Evaluating the Tablet-based Turkish-PAINReportIt for Assessing Pain of Lung Cancer Patients Post Thoracotomy in TURKEY

评估基于平板电脑的 Turkey-PAINReportIt 用于评估土耳其肺癌患者开胸术后疼痛

• 批准号: 9568712
• 负责人: DIANA J WILKIE
• 金额: $ 13.83万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-21 至 2021-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9568712
• 关键词: Address; Adoption; Adult; American; Cancer Patient; Chinese People; Chronic; Clinic; Clinical; Cognitive; Collaborations; Computer software; Computers; Data; Diagnosis; Dimensions; Focus Groups; Future; Goals; Health Personnel; Hospitals; Human; Incidence; Inpatients; Instruction; Internet; Interview; Language; Lead; Location; Longitudinal Studies; Lung; Malignant Neoplasms; Malignant neoplasm of lung; McGill Pain Scale; Meleagris gallopavo; Methods; Modeling; Nurses; Operative Surgical Procedures; Outpatients; Pain; Pain Assessment Tool; Pain Measurement; Pain intensity; Pain management; Pain quality; Patients; Pattern; Perioperative Nursing; Physicians; Population; Postoperative Pain; Postoperative Period; Process; Provider; Publishing; Questionnaires; Recovery; Reporting; Sampling; Sickle Cell; Surgeon; Syndrome; Tablets; Technology; Testing; Thoracic Surgical Procedures; Thoracotomy; Time; Translating; United States National Institutes of Health; Validation; Visit; Wireless Technology; anticancer research; base; bilingualism; cancer care; cancer pain; cancer surgery; cancer therapy; cancer type; chronic pain; clinical decision support; clinical pain; clinical practice; computerized; experience; follow-up; hospice environment; improved; innovation; instrument; member; multilevel analysis; novel; pain relief; postoperative recovery; practice setting; prevent; programs; research study; skills; statistics; technology validation; tool; usability

Abstract Our long-term goal is to first assess and ultimately manage pain after lung cancer surgery using computer technologies to minimize pain assessment barriers and thereby support clinical pain management processes. The first step in assuring high quality pain management is appropriate pain assessment. However, the barriers to pain assessment are among the causes for unrelieved pain. The lack of time-efficient comprehensive pain assessment tools and patients' difficulties in completing the tools are among the most known barriers to assessing pain in Turkey. Recent studies show that Americans are able to use computers to report their pain. A computerized format for pain assessment called PAINReportIt®, published in 2003, is the first interactive software extension of the 1970 McGill Pain Questionnaire. This innovative method can provide pain measurement items to responders in serial display screens accompanied by pop-up screens. It has been tested in English-, Spanish-, and Mandarin Chinese-speaking adults, but it has not been tested among Turkish- speaking adults. Furthermore, there are not any tablet-based pain assessment tools being used in hospitals or clinics in Turkey. Therefore, to establish our potential for collaboration, we used a committee approach with 3 bilingual translators to independently translate PAINReportIt® from English to Turkish, reconcile differences, and agree on an integrated version. We now propose a three-component study to validate and facilitate implementation of the Turkish- PAINReportIt® in Turkey: (1) a qualitative study to assess patients' interpretation of the Turkish-PAINReportIt® items and instructions among 20 Turkish lung cancer outpatients who will participate in cognitive (think-aloud) interviews to validate the Turkish-PAINReportIt®, (2) an 8-member focus group with lung cancer surgeons and surgical nurses to discuss the issues and benefits they would anticipate if the Turkish-PAINReportIt® were implemented in research studies and cancer care, and (3) a longitudinal study to profile post-thoracotomy pain recovery among 80 Turkish lung cancer patients who will be asked to complete the tool on an Internet-enabled tablet daily on postoperative days 1 to 4 and at their 2-week postoperative follow-up visit. Patients will complete a usability and acceptability questionnaire to share their opinions about using Turkish-PAINReportIt® to report their pain. The specific aims are to (1) describe the meanings attributed to the Turkish-PAINReportIt® items and instructions by Turkish patients who are post- thoracotomy for lung cancer treatment, (2) identify the technical and human (patient, nurse, and physician) factors that could be barriers or facilitators to use the Turkish-PAINReportIt®, (3) characterize the pain (location, intensity, quality, pattern) they experience longitudinally after surgery when pain is expected to decrease as their recovery progresses. We expect to discover barriers that can be addressed and facilitators for successful adoption in cancer research and practice in Turkey. Successful use of the tablet-based pain tool could lead to improved pain control for the Turkish people diagnosed annually with lung and other cancers.

抽象的 我们的长期目标是首先评估并最终管理肺癌手术后使用计算机 最小化疼痛评估障碍的技术，从而支持临床疼痛管理过程。 提高高质量疼痛管理的第一步是适当的疼痛评估。 疼痛评估是缺乏时间效率的疼痛的原因之一。 评估工具和患者在完成工具方面的差异是最著名的障碍之一 评估土耳其的疼痛。 2003年出版的一种用于疼痛评估的计算机化格式，称为PainReportit®，是第一个互动 1970年McGill疼痛问卷的软件扩展。 串行显示屏幕上的响应者的测量项目伴随着弹出屏幕 在英语，西班牙语和普通话的成年人中进行了测试，但尚未在土耳其语中进行测试 说话的成年人。 因此，在土耳其的诊所。 双语翻译转换为独立的翻译painreportit®从英语转换为土耳其，重新辅助， 并同意集成版本。 土耳其的土耳其 - Painreportit®在土耳其的实施：（1） 在20种土耳其肺癌门诊患者中 参加认知（Think-Aloud）访谈以验证土耳其 - PainReportit®，（2）8名成员的重点 小组与肺癌外科医生和外科手术性努力，讨论他们的伊斯西和好处，如果 土耳其 - 帕恩雷特®在研究和癌症护理中实施，（3）纵向研究 在80名土耳其肺癌患者中剖析胸腔切开术后疼痛的恢复 每天在术后第1到4日和2周在术后每天在互联网上完成工具 术后随访。 关于使用Turkish-PainReportit®的OPIIONSPRATIT®的特定目的。 含义归因于土耳其 - 帕恩雷特®项目和土耳其特征性的说明，这些含义是 肺癌的胸腔切开术，（2）确定技术和人类（患者，护士和医师） 可能是使用土耳其-painreportit®的障碍或促进者的因素，（3）表征疼痛 （位置，强度，质量，模式）他们在手术后纵向体验 随着他们的恢复进展，我们希望发现可以解决的障碍 成功地采用了土耳其的癌症研究和实践。 对于每年诊断出肺部和其他癌症的土耳其人，可能会改善疼痛控制。