Barriers to Pain Management in Adolescents with Cancer

描述（由申请人提供）：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。本研究将采用基于信念驱动应对努力原则的应对模型。信念将被定义为阻碍我们努力管理疼痛的障碍。应对努力将被定义为报告疼痛和使用镇痛药。在研究1中，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的具体目的是根据青少年和临床医生的反馈，开发和完善一种测量青少年癌症患者疼痛管理障碍的工具，ABQ-II。研究2的具体目的是使用横截面相关设计对ABQ-II进行心理计量学测试，并检查障碍与应对努力之间的关系。了解青少年的障碍以及这些障碍如何影响报告疼痛和止痛药的使用，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。我的第二顾问是教育心理学系的罗伯特·恩莱特教授，他在青少年发展理论和家庭动力学方面很有专长。通过我有幸得到恩莱特教授的指导，并通过教育心理学系的课程，我希望获得关于青少年发展和家庭动态理论的强大知识基础。

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.