Patient-controlled oral analgesia at acute abdominal pain: A before-and-after intervention study of pain management during hospital stay

Schultz, Helen; Abrahamsen, Line; Rekvad, Lise Ewald; Skræp, Ulla; Larsen, Tanja Schultz; Möller, Sören; Tecedor, Ulla Krogstrup; Qvist, Niels

doi:10.1016/j.apnr.2019.02.006

Cited by 6 publications

(9 citation statements)

References 35 publications

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“…While several patient-reported outcomes have been used in ED pain research 12 , only one has been explicitly validated for use in the ED: a Danish translation of the American Pain Society– Patient Outcome Questionaire-Revised Edition (APS-POQ-R) 19 . The validity of the tool, however, is limited by its validation in patients with acute abdominal pain only 19 . Despite this, the APS-POQ-R is the most promising PROM for measuring patient-reported outcomes of pain care in the adult ED, and comprehensive psychometric testing is required to establish the validity of an English version in the broad spectrum of ED patients with acute pain 12 .…”

Section: Introductionmentioning

confidence: 99%

An Initial Psychometric Evaluation of the APS-POQ-R in Acute Pain Presenting to the Emergency Department

Hughes

Jones

Potter

et al. 2020

Preprint

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Background: Pain is a common presenting complaint to the emergency department (ED), yet is often undertreated. When assessing the outcomes of pain care in the ED, process measures are commonly reported. Attempts to measure patient reported outcomes existing in current ED literature. However, they are frequently unvalidated and lack standardization. The American Pain Societies, Patient Outcome Questionnaire, Revised edition (APS POQ R) has been identified as the most likely, preexisting tool to be useful in the acute pain in the ED. However, this requires feasibility and construct validation before use. Objective: To assess the feasibility and construct validity of the APS POQ R in patients presenting to the adult emergency department with acute pain. Methods: This study is an initial psychometric evaluation of the constructs contained within the APS POQ R in adult patients presenting with moderate to severe acute pain to a large urban ED. The study is guided by the methods described in the initial development of the instrument. Results: Two hundred adult patients were recruited and completed the APS POQ R. The APS POQ R demonstrated content validity in patients presenting with acute pain. Exploratory factor analysis demonstrated five subgroups. The tool demonstrated discriminatory ability based on patient urgency, and subscale measurement was associated with patient satisfaction with care. Conclusions: The APS POQ R has demonstrable construct validity in adult patients presenting with acute pain to the ED. Further psychometric analysis across multiple EDs is required before the APS POQ R can be recommended as a validated PROM for ED patients in pain.

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Section: Introductionmentioning

confidence: 99%

An Initial Psychometric Evaluation of the APS-POQ-R in Acute Pain Presenting to the Emergency Department

Hughes

Jones

Potter

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The original APS-POQ-R18 is an interviewer-administered PROM that was developed for postoperative and cancer-related pain and has been used or adapted to other forms of pain,19 translated into several languages20–22 and demonstrates cross-cultural validity 23. In studies in the adult ED, the APS-POQ-R has been used as a PROM, either in part4 5 24 25 or in translated (Danish) entirety 26. However, except for the Danish translation, the validity of the APS-POQ-R in the ED setting has not been fully established.…”

Section: Methodsmentioning

confidence: 99%

“… 23 In studies in the adult ED, the APS-POQ-R has been used as a PROM, either in part 4 5 24 25 or in translated (Danish) entirety. 26 However, except for the Danish translation, the validity of the APS-POQ-R in the ED setting has not been fully established. The APS-POQ-R contains two sections, 18 questions that originally mapped to five constructs and a second section that describes the use of non-pharmacological analgesia.…”

Section: Methodsmentioning

confidence: 99%

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

Hughes,

Hazelwood,

Lyrstedt

et al. 2024

BMJ Open Qual

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BackgroundIn 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.MethodsAdult 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.ResultsA 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.ConclusionsThis 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.

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“…The original APS-POQ-R (18) is an interviewer-administered PROM that was developed for postoperative and cancer-related pain and has been used or adapted to other forms of pain (19), translated into several languages (20-22) and demonstrates cross-cultural validity (23). In studies in the adult ED, the APS-POQ-R has been used as a PROM, either in part (4, 5, 24, 25) or in translated (Danish) entirety (26). However, except for the Danish translation, the validity of the APS-POQ-R in the ED setting has not been fully established.…”

Section: Methodsmentioning

confidence: 99%

“…In studies in the adult ED, the APS-POQ-R has been used as a PROM, either in part (4,5,24,25) or in translated (Danish) entirety (26). However, except for the Danish translation, the validity of the APS-POQ-R in the ED setting has not been fully established.…”

Section: Instrumentmentioning

confidence: 99%

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

Hughes

Hazelwood

Lyrstedt

et al. 2022

Preprint

View full text Add to dashboard Cite

Pain is the most common symptom experienced when presenting to the emergency department (ED). Estimates indicate over half of all patients will present in pain. EDs typically focus on care process measures, such as time to first analgesic medication. Process-based metrics remove the patient from their own experience. Unfortunately, when patient-reported measures of pain care are used in the ED for quality improvement or research, they vary widely and often lack validation. Previous work has demonstrated that a modified version of the American Pain Society Patient Outcome Questionnaire Revised Edition (APS POQ R) may provide an ideal patient-reported outcome measure for the adult ED population. However, previous work has left validation incomplete. In this multi-site, multistage research, we demonstrate the construct, convergent and divergent validity and the internal consistency of a modified version of the APS POQ R in adult patients presenting to two large, inner-city EDs with moderate to severe acute pain. After three stages of psychometric testing in 646 patients, we present a nine-question, three construct patient-reported outcome measure for moderate to severe pain in the adult emergency department, now known as the American Pain Society Patient Outcome Questionnaire Revised for the ED (APS POQ RED).

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Patient-controlled oral analgesia at acute abdominal pain: A before-and-after intervention study of pain management during hospital stay

Cited by 6 publications

References 35 publications

An Initial Psychometric Evaluation of the APS-POQ-R in Acute Pain Presenting to the Emergency Department

An Initial Psychometric Evaluation of the APS-POQ-R in Acute Pain Presenting to the Emergency Department

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

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

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