Assessment of satisfaction with treatment for chronic pain

McCracken, Lance M.; Klock, P. Allan; Mingay, David J.; Asbury, J; Sinclair, Donald M.

doi:10.1016/s0885-3924(97)00225-x

Cited by 101 publications

(81 citation statements)

References 30 publications

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“…Consistent with our results, several studies have found satisfaction ratings and level of pain to be inversely correlated [44,[46][47]. One study reported that pain severity was unrelated to satisfaction, but outcomes, such as pain relief and improved function after pain treatment, predicted the satisfaction level [48].…”

Section: Discussionsupporting

confidence: 91%

“…Patient satisfaction ratings have rarely been studied in patients with coexisting depression and pain. McCracken et al examined the combined effect of depression and pain on patient satisfaction and found that depression predicts dissatisfaction with treatment in pain clinic patients [48]. In our study, we found an additive negative effect of both minor and major depression and pain on patient satisfaction.…”

Section: Discussionsupporting

confidence: 59%

“…Interpersonal factors, such as communicating to patients that managing their pain was "important" to healthcare team members [43] and showing concern for patients with pain [46], have been positively associated with satisfaction. Process factors, such as longer waiting times for pain clinic appointments or delayed telephone calls, may predict lower levels of satisfaction [48]. Patient-level factors, such as patient's perceptions of control over pain, are other possible correlates of satisfaction.…”

Section: Discussionmentioning

confidence: 99%

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Effects of depression and pain severity on satisfaction in medical outpatients: Analysis of the Medical Outcomes Study

Bair

Kroenke

Sutherland

et al. 2007

JRRD

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Abstract-Patient satisfaction has been used as a healthcare quality indicator. We examined how depression and pain severity affected satisfaction in medical outpatients. Data from the Medical Outcomes Study were analyzed. The primary outcomes were seven satisfaction domains from the Patient Satisfaction Questionnaire. Depression was identified through a clinical interview, and pain was assessed with the 36-item Short Form Bodily Pain scale. We performed multivariate linear regression to predict satisfaction in outpatients with depression and pain. Minor and major depression were present in 23.4% and 15.0% of the sample, respectively. Pain was present in more than half the patients (50.6%). Both minor and major depression as well as pain severity were strongly associated with lower satisfaction scores. Increased age and diagnosis of heart failure predicted higher satisfaction scores. Depression and pain have a substantial effect on patient satisfaction. Future studies should assess the reasons for dissatisfaction with care in patients with depression and pain.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

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Effects of depression and pain severity on satisfaction in medical outpatients: Analysis of the Medical Outcomes Study

Bair

Kroenke

Sutherland

et al. 2007

JRRD

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“…Also, the interpretation or perception of having control over the pain was related to the satisfaction with pain relief [17]. Some studies showed a significant connection between the treatment satisfaction and the patientprovider relationship [15,18]. The results of the study by Sahlberg-Blom et al from Sweden showed that despite having an assessed lower quality of life in many dimensions than people in general, several patients experienced happiness and satisfaction during their last month of life.…”

Section: Discussionmentioning

confidence: 99%

How palliative care of cancer patients is organised between a University Hospital and primary care in Finland

