Barriers to Pain Management in Adolescents with Cancer

描述(申请人提供)：疼痛是青少年癌症患者的常见症状。这项研究的长期目标是增加对青少年关于疼痛管理的信念的理解。本研究将使用基于信念驱动应对努力原则的应对模式。信念将被定义为干扰应对疼痛的努力的障碍。应对努力将被定义为报告疼痛和使用止痛剂。研究一将检验青少年障碍问卷(ABQ-II)的内容效度。将要求两个专家小组完成ABQ-II的内容审查调查(CRS)。研究1的具体目标是开发和改进一种工具，根据青少年和临床医生的反馈，衡量患有癌症的青少年在疼痛管理方面的障碍，ABQ-II。研究2的具体目的是使用横断面相关设计对ABQ-II进行心理测量学测试，并检验障碍和应对努力之间的关系。了解青少年的疼痛障碍以及这些障碍如何影响疼痛报告和止痛药的使用，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。我的二级导师罗伯特·恩赖特教授来自教育心理学系，他在青少年发展理论和家庭动力学方面拥有专业知识。通过我有机会得到恩赖特教授的指导，通过教育心理学系提供的课程，我希望获得关于青少年发展和家庭动态的坚实的理论知识基础。

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.