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Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis

Background: The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) evaluates the patient-reported quality of pain management in adults. A validated APS-POQ-R is pivotal to guide effective pain management with better patient satisfaction. Previous studies revealed that subscales...

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Main Authors: Chaw, Sook Hui, Lo, Yoke Lin, Lee, Jia Yin, Wong, Jia Wing, Wan Zakaria, Wan Aizat, Ruslan, Shairil Rahayu, Tan, Wei Keang, Shariffuddin, Ina Ismiarti
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Published: BMC 2021
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RD Surgery
Online Access:http://eprints.um.edu.my/33957/
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spelling my.um.eprints.339572022-07-08T04:10:15Z http://eprints.um.edu.my/33957/ Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis Chaw, Sook Hui Lo, Yoke Lin Lee, Jia Yin Wong, Jia Wing Wan Zakaria, Wan Aizat Ruslan, Shairil Rahayu Tan, Wei Keang Shariffuddin, Ina Ismiarti RD Surgery Background: The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) evaluates the patient-reported quality of pain management in adults. A validated APS-POQ-R is pivotal to guide effective pain management with better patient satisfaction. Previous studies revealed that subscales of ``patients' perception of pain management'' were unstable cross-culturally. This study aims to evaluate the construct validity of the APS-POQ-R in gynecological postoperative patients with a multi-cultural background using confirmatory factor analysis to allow comparisons among different a priori models at the latent factor level. Methods: Patients aged 18 years old or above and who were scheduled for gynecology surgery were selected. Three different models with a combination of latent factors were based on a priori hypotheses from previous studies. The root-mean-squared error of approximation, comparative fit index, Tucker-Lewis Index, Chi-squared test, and change in Chi-squared statistic given a change in degrees of freedom between models were used to assess the model fit to the present data. Results: A total of 302 patients completed the questionnaire. The five-factor model which was based on Gordon's study has an acceptable fit for the data and was superior when compared to the one-factor baseline model. Although the four-factor model, which originated from Botti's study, also demonstrates a good model fit, the ``perception of care'' construct was excluded in this model. The ``perception of care'' construct is conceptually important as patient-centered care has become the focus of quality improvement of pain service. Conclusions: The APS-POQ-R is easy to administer and is useful for quality evaluation in postoperative pain management. The present study demonstrates that a five-factor structure of the APS-POQ-R is the best fitting model in our patient sample. The results of this study provide further evidence to support the use of APS-POQ-R as a measurement tool for pain management evaluation in acute postoperative patients with a multi-cultural background. BMC 2021-01-15 Article PeerReviewed Chaw, Sook Hui and Lo, Yoke Lin and Lee, Jia Yin and Wong, Jia Wing and Wan Zakaria, Wan Aizat and Ruslan, Shairil Rahayu and Tan, Wei Keang and Shariffuddin, Ina Ismiarti (2021) Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis. BMC Anesthesiology, 21 (1). ISSN 1471-2253, DOI https://doi.org/10.1186/s12871-020-01229-x <https://doi.org/10.1186/s12871-020-01229-x>. 10.1186/s12871-020-01229-x
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RD Surgery
spellingShingle RD Surgery
Chaw, Sook Hui
Lo, Yoke Lin
Lee, Jia Yin
Wong, Jia Wing
Wan Zakaria, Wan Aizat
Ruslan, Shairil Rahayu
Tan, Wei Keang
Shariffuddin, Ina Ismiarti
Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis
description Background: The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) evaluates the patient-reported quality of pain management in adults. A validated APS-POQ-R is pivotal to guide effective pain management with better patient satisfaction. Previous studies revealed that subscales of ``patients' perception of pain management'' were unstable cross-culturally. This study aims to evaluate the construct validity of the APS-POQ-R in gynecological postoperative patients with a multi-cultural background using confirmatory factor analysis to allow comparisons among different a priori models at the latent factor level. Methods: Patients aged 18 years old or above and who were scheduled for gynecology surgery were selected. Three different models with a combination of latent factors were based on a priori hypotheses from previous studies. The root-mean-squared error of approximation, comparative fit index, Tucker-Lewis Index, Chi-squared test, and change in Chi-squared statistic given a change in degrees of freedom between models were used to assess the model fit to the present data. Results: A total of 302 patients completed the questionnaire. The five-factor model which was based on Gordon's study has an acceptable fit for the data and was superior when compared to the one-factor baseline model. Although the four-factor model, which originated from Botti's study, also demonstrates a good model fit, the ``perception of care'' construct was excluded in this model. The ``perception of care'' construct is conceptually important as patient-centered care has become the focus of quality improvement of pain service. Conclusions: The APS-POQ-R is easy to administer and is useful for quality evaluation in postoperative pain management. The present study demonstrates that a five-factor structure of the APS-POQ-R is the best fitting model in our patient sample. The results of this study provide further evidence to support the use of APS-POQ-R as a measurement tool for pain management evaluation in acute postoperative patients with a multi-cultural background.
format Article
author Chaw, Sook Hui
Lo, Yoke Lin
Lee, Jia Yin
Wong, Jia Wing
Wan Zakaria, Wan Aizat
Ruslan, Shairil Rahayu
Tan, Wei Keang
Shariffuddin, Ina Ismiarti
author_facet Chaw, Sook Hui
Lo, Yoke Lin
Lee, Jia Yin
Wong, Jia Wing
Wan Zakaria, Wan Aizat
Ruslan, Shairil Rahayu
Tan, Wei Keang
Shariffuddin, Ina Ismiarti
author_sort Chaw, Sook Hui
title Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis
title_short Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis
title_full Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis
title_fullStr Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis
title_full_unstemmed Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis
title_sort evaluate construct validity of the revised american pain society patient outcome questionnaire in gynecological postoperative patients using confirmatory factor analysis
publisher BMC
publishDate 2021
url http://eprints.um.edu.my/33957/
_version_ 1738510695223263232
score 13.211869

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