impairment or intellectual disability.
Having severe alcohol dependence or substance use disorder.
Having reading and writing difficulties to a degree that prevents completing the questionnaire independently.
Trial population
The study population consists of adult patients aged 18 and older who present to the outpatient clinic with chronic musculoskeletal or systemic pain and are also daily cigarette smokers. The sample will be selected from individuals who are being followed up or treated at a state hospital. It includes individuals from various sociodemographic backgrounds who meet the specific pain duration and smoking quantity criteria, representing a clinical sample of smoking chronic pain patients in Turkey.
Trial design
Other
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Turkish Pain and Smoking Inventory (PSI-TR)
The Pain and Smoking Inventory (PSI) is a 9-item self-report scale designed to assess the perceived interrelations between chronic pain and tobacco smoking. It measures three conceptual domains: pain as a motivator for smoking, smoking as a coping strategy for pain, and pain as a barrier to smoking cessation. Each item is scored on a 7-point Likert-type scale ranging from 0 to 6. The total score ranges from 0 to 54, where higher scores indicate a stronger perceived relationship between pain and smoking behaviors.
Secondary outcomes
Fagerström Test for Nicotine Dependence
A 6-item scale assessing the severity of nicotine dependence (scores range from 0 to 10; higher scores indicate higher dependence).
Numerical Rating Scale
An 11-point scale assessing average pain intensity over the last week (scores range from 0 to 10; 0 = no pain, 10 = worst possible pain).
Pain Disability Index
A 7-item questionnaire measuring the impact of chronic pain on daily life activities across seven domains (scores range from 0 to 70; higher scores indicate greater disability).
Pain Self-Efficacy Questionnaire
A 10-item instrument assessing confidence in performing daily activities despite pain (scores range from 0 to 60; higher scores indicate higher self-efficacy).
Sponsors and contacts
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Hacettepe University
Lead sponsor
Bingol University
Sponsor institution
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