Hassan Samah, Stevens Bonnie, Watt-Watson Judy, Switzer-McIntyre Sharon, Flannery John, Furlan Andrea
Toronto Rehabilitation Institute, University Health Network, Ontario, Canada.
Institute of Medical Science, University of Toronto, Ontario, Canada; The Hospital of Sick Children, Toronto, Ontario, Canada; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada.
J Pain. 2022 Mar;23(3):398-410. doi: 10.1016/j.jpain.2021.09.002. Epub 2021 Sep 25.
Competency-based education is now considered the best approach for pain educational programs provided for pre and postgraduate healthcare providers (HCPs). To demonstrate learners' progression, an assessment tool that aligns with this educational approach and targets different HCPs is needed. A Pain Competence Assessment Tool (PCAT) was developed based on the pain management core competencies that align with the International Association for the Study of Pain interprofessional pain curriculum. The PCAT is an online competency-based assessment tool for HCPs that consists of 5 case scenarios followed by 17 key-feature questions. HCPs and trainees completed the PCAT through a series of studies to assess its psychometric properties. The preliminary evaluation suggested that the PCAT had adequate content validity. Apart from 6 questions, the PCAT questions demonstrated homogeneity and acceptable reliability, and substantial stability. No ceiling or floor effect was found. A significant difference was detected between the HCPs' and trainees' scores. The PCAT scores strongly correlated with other variables reflecting different competence levels. The PCAT scores showed significant changes in the baseline scores compared to scores after attending an educational intervention. The PCAT offers a first-of-its-kind tool for assessing HCPs' competence (ie, knowledge and its application) in managing chronic pain. Future research is needed for further validation and adaptation of the PCAT. PERSPECTIVE: The Pain Competence Assessment Tool (PCAT) offers a first-of-its-kind tool for assessing clinicians' core competencies that overlap between different professions and support the clinicians' capacity to successfully manage chronic pain in the real world focusing on the patient-centered perspective rather than the profession-specific perspective.
基于能力的教育现在被认为是为研究生和研究生阶段的医疗保健提供者（HCPs）提供疼痛教育项目的最佳方法。为了展示学习者的进步，需要一种与这种教育方法相一致且针对不同HCPs的评估工具。基于与国际疼痛研究协会跨专业疼痛课程相一致的疼痛管理核心能力，开发了一种疼痛能力评估工具（PCAT）。PCAT是一种针对HCPs的基于能力的在线评估工具，由5个案例场景和17个关键特征问题组成。HCPs和学员通过一系列研究完成了PCAT，以评估其心理测量特性。初步评估表明，PCAT具有足够的内容效度。除了6个问题外，PCAT的问题显示出同质性、可接受的信度和显著的稳定性。未发现天花板效应或地板效应。在HCPs和学员的分数之间检测到显著差异。PCAT分数与反映不同能力水平的其他变量密切相关。与参加教育干预后的分数相比，PCAT分数在基线分数上有显著变化。PCAT提供了一种首创的工具，用于评估HCPs在管理慢性疼痛方面的能力（即知识及其应用）。需要进一步的研究来对PCAT进行进一步验证和调整。观点：疼痛能力评估工具（PCAT）提供了一种首创的工具，用于评估不同专业之间重叠的临床医生核心能力，并支持临床医生以患者为中心而非专业特定的视角在现实世界中成功管理慢性疼痛的能力。