2006

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The aim of this study was to find out how palliative care is organised between the Helsinki University Central Hospital (University Hospital) and primary care. The study consisted of 102 patients whose oncological treatment was terminated and the responsibility of palliative care was transferred to primary care. The patients were interviewed by phone using a structured questionnaire. Another questionnaire form was sent to the primary care physicians. Half of the patients were treated in more than one primary care unit. One third of the outpatients were unaware who was responsible for the care. Most of the patients wanted to be at home but this was achieved in less than half of the cases. Most patients were symptomatic while leaving the University Hospital and no improvement was seen thereafter. Every third patient reported of poor quality of palliative care in the primary care. Also the physicians reported a need for training in palliative care.Palliative medicine refers to the management of patients with an active, far-advanced disease the prognosis of which is limited and the focus of care is in the quality of life [1]. The World Health Organization (WHO) has defined palliative care as being the active total care of patients whose disease is not responsive to curative treatment [2].The treatment of cancer pain has achieved much attention during the last decades. It has been one of the areas of interest for WHO. In Finland treatment strategies of cancer pain were studied in 1985, 1990 and in 1995 [3Á/5]. Between these studies significant improvement in cancer pain management took place. However, the doses of analgesics used were still lower than those generally recommended and more than one third of the physicians were not familiar with the WHO analgesic ladder [5]. Symptoms that impair the quality of life of cancer patients are still underestimated [6] with significant differences in the ratings of the symptoms between the physician and the patient [7,8].Approximately 10 000 cancer patients die annually, but there are only a few specialised palliative care units in Finland. The Finish health care system is based on a strong primary health care organisation. University hospitals have had a general trend to reduce treatment periods in hospitals and to transfer the palliative care of the cancer patients from the specialists to GPs. The GPs treat cancer patients in outpatient clinics, inpatient wards and home-hospitals of the health centres, in home care teams and in acute hospitals. In addition, there are hospices maintained by private foundations in Finland. For the palliative care outpatients only the hospices and the home-hospitals provide help with symptom control around-the-clock and seven days a week. The other outpatients in palliative care can use the general public primary health care services, among others the emergency units. The patients in primary care can be referred back to the University Hospital only in very specific problems, for example if palliative radiotherapy or invasive methods of...

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“…0.97) and ICC (0.67 to 0.81) were obtained in studies proposing the development and validation of instruments for the assessment of patient satisfaction with treatment for chronic and acute pain. 13,14 The KMO criterion used in this adaptation confirmed the one-factor character of the QSP instrument as in the original version of the instrument, which showed 60-81% of the variance. The convergent construct validity of the QSP was confirmed by analysis, and it was in agreement with similar results reported by other authors.…”

Section: Discussionmentioning

confidence: 53%

Cultural Adaptation of the Patient Satisfaction Questionnaire and Validation of Its Use in the Portuguese Language for Women with Chronic Pelvic Pain

Neto

Chama

Romão

et al. 2016

Rev Bras Ginecol Obstet

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Objectives?to translate and adapt the Patient Satisfaction Questionnaire (PSQ) to Portuguese and to assess its psychometric properties based on internal consistency, test-retest, factor analysis and divergent and convergent construct validities. Methods?The study involved 218 participants and was approved by the local Research Ethics Committee. All participants gave written informed consent and their anonymity was ensured. The instrument was translated and culturally adapted for use in the Portuguese language. The internal consistency and factorial analysis were assessed by patients and physicians. Convergent and divergent validities were also assessed specifically for the patient group, as well as test-retest reliability. The Portuguese versions of the Patient Health Questionnaire (PHQ-9) and State-Trait Anxiety Inventory (STAI) were used for the analysis of the convergent validity. In addition, we applied a questionnaire of clinical and demographic data for the analysis of the divergent validity. Results?The adapted version of the PSQ showed good Cronbach's ? and test-retest values, and the results of the convergent construct validity between the PSQ and the PHQ-9 (r = 0.34; p?=?0.02) and the STAI (r?=?0.47; p?=?0.001) were negative, significant and moderate correlations. Divergent validity showed significant correlations only with race and education. The Brazilian Portuguese version of the PSQ proved to be a valid and reliable instrument, with psychometric properties suitable for the assessment of satisfaction among patients with chronic pelvic pain and their physicians in Brazil. The questionnaire may allow the homogenization of reports on this topic in the international literature.

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Assessment of satisfaction with treatment for chronic pain

Cited by 101 publications

References 30 publications

Effects of depression and pain severity on satisfaction in medical outpatients: Analysis of the Medical Outcomes Study

Effects of depression and pain severity on satisfaction in medical outpatients: Analysis of the Medical Outcomes Study

How palliative care of cancer patients is organised between a University Hospital and primary care in Finland

Cultural Adaptation of the Patient Satisfaction Questionnaire and Validation of Its Use in the Portuguese Language for Women with Chronic Pelvic Pain

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