Medical Sciences Graduate Program, McMaster University, Toronto, ON, Canada.
Clin J Pain. 2013 Mar;29(3):253-64. doi: 10.1097/AJP.0b013e318250e655.
To evaluate usability and pain iconography of the Iconic Pain Assessment Tool Version 2 (IPAT2), a self-report instrument that combines word descriptors and representative images (icons) to assess pain quality, intensity, and location, among adults and adolescents with arthritis.
Adults with inflammatory arthritis and adolescents with juvenile idiopathic arthritis partook in a single, semistructured, audio-recorded interview to evaluate: (1) the concreteness (object representativeness) and semantic distance (pain representativeness) of the IPAT2 iconography; (2) participants' current pain; and (3) perceptions and likes/dislikes of the IPAT2. Quantitative data were summarized descriptively and a line-by-line coding analysis identified key concepts from interview transcripts. The criterion for icon acceptability was mean and median ratings ≥5.0 for concreteness, semantic distance, and satisfaction for describing arthritis pain.
The sample was comprised of 15 adults (87% female, mean 57 y) and 15 adolescents (67% female, mean age 15 y). The IPAT2 was reported to be easy to use and understand, well liked, quick to complete, and perceived as potentially valuable for communicating arthritis pain to health care providers. The median time needed to complete a single pain record, after 5-minute demonstration, was 2.3 minutes and 1.4 minutes for the adults and adolescents, respectively. All pain quality icons met or exceeded the criterion for acceptability.
All a priori objectives for the IPAT2 were achieved in this sample of rheumatology outpatients. With its unique blend of pain quality descriptors and representative images, the IPAT2 may importantly aid the assessment of pain in adults and adolescents with arthritis.
评估 Iconic Pain Assessment Tool Version 2（IPAT2）的可用性和疼痛图示，这是一种自我报告工具，结合了文字描述符和代表性图像（图标），用于评估成年人和青少年关节炎患者的疼痛质量、强度和位置。
患有炎症性关节炎的成年人和患有青少年特发性关节炎的青少年参加了一次半结构化的录音访谈，以评估：（1）IPAT2 图示的具体性（物体代表性）和语义距离（疼痛代表性）；（2）参与者当前的疼痛；（3）对 IPAT2 的看法和喜好/不喜欢。定量数据以描述性方式总结，并对访谈记录进行逐行编码分析，以确定关键概念。图标可接受性的标准是平均和中位数评分为 5.0 或以上，用于描述关节炎疼痛的具体性、语义距离和满意度。
样本由 15 名成年人（87%为女性，平均年龄 57 岁）和 15 名青少年（67%为女性，平均年龄 15 岁）组成。报告称 IPAT2 易于使用和理解，深受喜爱，完成速度快，并且被认为对于向医疗保健提供者传达关节炎疼痛具有潜在价值。在进行 5 分钟演示后，完成单个疼痛记录所需的中位数时间分别为 2.3 分钟和 1.4 分钟，成人和青少年。所有疼痛质量图标均符合或超过可接受性标准。
在这个风湿病门诊患者样本中，达到了 IPAT2 的所有预先设定目标。凭借其独特的疼痛质量描述符和代表性图像的融合，IPAT2 可能重要地帮助评估关节炎成年人和青少年的疼痛。
