Multidimensional Measurement of Patient-Related Pain Management Barriers and Pain Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/155469
Type:
Presentation
Title:
Multidimensional Measurement of Patient-Related Pain Management Barriers and Pain Outcomes
Abstract:
Multidimensional Measurement of Patient-Related Pain Management Barriers and Pain Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Kaiser, Karen Snow, PhD, RN, AOCN
P.I. Institution Name:University of Maryland Medical Center
Title:Clinical Practice Coordinator
This secondary data analysis used confirmatory factor analysis (CFA) to identify variables essential to the measurement of pain outcomes. Patient-related pain management barriers and pain outcomes (pain control and satisfaction) were conceptualized as multidimensional measures. Responses from 505 adult post-operative elective orthopedic surgery patients who completed the Total Pain Quality ManagementÖ survey between July 26, 2000 and July 2, 2001 and utilized IM, IVPCA, or IVPCA-CI analgesic therapy were used. The barriers construct was measured by wait time, beliefs, side effects, and patient education adequacy. Pain control was measured by pain score now, worst pain at rest, worst pain with movement, degree of interference with function, and frequency of moderate to severe pain. Satisfaction was measured by degree of satisfaction, degree to which expectations were met, and whether improvement was needed. Higher scores indicate a lack of pain control (range 0 - 37) and greater satisfaction (range 0 û 13). LISREL« 8.0 was utilized to conduct the CFA. An adequate measurement model could not be obtained (Sattora Bentler X2 = 160.75, df = 51, p <.01; X2/df = 3.15; RMSEA = .065; NNFI = .92; CFI =.94; Critical N= 124.97; GFI = .90). Barriers items demonstrated low reliability, so they were deleted from further analyses. An adequate measurement model was obtained (Sattora Bentler X2 = 44.03, df =16, p <.01; X2/df = 2.75; RMSEA = .059; NNFI = .97; CFI =.98; Critical N = 213.63; GFI = .96). Factor loadings ranged from -.56 (expectation) to .81 (frequency of moderate to severe pain) for pain control and .18 (expectations - double loading) to .82 (satisfaction level) for satisfaction. R2 ranged from .41 (interference with function) to .70 (pain frequency) for pain control items and from .5 (expectations) to .67 (satisfaction level) for satisfaction, indicating adequate reliability and validity.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMultidimensional Measurement of Patient-Related Pain Management Barriers and Pain Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155469-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Multidimensional Measurement of Patient-Related Pain Management Barriers and Pain Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kaiser, Karen Snow, PhD, RN, AOCN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Maryland Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Practice Coordinator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kkaiser@umm.edu</td></tr><tr><td colspan="2" class="item-abstract">This secondary data analysis used confirmatory factor analysis (CFA) to identify variables essential to the measurement of pain outcomes. Patient-related pain management barriers and pain outcomes (pain control and satisfaction) were conceptualized as multidimensional measures. Responses from 505 adult post-operative elective orthopedic surgery patients who completed the Total Pain Quality Management&Ouml; survey between July 26, 2000 and July 2, 2001 and utilized IM, IVPCA, or IVPCA-CI analgesic therapy were used. The barriers construct was measured by wait time, beliefs, side effects, and patient education adequacy. Pain control was measured by pain score now, worst pain at rest, worst pain with movement, degree of interference with function, and frequency of moderate to severe pain. Satisfaction was measured by degree of satisfaction, degree to which expectations were met, and whether improvement was needed. Higher scores indicate a lack of pain control (range 0 - 37) and greater satisfaction (range 0 &ucirc; 13). LISREL&laquo; 8.0 was utilized to conduct the CFA. An adequate measurement model could not be obtained (Sattora Bentler X2 = 160.75, df = 51, p &lt;.01; X2/df = 3.15; RMSEA = .065; NNFI = .92; CFI =.94; Critical N= 124.97; GFI = .90). Barriers items demonstrated low reliability, so they were deleted from further analyses. An adequate measurement model was obtained (Sattora Bentler X2 = 44.03, df =16, p &lt;.01; X2/df = 2.75; RMSEA = .059; NNFI = .97; CFI =.98; Critical N = 213.63; GFI = .96). Factor loadings ranged from -.56 (expectation) to .81 (frequency of moderate to severe pain) for pain control and .18 (expectations - double loading) to .82 (satisfaction level) for satisfaction. R2 ranged from .41 (interference with function) to .70 (pain frequency) for pain control items and from .5 (expectations) to .67 (satisfaction level) for satisfaction, indicating adequate reliability and validity.</td></tr></table>en_GB
dc.date.available2011-10-26T13:52:17Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:52:17Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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