College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Angelique Canada Health Center, Pelican Narrows, Saskatchewan, Canada.
Int J Circumpolar Health. 2024 Dec;83(1):2300858. doi: 10.1080/22423982.2023.2300858. Epub 2024 Jan 7.
Indigenous Elder advisors in Pelican Narrows, a Cree community in Northern Saskatchewan, have indicated that Western pain scales may not be responsive tools for pain assessments within their community. This study employed a mixed methods research design that involved two phases. Phase one was the development of a pain scale in collaboration with an Elder and a Knowledge Keeper. Phase two was a pilot of the CDPS utilised during virtual physiotherapy sessions for chronic back pain. Twenty-seven participants completed the pre-physiotherapy treatment questionnaires, and 10 participants engaged in semi-structured interviews (9 community members; 1 healthcare provider). A weighted kappa analysis yielded k = 0.696, indicating a good agreement between the CDPS and Faces Pain Scale-Revised in terms of documenting participants' pain. Qualitative data from interviews with community members revealed three major themes: 1) Learnings Regarding Pain Scales, 2) Patient Centered Care; and 3) Strength-Based Solutions for Improving Pain Communication. Two themes were uncovered through conversations with the HCP: 1) Perspectives on CDPS and 2) Healthcare Provider Experiences Communicating about Pain. Moreover, a patient-centredcentred approach is important to ensure comprehensive pain assessments.
在萨斯喀彻温省北部的克里族社区佩利肯湾，当地的土著长老顾问指出，西方的疼痛量表可能无法准确评估他们社区内的疼痛。本研究采用混合方法研究设计，包括两个阶段。第一阶段是与一位长老和一位知识守护者合作开发疼痛量表。第二阶段是在慢性背痛的虚拟物理治疗期间试用 CDPS。27 名参与者完成了物理治疗前的治疗问卷，10 名参与者接受了半结构化访谈（9 名社区成员；1 名医疗保健提供者）。加权 kappa 分析得出 k=0.696，表明 CDPS 和修订后的面部疼痛量表在记录参与者疼痛方面具有良好的一致性。来自与社区成员访谈的定性数据揭示了三个主要主题：1）关于疼痛量表的学习；2）以患者为中心的护理；3）改善疼痛沟通的基于优势的解决方案。通过与 HCP 的对话揭示了两个主题：1）对 CDPS 的看法；2）医疗保健提供者在疼痛沟通方面的经验。此外，以患者为中心的方法对于确保全面的疼痛评估很重要。
