Barriers to Pain Management in Adolescents with Cancer

青少年癌症患者疼痛管理的障碍

• 批准号: 6885110
• 负责人: Suzanne W Ameringer
• 金额: $ 3.37万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-10 至 2007-09-09
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6885110
• 关键词: adolescence (12-20); analgesia; behavioral /social science research tag; cancer pain; clinical research; coping; human subject; method development; predoctoral investigator; psychological tests; psychometrics; questionnaires

DESCRIPTION (provided by applicant): Pain is a common symptom suffered by adolescents with cancer. The long-term objective of this research is to increase understanding of the beliefs that adolescents have about pain management. A coping model based on the principle that beliefs drive coping efforts will be used in this research. Beliefs will be defined as barriers that interfere with coping efforts to manage pain. Coping efforts will be defined as reporting pain and using analgesics. In Study 1, content validity of the Adolescent Barriers Questionnaire-ll (ABQ-II) will be examined. Two panels of experts will be asked to complete a Content Review Survey (CRS) of the ABQ-II. The specific aims of Study 1 are to develop and refine an instrument that measures barriers that adolescents with cancer have to pain management, the ABQ-II, based on feedback from adolescents and clinicians. The specific aim of Study 2 is to use a cross sectional correlational design to psychometrically test the ABQ-II and to examine relationships between barriers and coping efforts. Understanding adolescent barriers and how these barriers influence reporting pain and analgesic use may be useful for designing patient-centered interventions to overcome barriers to pain management in adolescents with cancer. My secondary advisor, Professor Robert Enright, from the educational psychology department has an expertise in adolescent theories of development and in family dynamics. Through my wonderful opportunity to have Professor Enright as a mentor and through the courses available in the educational psychology department, I hope to attain a strong knowledge base of theories on both adolescent development and family dynamics.

描述（由申请人提供）：疼痛是患有癌症的青少年的常见症状。这项研究的长期目标是增进对青少年对疼痛管理的信念的了解。本研究将使用基于信念驱动应对努力原则的应对模型。信念将被定义为干扰应对疼痛的障碍。应对措施将被定义为报告疼痛和使用镇痛药。在研究 1 中，将检查青少年障碍问卷-II (ABQ-II) 的内容有效性。将要求两个专家小组完成 ABQ-II 的内容审查调查 (CRS)。研究 1 的具体目标是根据青少年和临床医生的反馈，开发和完善一种测量患有癌症的青少年在疼痛管理方面遇到的障碍的工具，即 ABQ-II。研究 2 的具体目标是使用横断面相关设计对 ABQ-II 进行心理测量测试，并检查障碍与应对努力之间的关系。了解青少年障碍以及这些障碍如何影响报告疼痛和镇痛使用可能有助于设计以患者为中心的干预措施，以克服青少年癌症患者疼痛管理的障碍。我的第二导师是教育心理学系的罗伯特·恩赖特教授，他在青少年发展理论和家庭动态方面拥有丰富的专业知识。通过恩莱特教授作为导师的绝佳机会以及教育心理学系提供的课程，我希望能够获得有关青少年发展和家庭动态的强大理论知识基础。