Assisting Older Adults to Communicate Their Postoperative Pain

McDonald, Deborah Dillon; Thomas, Glenda; Livingston, Karen Elin; Severson, Judith Scott

doi:10.1177/1054773804271934

Cited by 22 publications

(7 citation statements)

References 29 publications

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“…Cronbach's alpha for the overall BPI-SF has been reported as .77 to .87 (McDonald, Thomas, Livingston, & Severson, 2005;Zalon, 1999), and in the current study it was .87.…”

Section: Resultssupporting

confidence: 55%

Factors Associated With Increased Pain Communication by Older Adults

Shea

McDonald

2010

West J Nurs Res

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The purpose of this secondary analysis study was to identify factors associated with increased pain communication by older adults. Data were obtained from 312 older adults with osteoarthritis pain. Content analysis was conducted using criteria from the American Pain Society’s “Guidelines for the Management of Pain in Osteoarthritis, Rheumatoid Arthritis, and Juvenile Chronic Arthritis” to identify important pain management information described by the older adults in response to general questions about their pain. Gender was the only factor associated with increased pain communication from the predictor variables of age, education, gender, ethnicity, race, marital status, pain intensity, functional pain interference, treatment from a practitioner for arthritis and for pain, and pain relief. The lack of association between pain communication and factors such as pain intensity suggests that practitioners should routinely elicit specific pain information from older adults who have a history of chronic painful conditions such as osteoarthritis.

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“…Cronbach's alpha for the overall BPI-SF has been reported as .77 to .87 (McDonald, Thomas, Livingston, & Severson, 2005;Zalon, 1999), and in the current study it was .87.…”

Section: Resultssupporting

confidence: 55%

Factors Associated With Increased Pain Communication by Older Adults

Shea

McDonald

2010

West J Nurs Res

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“…Cronbach’s alpha for the overall BPI-SF has been reported as .77 to .87 22,23. For the current study the overall BPI-SF internal consistency was α= .87.…”

Section: Methodsmentioning

confidence: 60%

The Effect of Pain Question Phrasing on Older Adult Pain Information

McDonald

Shea

Rose

et al. 2009

Journal of Pain and Symptom Management

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The aim of this study was to test how practitioners’ pain communication affects the pain information provided by older adults. A posttest only double blind experiment was used to test how the phrasing of practitioners’ pain questions, open-ended and without social desirability bias; closed-ended and without social desirability bias; or open-ended and with social desirability bias, affected the pain information provided by 312 community living older adults with osteoarthritis pain. Older adults were randomly assigned to one of the three pain phrasing conditions to watch and orally respond to a computer displayed videotape of a practitioner asking about their pain. All responded to a second videotape of the practitioner asking if there was anything further they wanted to communicate. Lastly all responded to a third videotape asking if there was anything further they want to communicate about their pain. Transcripts of the audio taped responses were content analyzed using 16 a priori criteria from national guidelines to identify important pain information for osteoarthritis pain management. Older adults described significantly more pain information in response to the open-ended question without social desirability. The two follow up questions elicited significant additional information for all three groups, but did not compensate for the initial reduced pain information from the closed-ended and social desirability biased groups. Initial use of an open-ended pain question without social desirability bias and use of follow-up questions significantly increases the amount of important pain information provided by older adults with osteoarthritis pain.

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“…Validity of the BPI-SF has been supported by a correlation of r = 61, p < .001 with the Short Form McGill Pain Questionnaire (SF-MPQ; Zalon). Internal consistency for the overall BPI-SF has been reported as α = .77 to .87 (McDonald, Thomas, Livingston, & Severson, 2005; Zalon, 1999). …”

Section: Methodsmentioning

confidence: 99%

Hispanic Older Adults’ Osteoarthritis Pain Communication

Jorge¹,

McDonald²

2011

Pain Management Nursing

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Better understanding of how Hispanic older adults describe their chronic pain might suggest ways to support Hispanic older adults to talk about important pain information with their practitioner. The study aim was to describe how Hispanic older adults communicate pain information, including the amount of pain information and communication processes employed. A secondary analysis with a descriptive design was used. The data was from a larger primary study that tested the effect of practitioner pain question phrasing on the amount of pain information described by older adults with osteoarthritis pain. The sample for the current secondary analysis was comprised of the 24 Hispanic older adults with chronic osteoarthritis pain. In the primary study older adults watched and orally responded to a videotape of a practitioner asking about their pain. Pain content from the patient responses was content analyzed by two independent raters. In the current secondary analysis study communication processes were also content analyzed by two independent raters using a priori criteria from Communication Accommodation Theory (clarity, syntax, complexity, explicitness, and staying on topic). Participants described M = 5.5 (SD = 3.39) items of pain information. The majority stayed on topic, half spoke clearly and explicitly. Hispanic older adults with osteoarthritis pain concisely describe clinically important pain information when given the opportunity to do so.

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Assisting Older Adults to Communicate Their Postoperative Pain

Cited by 22 publications

References 29 publications

Factors Associated With Increased Pain Communication by Older Adults

Factors Associated With Increased Pain Communication by Older Adults

The Effect of Pain Question Phrasing on Older Adult Pain Information

Hispanic Older Adults’ Osteoarthritis Pain Communication

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