Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the emergency department (APS-POQ-RED): validating a patient-reported outcome measure
Background In general, the quality of pain care in emergency departments (ED) is poor, despite up to 80% of all ED patients presenting with pain. This may be due to the lack of well-validated patient-reported outcome measures (PROMs) of pain care in the ED setting. The American Pain Society-Patient...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/13/1/e002295.full |
| _version_ | 1827167772446031872 |
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| author | Kevin Chu Nathan J Brown Clint Douglas Lee Jones James A Hughes Sarah Hazelwood Anna-Lisa Lyrstedt Rajeev Jarugula |
| author_facet | Kevin Chu Nathan J Brown Clint Douglas Lee Jones James A Hughes Sarah Hazelwood Anna-Lisa Lyrstedt Rajeev Jarugula |
| author_sort | Kevin Chu |
| collection | DOAJ |
| description | Background In general, the quality of pain care in emergency departments (ED) is poor, despite up to 80% of all ED patients presenting with pain. This may be due to the lack of well-validated patient-reported outcome measures (PROMs) of pain care in the ED setting. The American Pain Society-Patient Outcome Questionnaire-Revised Edition (APS-POQ-R), with slight modification for ED patients, is a potentially useful PROM for the adult ED, however it is yet to be completely validated.Methods Adult patients, who had presented with moderate to severe acute pain, were recruited at two large inner-city EDs in Australia. A modified version of the APS-POQ-R was administered at the completion of their ED care. Responses were randomly split into three groups and underwent multiple rounds of exploratory and confirmatory factor analysis with testing for construct, convergent, divergent validity and internal consistency.Results A total of 646 ED patients (55.6% female), with a median age of 48.3 years, and moderate to severe pain on arrival, completed the ED-modified APS-POQ-R. Psychometric evaluation resulted in a reduced nine-question tool, which measures three constructs (pain relief and satisfaction (α=0.891), affective distress (α=0.823) and pain interference (α=0.908)) and demonstrated construct, convergent, divergent validity, and internal consistency.Conclusions This new tool, which we refer to as the American Pain Society-Patient Outcome Questionnaire-Revised for the ED (APS-POQ-RED), should form the basis for reporting patient-reported outcomes of ED pain care in future quality improvement and research. |
| first_indexed | 2024-03-07T14:31:28Z |
| format | Article |
| id | doaj.art-e158ca0530bc40bca811d286d0401bba |
| institution | Directory Open Access Journal |
| issn | 2399-6641 |
| language | English |
| last_indexed | 2025-03-21T02:09:36Z |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj.art-e158ca0530bc40bca811d286d0401bba2024-08-02T18:30:10ZengBMJ Publishing GroupBMJ Open Quality2399-66412024-03-0113110.1136/bmjoq-2023-002295Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the emergency department (APS-POQ-RED): validating a patient-reported outcome measureKevin Chu0Nathan J Brown1Clint Douglas2Lee Jones3James A Hughes4Sarah Hazelwood5Anna-Lisa Lyrstedt6Rajeev Jarugula7Emergency and Trauma Centre, Royal Brisbane and Women`s Hospital, Herston, Queensland, AustraliaEmergency and Trauma Centre, Royal Brisbane and Women`s Hospital, Herston, Queensland, AustraliaFaculty of Health, Queensland University of Technology, Brisbane, Queensland, AustraliaPatient Advocate, Arlington, Virginia, USASchool of Nursing, Queensland University of Technology, Kelvin Grove, Queensland, AustraliaEmergency Department, The Prince Charles Hospital, Chermside, Queensland, AustraliaEmergency and Trauma Centre, Royal Brisbane and Women`s Hospital, Herston, Queensland, AustraliaEmergency Department, The Prince Charles Hospital, Chermside, Queensland, AustraliaBackground In general, the quality of pain care in emergency departments (ED) is poor, despite up to 80% of all ED patients presenting with pain. This may be due to the lack of well-validated patient-reported outcome measures (PROMs) of pain care in the ED setting. The American Pain Society-Patient Outcome Questionnaire-Revised Edition (APS-POQ-R), with slight modification for ED patients, is a potentially useful PROM for the adult ED, however it is yet to be completely validated.Methods Adult patients, who had presented with moderate to severe acute pain, were recruited at two large inner-city EDs in Australia. A modified version of the APS-POQ-R was administered at the completion of their ED care. Responses were randomly split into three groups and underwent multiple rounds of exploratory and confirmatory factor analysis with testing for construct, convergent, divergent validity and internal consistency.Results A total of 646 ED patients (55.6% female), with a median age of 48.3 years, and moderate to severe pain on arrival, completed the ED-modified APS-POQ-R. Psychometric evaluation resulted in a reduced nine-question tool, which measures three constructs (pain relief and satisfaction (α=0.891), affective distress (α=0.823) and pain interference (α=0.908)) and demonstrated construct, convergent, divergent validity, and internal consistency.Conclusions This new tool, which we refer to as the American Pain Society-Patient Outcome Questionnaire-Revised for the ED (APS-POQ-RED), should form the basis for reporting patient-reported outcomes of ED pain care in future quality improvement and research.https://bmjopenquality.bmj.com/content/13/1/e002295.full |
| spellingShingle | Kevin Chu Nathan J Brown Clint Douglas Lee Jones James A Hughes Sarah Hazelwood Anna-Lisa Lyrstedt Rajeev Jarugula Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the emergency department (APS-POQ-RED): validating a patient-reported outcome measure BMJ Open Quality |
| title | Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the emergency department (APS-POQ-RED): validating a patient-reported outcome measure |
| title_full | Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the emergency department (APS-POQ-RED): validating a patient-reported outcome measure |
| title_fullStr | Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the emergency department (APS-POQ-RED): validating a patient-reported outcome measure |
| title_full_unstemmed | Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the emergency department (APS-POQ-RED): validating a patient-reported outcome measure |
| title_short | Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the emergency department (APS-POQ-RED): validating a patient-reported outcome measure |
| title_sort | enhancing pain care with the american pain society patient outcome questionnaire for use in the emergency department aps poq red validating a patient reported outcome measure |
| url | https://bmjopenquality.bmj.com/content/13/1/e002295.full |
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