Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis
Abstract Background The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) evaluates the patient-reported quality of pain management in adults. A validated APS-POQ-R is pivotal to guide effective pain management with better patient satisfaction. Previous studies revealed that su...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-020-01229-x |
| _version_ | 1819298546092867584 |
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| author | Sook Hui Chaw Yoke Lin Lo Jia Yin Lee Jia Wing Wong Wan Aizat Wan Zakaria Shairil Rahayu Ruslan Wei Keang Tan Ina Ismiarti Shariffuddin |
| author_facet | Sook Hui Chaw Yoke Lin Lo Jia Yin Lee Jia Wing Wong Wan Aizat Wan Zakaria Shairil Rahayu Ruslan Wei Keang Tan Ina Ismiarti Shariffuddin |
| author_sort | Sook Hui Chaw |
| collection | DOAJ |
| description | Abstract Background The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) evaluates the patient-reported quality of pain management in adults. A validated APS-POQ-R is pivotal to guide effective pain management with better patient satisfaction. Previous studies revealed that subscales of “patients’ perception of pain management” were unstable cross-culturally. This study aims to evaluate the construct validity of the APS-POQ-R in gynecological postoperative patients with a multi-cultural background using confirmatory factor analysis to allow comparisons among different a priori models at the latent factor level. Methods Patients aged 18 years old or above and who were scheduled for gynecology surgery were selected. Three different models with a combination of latent factors were based on a priori hypotheses from previous studies. The root-mean-squared error of approximation, comparative fit index, Tucker-Lewis Index, Chi-squared test, and change in Chi-squared statistic given a change in degrees of freedom between models were used to assess the model fit to the present data. Results A total of 302 patients completed the questionnaire. The five-factor model which was based on Gordon’s study has an acceptable fit for the data and was superior when compared to the one-factor baseline model. Although the four-factor model, which originated from Botti’s study, also demonstrates a good model fit, the “perception of care” construct was excluded in this model. The “perception of care” construct is conceptually important as patient-centered care has become the focus of quality improvement of pain service. Conclusions The APS-POQ-R is easy to administer and is useful for quality evaluation in postoperative pain management. The present study demonstrates that a five-factor structure of the APS-POQ-R is the best fitting model in our patient sample. The results of this study provide further evidence to support the use of APS-POQ-R as a measurement tool for pain management evaluation in acute postoperative patients with a multi-cultural background. |
| first_indexed | 2024-12-24T05:31:37Z |
| format | Article |
| id | doaj.art-3fb96f2435784b8a8ba1a3ba40c58f54 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-24T05:31:37Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-3fb96f2435784b8a8ba1a3ba40c58f542022-12-21T17:13:10ZengBMCBMC Anesthesiology1471-22532021-01-0121111110.1186/s12871-020-01229-xEvaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysisSook Hui Chaw0Yoke Lin Lo1Jia Yin Lee2Jia Wing Wong3Wan Aizat Wan Zakaria4Shairil Rahayu Ruslan5Wei Keang Tan6Ina Ismiarti Shariffuddin7Department of Anesthesiology, Faculty of Medicine, University of MalayaDepartment of Pharmacy Practice, School of Pharmacy, International Medical UniversityDepartment of Pharmacy Practice, School of Pharmacy, International Medical UniversityDepartment of Pharmacy Practice, School of Pharmacy, International Medical UniversityDepartment of Anesthesiology, Faculty of Medicine, University of MalayaDepartment of Anesthesiology, Faculty of Medicine, University of MalayaDepartment of Anesthesiology, Faculty of Medicine, University of MalayaDepartment of Anesthesiology, Faculty of Medicine, University of MalayaAbstract Background The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) evaluates the patient-reported quality of pain management in adults. A validated APS-POQ-R is pivotal to guide effective pain management with better patient satisfaction. Previous studies revealed that subscales of “patients’ perception of pain management” were unstable cross-culturally. This study aims to evaluate the construct validity of the APS-POQ-R in gynecological postoperative patients with a multi-cultural background using confirmatory factor analysis to allow comparisons among different a priori models at the latent factor level. Methods Patients aged 18 years old or above and who were scheduled for gynecology surgery were selected. Three different models with a combination of latent factors were based on a priori hypotheses from previous studies. The root-mean-squared error of approximation, comparative fit index, Tucker-Lewis Index, Chi-squared test, and change in Chi-squared statistic given a change in degrees of freedom between models were used to assess the model fit to the present data. Results A total of 302 patients completed the questionnaire. The five-factor model which was based on Gordon’s study has an acceptable fit for the data and was superior when compared to the one-factor baseline model. Although the four-factor model, which originated from Botti’s study, also demonstrates a good model fit, the “perception of care” construct was excluded in this model. The “perception of care” construct is conceptually important as patient-centered care has become the focus of quality improvement of pain service. Conclusions The APS-POQ-R is easy to administer and is useful for quality evaluation in postoperative pain management. The present study demonstrates that a five-factor structure of the APS-POQ-R is the best fitting model in our patient sample. The results of this study provide further evidence to support the use of APS-POQ-R as a measurement tool for pain management evaluation in acute postoperative patients with a multi-cultural background.https://doi.org/10.1186/s12871-020-01229-xConstruct validityFactor analysisPain managementPatient managementPostoperative pain |
| spellingShingle | Sook Hui Chaw Yoke Lin Lo Jia Yin Lee Jia Wing Wong Wan Aizat Wan Zakaria Shairil Rahayu Ruslan Wei Keang Tan Ina Ismiarti Shariffuddin Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis BMC Anesthesiology Construct validity Factor analysis Pain management Patient management Postoperative pain |
| title | Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis |
| title_full | Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis |
| title_fullStr | Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis |
| title_full_unstemmed | Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis |
| title_short | Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis |
| title_sort | evaluate construct validity of the revised american pain society patient outcome questionnaire in gynecological postoperative patients using confirmatory factor analysis |
| topic | Construct validity Factor analysis Pain management Patient management Postoperative pain |
| url | https://doi.org/10.1186/s12871-020-01229-x |
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