Alberta Breakthrough Pain Assessment Tool: A validation multicentre study in cancer patients with breakthrough pain

2014 ◽  
Vol 19 (7) ◽  
pp. 881-888 ◽  
Author(s):  
R. Sperlinga ◽  
S. Campagna ◽  
A. Berruti ◽  
P. Laciura ◽  
I. Ginosa ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Cancer Patients ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Breakthrough Pain

scholarly journals The Alberta Breakthrough Pain Assessment Tool for Cancer Patients: A Validation Study Using a Delphi Process and Patient Think-Aloud Interviews

2008 ◽  
Vol 35 (2) ◽  
pp. 136-152 ◽  
Author(s):  
Neil A. Hagen ◽  
Carla Stiles ◽  
Cheryl Nekolaichuk ◽  
Patricia Biondo ◽  
Linda E. Carlson ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Validation Study ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Breakthrough Pain ◽  
Delphi Process ◽  
Think Aloud

scholarly journals Validation of the Korean Version of the Breakthrough Pain Assessment Tool in Cancer Patients

2017 ◽  
Vol 54 (3) ◽  
pp. 361-367 ◽  
Author(s):  
Jinyoung Shin ◽  
Sung Jung Cho ◽  
Jungkwon Lee ◽  
Youn Seon Choi
Keyword(s):  
Cancer Patients ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Breakthrough Pain ◽  
Korean Version

scholarly journals Development and Validation of the Breakthrough Pain Assessment Tool (BAT) in Cancer Patients

2014 ◽  
Vol 48 (4) ◽  
pp. 619-631 ◽  
Author(s):  
Katherine Webber ◽  
Andrew N. Davies ◽  
Giovambattista Zeppetella ◽  
Martin R. Cowie
Keyword(s):  
Cancer Patients ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Breakthrough Pain ◽  
Development And Validation

Cultural adaptation and psychometric validation of the Portuguese breakthrough pain assessment tool with cancer patients

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Sónia F. Bernardes ◽  
Marta Matos ◽  
Susana Mourão ◽  
Christin-Melanie Vauclair
Keyword(s):  
Cancer Patients ◽  
Internal Consistency ◽  
Pain Assessment ◽  
Pain Control ◽  
Functional Disability ◽  
Assessment Tool ◽  
Breakthrough Pain ◽  
Pain Severity ◽  
Psychometric Validation ◽  
Effective Management

Abstract Objectives Breakthrough cancer pain (BTcP) is a transient exacerbation of pain that occurs over persistent, stable, and adequately controlled cancer background pain. It is prevalent and bears severe consequences to patients’ quality-of-life. The effective management of BTcP depends on fast and reliable (re)assessment. The Breakthrough pain Assessment Tool (BAT) is one of the most concise and reliable self-report instruments adapted to clinical contexts so far, showing good psychometric qualities in the United Kingdom, the Netherlands, and South Korea. As to promote the effective management of BTcP in Portuguese-speaking communities this study, first aimed to culturally adapt and validate the Portuguese version of the BAT (BAT-Pt). Second, and most importantly, it sought to provide novel evidence on its criterion validity by investigating its association with measures of psychological distress, which has not been yet investigated. Methods The BAT was translated into European Portuguese, using the back-translation method, and culturally adapted. Its psychometric properties (factor structure, internal consistency, construct and criterion validity) were analyzed in a cross-sectional multicenter study, with a sample of 65 cancer patients (49.2% women) recruited from eight hospitals in mainland Portugal (a priori power analysis determined a minimum sample of 50). Health professionals collected patients’ clinical information, assessed their functional disability (ECOG Performance Status) and the adequacy of pain control. In addition to the Portuguese version of the BAT (BAT_Pt), patients completed the Portuguese versions of the Brief Pain Inventory, the Hospital Anxiety and Depression Scale, a Distress Thermometer and answered questions about the adequacy of pain control. Results The BAT-Pt was very well accepted by experts and patients. As hypothesized, a Principal Axis Factor Analysis revealed two underlying factors accounting for 55.2% of the variance: (1) Pain Severity and Impact of BTcP and (2) Duration of BTcP and Medication Inefficacy. Two items (on episode frequency and medication efficacy) were analyzed separately given their lower/cross loadings. The BAT-Pt showed good internal consistency overall (α=0.79) and for each sub-scale, namely, Pain Severity and Impact of BTcP (n=5 items; α=0.86) and Duration of BTcP and Medication Inefficacy (n=2 items; rsb=0.62). The BAT-Pt showed good convergent validity, being moderately to strongly associated with overall pain severity and interference (0.46<r<0.77, p<0.001). It also showed good concurrent validity by being associated not only with physical outcomes – such as functional disability (r=0.40, p<0.001) and patient- and physician-determined adequacy of BTcP control (|0.25<rpb<0.63|, p s <0.05) – but also, with distress (0.33<r<0.46, p s <0.001), anxiety (0.28<r<0.44, p s <0.05) and depression (r=0.47, p<0.001). Conclusions The BAT-Pt is a reliable and valid measure of breakthrough pain in Portuguese cancer patients and it is strongly associated to physical and psychological outcomes. This study confirms and extends the psychometric validation of the BAT to a new cultural context, promoting its diffusion and use by researchers and clinicians in Portuguese-speaking communities. The BAT-Pt may be an invaluable tool for daily clinical practice by tapping multiple aspects of BTcP experiences that are associated to patients’ physical and psychological outcomes.

Development of a spiritual pain assessment sheet for terminal cancer patients: Targeting terminal cancer patients admitted to palliative care units in Japan

2006 ◽  
Vol 4 (2) ◽  
pp. 179-188 ◽  
Author(s):  
KEIKO TAMURA ◽  
KAORI ICHIHARA ◽  
EIKO MAETAKI ◽  
KEIKO TAKAYAMA ◽  
KUMI TANISAWA ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Three Dimensions ◽  
Terminal Cancer ◽  
Philosophical Perspective ◽  
Terminal Cancer Patients ◽  
Assessment Sheet ◽  
Palliative Care Units

Objective: This research explores the potential benefit of a spiritual pain assessment sheet to clinical practice. With spiritual pain defined as “pain caused by extinction of the being and meaning of the self,” the spiritual pain assessment sheet was developed by Hisayuki Murata from his conceptual framework reflecting the three dimensions of a human being as a being founded on temporality, a being in relationship, and a being with autonomy. The assessment sheet was developed from reviews of the literature and examinations from a philosophical perspective on the structure of spiritual pain.Methods: Patients admitted to palliative care units in Japan were interviewed using the assessment sheet. The responses were analyzed qualitatively. The usefulness of the assessment sheet and the burden placed on the patients by its use were also investigated.Results: The spiritual pain elucidated by the assessment sheet was the same as that revealed in the earlier research of Morita. The patients reported that they did not find the use of the assessment sheet a burden, and more than half reported that it was useful. The burden of the assessment sheet on the subjects was thus determined to be low. Positive feedback on the assessment sheet was also received from the nurses who conducted the patient interviews, who said the assessment sheet made it easier to talk with the patients about their spiritual pain.Significance of research: The research results indicate that the spiritual pain assessment sheet provided an appropriate assessment of spiritual pain among terminal cancer patients, showing that such a sheet could be used as an assessment tool in the future.

Breakthrough Pain Assessment Tool

2014 ◽  
Author(s):  
Katherine Webber ◽  
Andrew N. Davies ◽  
Giovambattista Zeppetella ◽  
Martin R. Cowie
Keyword(s):  
Pain Assessment ◽  
Assessment Tool ◽  
Breakthrough Pain
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