Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliability
Abstract Background Approximately 60% of outpatients with advanced cancer experience pain; therefore, self-management of opioid use is important for appropriate pain relief. To date, no studies have clearly described the concept of opioid self-management or assessed the factors involved, including t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-022-00987-4 |
| _version_ | 1811251458410020864 |
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| author | Shiori Yoshida Fumiko Sato Keita Tagami Rie Sasaki Chikako Takahashi Konosuke Sasaki Shin Takahashi |
| author_facet | Shiori Yoshida Fumiko Sato Keita Tagami Rie Sasaki Chikako Takahashi Konosuke Sasaki Shin Takahashi |
| author_sort | Shiori Yoshida |
| collection | DOAJ |
| description | Abstract Background Approximately 60% of outpatients with advanced cancer experience pain; therefore, self-management of opioid use is important for appropriate pain relief. To date, no studies have clearly described the concept of opioid self-management or assessed the factors involved, including the improvement of self-management abilities. This study developed, and evaluated the validity and reliability of an opioid self-management scale for advanced cancer patients with pain (OSSA). Opioid self-management in advanced cancer patients with pain was defined as the management of opioid medication performed by patients with advanced cancer to relieve cancer pain on their own. Methods Three phases were required for validation and reliability of the OSSA: 1) testing content validity, 2) testing face validity, and 3) testing construct validity, concurrent validity and reliability. Results After a three-phase process, the OSSA consisted of 33 items on six subscales. The structural equation modeling was such that the χ2 value was 709.8 (p < 0.001, df = 467), goodness-of-fit index was 0.78, adjusted goodness-of-fit index was 0.73, root mean squares of approximation was 0.063, and comparative fit index was 0.92. The Pearson correlation coefficients between the total OSSA score and the 24-hour average pain or pain relief over 24 hours were − 0.21 (p < 0.05) and 0.26 (p < 0.01), respectively. Cronbach’s α was 0.93. The intraclass correlation coefficient range was 0.59–0.90. Conclusion The findings of this study show that the OSSA has acceptable validity and reliability, and that better self-management leads to greater pain relief. The OSSA can be considered effective for use in research, but shortened version should be prepared for realistic and practical clinical use. |
| first_indexed | 2024-04-12T16:20:45Z |
| format | Article |
| id | doaj.art-381614f0b1214e3e97cdcf972fe8f1bf |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-04-12T16:20:45Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-381614f0b1214e3e97cdcf972fe8f1bf2022-12-22T03:25:34ZengBMCBMC Palliative Care1472-684X2022-06-0121111310.1186/s12904-022-00987-4Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliabilityShiori Yoshida0Fumiko Sato1Keita Tagami2Rie Sasaki3Chikako Takahashi4Konosuke Sasaki5Shin Takahashi6Department of Oncology Nursing, Health Sciences, Tohoku University Graduate School of MedicineSchool of Nursing, Fukushima Medical UniversityDepartment of Palliative Medicine, Tohoku University Graduate School of MedicineDepartment of Nursing, Miyagi Cancer CenterDepartment of Nursing, Tohoku University HospitalDepartment of Oncology Nursing, Health Sciences, Tohoku University Graduate School of MedicineDepartment of Medical Oncology, Tohoku University HospitalAbstract Background Approximately 60% of outpatients with advanced cancer experience pain; therefore, self-management of opioid use is important for appropriate pain relief. To date, no studies have clearly described the concept of opioid self-management or assessed the factors involved, including the improvement of self-management abilities. This study developed, and evaluated the validity and reliability of an opioid self-management scale for advanced cancer patients with pain (OSSA). Opioid self-management in advanced cancer patients with pain was defined as the management of opioid medication performed by patients with advanced cancer to relieve cancer pain on their own. Methods Three phases were required for validation and reliability of the OSSA: 1) testing content validity, 2) testing face validity, and 3) testing construct validity, concurrent validity and reliability. Results After a three-phase process, the OSSA consisted of 33 items on six subscales. The structural equation modeling was such that the χ2 value was 709.8 (p < 0.001, df = 467), goodness-of-fit index was 0.78, adjusted goodness-of-fit index was 0.73, root mean squares of approximation was 0.063, and comparative fit index was 0.92. The Pearson correlation coefficients between the total OSSA score and the 24-hour average pain or pain relief over 24 hours were − 0.21 (p < 0.05) and 0.26 (p < 0.01), respectively. Cronbach’s α was 0.93. The intraclass correlation coefficient range was 0.59–0.90. Conclusion The findings of this study show that the OSSA has acceptable validity and reliability, and that better self-management leads to greater pain relief. The OSSA can be considered effective for use in research, but shortened version should be prepared for realistic and practical clinical use.https://doi.org/10.1186/s12904-022-00987-4Advanced cancerCancer painOpioid medicationSelf-management |
| spellingShingle | Shiori Yoshida Fumiko Sato Keita Tagami Rie Sasaki Chikako Takahashi Konosuke Sasaki Shin Takahashi Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliability BMC Palliative Care Advanced cancer Cancer pain Opioid medication Self-management |
| title | Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliability |
| title_full | Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliability |
| title_fullStr | Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliability |
| title_full_unstemmed | Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliability |
| title_short | Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliability |
| title_sort | development of the opioid self management scale for advanced cancer patients with pain and examination of its validity and reliability |
| topic | Advanced cancer Cancer pain Opioid medication Self-management |
| url | https://doi.org/10.1186/s12904-022-00987-4 |
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