Lalloo Chitra, Stinson Jennifer N, Brown Stephen C, Campbell Fiona, Isaac Lisa, Henry James L
*Medical Sciences PhD Graduate Program ¶Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton Departments of †Anaesthesia and Pain Medicine ‡Child Health Evaluative Sciences, The Hospital for Sick Children §Lawrence S. Bloomberg Faculty of Nursing ∥Department of Anaesthesia, University of Toronto, Toronto, ON, Canada.
Clin J Pain. 2014 Nov;30(11):934-43. doi: 10.1097/AJP.0000000000000049.
To evaluate clinical feasibility of the Pain-QuILT (previously known as the Iconic Pain Assessment Tool) from the perspective of adolescents with chronic pain and members of their interdisciplinary health team. The Pain-QuILT (PQ), a web-based tool that records the visual self-report of sensory pain in the form of time-stamped records, was directly compared with standard interview questions that were transformed to a paper-based tool.
Qualitative, semi-structured interviews were used to refine the PQ. Adolescents with chronic pain aged 12 to 18 years used the PQ and comparator tool (randomized order) to self-report pain before a scheduled clinic appointment, and then took part in a semi-structured interview. The health team used these pain reports (PQ and comparator) during patient appointments, and later participated in focus group interviews. Interview audio recordings were transcribed verbatim and underwent a simple line-by-line content analysis to identify key concepts.
A total of 17 adolescents and 9 health team members completed the study. All adolescents felt that the PQ was easy to use and understand. The median time required for completion of the PQ and comparator tool was 3.3 and 3.6 minutes, respectively. Overall, 15/17 (88%) of adolescents preferred the PQ to self-report their pain versus the comparator. The health team indicated that the PQ was a clinically useful tool and identified minor barriers to implementation.
Consultations with adolescents and their health team indicate that the PQ is a clinically feasible tool for eliciting detailed self-report records of the sensory experience of chronic pain.
从患有慢性疼痛的青少年及其跨学科健康团队成员的角度，评估疼痛QuILT（以前称为标志性疼痛评估工具）的临床可行性。将疼痛QuILT（PQ），一种以时间戳记录形式记录感觉疼痛视觉自我报告的基于网络的工具，与转化为纸质工具的标准访谈问题直接进行比较。
采用定性、半结构化访谈来完善PQ。12至18岁患有慢性疼痛的青少年在预定的门诊预约前使用PQ和对照工具（随机顺序）进行疼痛自我报告，然后参加半结构化访谈。健康团队在患者预约期间使用这些疼痛报告（PQ和对照），随后参加焦点小组访谈。访谈录音逐字转录，并进行简单的逐行内容分析以确定关键概念。
共有17名青少年和9名健康团队成员完成了研究。所有青少年都认为PQ易于使用和理解。完成PQ和对照工具所需的中位时间分别为3.3分钟和3.6分钟。总体而言，17名青少年中有15名（88%）更喜欢使用PQ而不是对照工具来自我报告疼痛。健康团队表示PQ是一种临床有用的工具，并指出了实施中的小障碍。
与青少年及其健康团队的咨询表明，PQ是一种临床可行的工具，可用于获取慢性疼痛感觉体验的详细自我报告记录。
