Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire
Background: Effective pain management involves a cycle of continual pain assessment, good pain control strategies, and assessment of a standard quality improvement measures. A validated questionnaire that focuses on the quality of postoperative pain management in pediatric surgical patients and pare...
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my.um.eprints.200972019-01-22T04:02:17Z http://eprints.um.edu.my/20097/ Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire Chaw, Sook Hui Lo, Yoke Lin Shariffuddin, Ina Ismiarti Wong, Jia Wing Lee, Jia Yin Leong, David Wei Jie Ng, Kevin Wei Shan Chan, Lucy R Medicine Background: Effective pain management involves a cycle of continual pain assessment, good pain control strategies, and assessment of a standard quality improvement measures. A validated questionnaire that focuses on the quality of postoperative pain management in pediatric surgical patients and parental satisfaction on pain treatment is lacking. We, therefore, modified the revised American Pain Society Patient Outcome Questionnaire to evaluate the quality of postoperative pain management in a pediatric surgical setting. The primary aim of this study was to validate the modified version of revised American Pain Society Patient Outcome Questionnaire. Methods: Parents whose children aged below 12 years and were scheduled for elective surgery in a teaching hospital, were approached to participate in this survey. The reliability of the modified version of revised American Pain Society Patient Outcome Questionnaire was evaluated using Cronbach's alpha test, while the construct validity was assessed with a principal component analysis using a varimax rotation. The parental satisfaction with pain treatment received was measured. Results: A total of 108 parents completed the questionnaire. The internal consistency of the questionnaire shows a Cronbach's alpha of 0.798. Principal component analysis revealed a four-factor structure of the 12 items which explained 69.7% of the total variance. The factors are “Interference of sleep and activity,” “Pain severity and drowsiness,” “Perception of care,” and “Adverse effects,” respectively. Our study showed that this questionnaire is a valid and reliable measure for “Interference of sleep and activity” and “Pain severity and drowsiness” factors, but not for “Perception of care” and “Adverse effects.” The results for “Perception of care” and “Adverse effects,” therefore, should be reported as individual items instead of total score. The parental satisfaction with pain treatment given was good (median 8.0; IQR 3.0). Conclusion: The modified version of revised American Pain Society Patient Outcome Questionnaire is a feasible and easy instrument to administer. The questionnaire can be used to obtain feedback from parents about the outcomes and experiences of pain management and is helpful in continuous quality evaluation and improvement in the postoperative care in a pediatric setting. Wiley 2018 Article PeerReviewed Chaw, Sook Hui and Lo, Yoke Lin and Shariffuddin, Ina Ismiarti and Wong, Jia Wing and Lee, Jia Yin and Leong, David Wei Jie and Ng, Kevin Wei Shan and Chan, Lucy (2018) Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire. Pediatric Anesthesia, 29 (1). pp. 68-76. ISSN 1155-5645 https://doi.org/10.1111/pan.13528 doi:10.1111/pan.13528 |
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R Medicine Chaw, Sook Hui Lo, Yoke Lin Shariffuddin, Ina Ismiarti Wong, Jia Wing Lee, Jia Yin Leong, David Wei Jie Ng, Kevin Wei Shan Chan, Lucy Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire |
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Background: Effective pain management involves a cycle of continual pain assessment, good pain control strategies, and assessment of a standard quality improvement measures. A validated questionnaire that focuses on the quality of postoperative pain management in pediatric surgical patients and parental satisfaction on pain treatment is lacking. We, therefore, modified the revised American Pain Society Patient Outcome Questionnaire to evaluate the quality of postoperative pain management in a pediatric surgical setting. The primary aim of this study was to validate the modified version of revised American Pain Society Patient Outcome Questionnaire. Methods: Parents whose children aged below 12 years and were scheduled for elective surgery in a teaching hospital, were approached to participate in this survey. The reliability of the modified version of revised American Pain Society Patient Outcome Questionnaire was evaluated using Cronbach's alpha test, while the construct validity was assessed with a principal component analysis using a varimax rotation. The parental satisfaction with pain treatment received was measured. Results: A total of 108 parents completed the questionnaire. The internal consistency of the questionnaire shows a Cronbach's alpha of 0.798. Principal component analysis revealed a four-factor structure of the 12 items which explained 69.7% of the total variance. The factors are “Interference of sleep and activity,” “Pain severity and drowsiness,” “Perception of care,” and “Adverse effects,” respectively. Our study showed that this questionnaire is a valid and reliable measure for “Interference of sleep and activity” and “Pain severity and drowsiness” factors, but not for “Perception of care” and “Adverse effects.” The results for “Perception of care” and “Adverse effects,” therefore, should be reported as individual items instead of total score. The parental satisfaction with pain treatment given was good (median 8.0; IQR 3.0). Conclusion: The modified version of revised American Pain Society Patient Outcome Questionnaire is a feasible and easy instrument to administer. The questionnaire can be used to obtain feedback from parents about the outcomes and experiences of pain management and is helpful in continuous quality evaluation and improvement in the postoperative care in a pediatric setting. |
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Chaw, Sook Hui Lo, Yoke Lin Shariffuddin, Ina Ismiarti Wong, Jia Wing Lee, Jia Yin Leong, David Wei Jie Ng, Kevin Wei Shan Chan, Lucy |
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Chaw, Sook Hui Lo, Yoke Lin Shariffuddin, Ina Ismiarti Wong, Jia Wing Lee, Jia Yin Leong, David Wei Jie Ng, Kevin Wei Shan Chan, Lucy |
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Chaw, Sook Hui |
title |
Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire |
title_short |
Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire |
title_full |
Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire |
title_fullStr |
Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire |
title_full_unstemmed |
Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire |
title_sort |
evaluation of the quality of acute pain management in a pediatric surgical setting: validation of a parent proxy modified version of the revised american pain society patient outcome questionnaire |
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Wiley |
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2018 |
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http://eprints.um.edu.my/20097/ https://doi.org/10.1111/pan.13528 |
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1643691178609082368 |
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13.18916 |