A SPANISH OUTCOME MEASURE OF ACUTE PAIN MANAGEMENT

西班牙急性疼痛管理的结果衡量标准

• 批准号: 2615658
• 负责人: JEANETTE A MCNEILL
• 金额: $ 11.21万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-07-01 至 2002-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2615658
• 关键词: Hispanic Americans; clinical research; culture; experience; human subject; language translation; outcomes research; pain; patient care management; perception; psychometrics; questionnaires

DESCRIPTION (Adapted from the Investigator's Abstract): Undertreatment of pain in hospitalized patients has been associated with increased length of stay and adverse clinical outcomes such as higher complication rates, slowed would healing, and reduced quality of life. Minority populations have been shown to experience a higher likelihood of poor pain management (Cleeland, Gonin et al., 1994; Bates, Edwards, & Anderson, 1993). Specific aims are to: 1) describe the perceptions and experiences of Hispanics regarding experience of acute pain and pain management, 2) adapt and translate into Spanish the American Pain Society's Patient Outcome Questionnaire (APS-POQ) to measure outcomes of acute pain management in Hispanics, 3) evaluate the psychometric performance of the modified Spanish language APS-POQ in Hispanics, 4) analyze the factors influencing relationships among demographic variables, selected characteristics of pain, and satisfaction with pain management in an Hispanic sample, and 5) describe outcomes of acute pain management in Hispanics. The project will be conducted in two one-year phases. The purpose of Phase 1 is to understand the experience of acute pain and its management in adult Hispanics. Focus groups will be used to elicit information from Hispanics regarding acute pain experiences, beliefs, expectations related to pain experience and pain relief, and approaches used to manage pain. Data will be gathered on perceptions of satisfaction with pain management and health care providers. Qualitative techniques will be used to analyze the data for themes, in order to develop items for the Beliefs, Interference and Satisfaction subscales of the APS tool. The modified tool will be evaluated for content and cultural validity. The tool will be translated, back-translated and pilot-tested for equivalence of Spanish and English versions. Correlational analysis will be used to test for equivalence; test-retest procedures will examine stability. Phase 2 purposes are to: 1) test the modified APS-POQ for reliability and validity; 2) determine Hispanic satisfaction with overall pain management and with the responses of health care providers; and 3) gather descriptive data regarding the reported effectiveness of pain management strategies, including non-pharmacologic or alternative strategies, in Hispanics. In Phase 2, a cross-sectional study design will test the modified Spanish APS-POQ for internal consistency reliability, construct and convergent validity. In addition to the modified tool, the Brief Pain Inventory will be administered to assess convergent validity, and the Pain Management Index will be computed from analgesic regimen information in the medical record; these scores will be correlated with APS-POQ subscale scores and demographic data. Data from the modified APS tool will be analyzed using factor analysis procedures to establish construct validity. The study will produce a culturally sensitive, reliable and valid tool for determining outcomes of pain management in Hispanics.

描述（改编自研究者摘要）： 住院患者的疼痛与持续时间增加有关。 住院和不良临床结局，如并发症发生率较高， 会愈合，降低生活质量。 少数民族人口一直是 显示出经历更高的不良疼痛管理的可能性（Cleeland， 戈宁等人，1994; Bates，Edwards，&安德森，1993）。 具体的目标是 （1）描述西班牙裔的看法和经验， 急性疼痛和疼痛管理的经验，2）适应并转化为 美国疼痛协会患者结局问卷（APS-POQ） 为了衡量西班牙裔美国人急性疼痛管理的结果，3）评估 修改后的西班牙语APS-POQ的心理测量性能 西班牙裔，4）分析影响因素之间的关系 人口统计学变量、选定的疼痛特征和满意度 在西班牙裔样本中进行疼痛管理，以及5）描述 西班牙裔的急性疼痛管理。 该项目将在两个 一年的阶段。 第一阶段的目的是了解 西班牙裔成年人的急性疼痛及其管理。 将使用焦点小组 为了从西班牙裔美国人中获得关于急性疼痛经历的信息， 与疼痛体验和疼痛缓解相关的信念、期望，以及 用于管理疼痛的方法。 将收集关于以下方面的看法的数据： 对疼痛管理和医疗保健提供者的满意度。 定性 技术将用于分析主题的数据，以开发 APS的信念、干扰和满意度分量表的项目 工具. 将对修改后的工具进行内容和文化评估 效度 该工具将进行翻译、回译和试点测试， 西班牙文和英文版本的对等性。 相关分析将 用于测试等效性;测试-再测试程序将检查稳定性。 第2阶段的目的是：1）测试改进的APS-POQ的可靠性， 有效性; 2）确定西班牙裔对整体疼痛管理的满意度 以及医疗保健提供者的回应;以及3）收集描述性信息 关于报告的疼痛管理策略有效性的数据， 包括非药物或替代策略。 在 第二阶段，横断面研究设计将测试修改后的西班牙语 APS-POQ内部一致性可靠性，构造和收敛 效度 除了修改后的工具，简明疼痛量表将 进行管理，以评估收敛效度，和疼痛管理指数 将根据病历中的镇痛方案信息计算; 这些评分将与APS-POQ子量表评分和人口统计学相关 数据 将使用因子分析来自改良APS工具的数据 分析程序，以建立结构效度。 该研究将产生 一个具有文化敏感性、可靠和有效的工具， 西班牙裔的疼痛管理