Please use this identifier to cite or link to this item:
Title: Cross-Cultural Examination of the Structure of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R).
Epworth Authors: Botti, Mari
Khaw, Damien
Redley, Bernice
Other Authors: Jorgensen, Emmy
Rasmussen, Bodi
Hunter, Susan
Keywords: Cross Cultural
Pain Management
Revised American Pain Society Patient Outcome Questionnaire
Postoperative Pain Management
Pain Experience
Cultural Differences
Construct Validity
Patient Participation
Quality Improvement
Epworth/Deakin Centre for Clinical Nursing Research, Melbourne, Victoria, Australia.
Issue Date: Aug-2015
Publisher: American Pain Society
Citation: J Pain. 2015 Aug;16(8):727-40
Abstract: This study investigated the cross-cultural factor stability and internal consistency of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R), a measure of the quality of postoperative pain management used internationally. We conducted exploratory factor analysis (EFA) of APS-POQ-R data from 2 point prevalence studies comprising 268 and 311 surveys of Danish and Australian medical-surgical patients, respectively. Parallel analysis indicated 4- and 3-factor solutions for Danish and Australian patients, respectively, which accounted for 58.1% and 52.9% of variance. Internal consistency was unsatisfactory among both Danish (Cronbach α = .54) and Australian (Cronbach α = .63) cohorts. There was a high degree of between-group similarity in item-factor loadings of variables coded as "pain experience," but not "pain management." This finding reflected cross-cultural differences in ratings of treatment satisfaction. For Danish patients, satisfaction was associated with the degree of pain severity and activity interference, whereas for Australian patients, satisfaction was associated with their perceived ability to participate in treatment. To facilitate further cross-cultural comparison, we compared our findings with past research conducted in the United States and Iceland. EFA supported the construct validity of the APS-POQ-R as a measure of "pain experience" but indicated that items measuring "pain management" may vary cross-culturally. Findings highlighted the need for further validation of the APS-POQ-R internationally. PERSPECTIVE: This study revealed the APS-POQ-R as a valid measure of postoperative pain experience for Danish and Australian patients. Measures of patients' perception of pain management were not robust to group differences in treatment expectations and demonstrated cross-cultural instability. Results highlighted the difficulties in establishing stable cross-cultural, cross-population subscales for the APS-POQ-R.
DOI: 10.1016/j.jpain.2015.03.016
PubMed URL:
ISSN: 1526-5900
Journal Title: The Journal of Pain
Type: Journal Article
Affiliated Organisations: Department of Nursing Research, VIA University College, Holstebro, Denmark
Hospitalsenheden Vest, Region Midtjylland, Denmark
School of Nursing and Midwifery, Deakin University, Melbourne, Victoria, Australia.
Type of Clinical Study or Trial: Survey
Appears in Collections:Pain Management

Files in This Item:
There are no files associated with this item.

Items in EKB are protected by copyright, with all rights reserved, unless otherwise indicated.