<abstract xmlns="http://www.w3.org/1999/xhtml"><sec><h3>Background</h3><p>Chronic pain is common in people with bleeding disorders and can complicate clinical management, impair quality of life, and contribute to disability. People living with bleeding disorders often seek advice on pain management from the bleeding disorder treatment team; however, lack of condition-specific assessment tools to guide clinical communication about pain are a barrier to care.</p></sec><sec><h3>Aims</h3><p>To develop and examine the clinical feasibility of a patient-reported outcome (PRO) tool designed to facilitate pain assessment and support clinical communication about pain for adults attending outpatient bleeding disorder clinics.</p></sec><sec><h3>Methods</h3><p>Tool development involved patient cognitive interviews and item refinement by a multidisciplinary clinician and patient working group. Clinical feasibility of the tool was evaluated with a survey of a small clinical sample in an outpatient bleeding disorder clinic. The Pain Treatment Planning Questionnaire (PTPQ) contains 28 items on the pain experience and treatments used to manage or prevent pain.</p></sec><sec><h3>Results</h3><p>Participants completing the feasibility testing (n=42, 62% male) reported mild mean pain scores (usual pain μ=2.4, SD=2.0) with the majority (57.1%) reporting persistent pain in the past 30 days. Median PTPQ completion time was five to seven minutes and mean item response rate was 95.2%. The majority (95.2%) of participants found the questionnaire easy to understand, reported no difficulty understanding items, and recommended no changes to the questionnaire.</p></sec><sec><h3>Conclusions</h3><p>Preliminary testing among a small sample in a clinical setting suggests that the PTPQ is a clinically feasible, acceptable, condition-specific PRO pain assessment tool for adult patients with bleeding disorders. Further testing is required to determine if the PTPQ affects treatment decision-making and patient outcomes.</p></sec></abstract>

BackgroundChronic pain is common in people with bleeding disorders and can complicate clinical management, impair quality of life, and contribute to disability. People living with bleeding disorders often seek advice on pain management from the bleeding disorder treatment team; however, lack of condition-specific assessment tools to guide clinical communication about pain are a barrier to care.AimsTo develop and examine the clinical feasibility of a patient-reported outcome (PRO) tool designed to facilitate pain assessment and support clinical communication about pain for adults attending outpatient bleeding disorder clinics.MethodsTool development involved patient cognitive interviews and item refinement by a multidisciplinary clinician and patient working group. Clinical feasibility of the tool was evaluated with a survey of a small clinical sample in an outpatient bleeding disorder clinic. The Pain Treatment Planning Questionnaire (PTPQ) contains 28 items on the pain experience and treatments used to manage or prevent pain.ResultsParticipants completing the feasibility testing (n=42, 62% male) reported mild mean pain scores (usual pain μ=2.4, SD=2.0) with the majority (57.1%) reporting persistent pain in the past 30 days. Median PTPQ completion time was five to seven minutes and mean item response rate was 95.2%. The majority (95.2%) of participants found the questionnaire easy to understand, reported no difficulty understanding items, and recommended no changes to the questionnaire.ConclusionsPreliminary testing among a small sample in a clinical setting suggests that the PTPQ is a clinically feasible, acceptable, condition-specific PRO pain assessment tool for adult patients with bleeding disorders. Further testing is required to determine if the PTPQ affects treatment decision-making and patient outcomes.

Development and clinical feasibility testing of the Pain Treatment Planning Questionnaire

Strategy Consultant for Pain Quality Improvement and Research, Saskatchewan Health Authority

Physiotherapist, Saskatchewan Bleeding Disorders Program

The Journal of Haemophilia Practice

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

BackgroundChronic pain is common in people with bleeding disorders and can complicate clinical management, impair quality of life, and contribute to...

Development and clinical feasibility testing of the Pain Treatment Planning Questionnaire

Article Category: Clinical Practice

Published Online: Jun 08, 2020

Page range: 12 - 24

DOI: https://doi.org/10.17225/jhp00155

Keywords
Pain assessment, chronic pain, bleeding disorders, patient-provider communication, tool development

© 2020 Susan M Tupper et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Development and clinical feasibility testing of the Pain Treatment Planning Questionnaire

Article Category: Clinical Practice

Published Online: Jun 08, 2020

Page range: 12 - 24

DOI: https://doi.org/10.17225/jhp00155

KeywordsPain assessment, chronic pain, bleeding disorders, patient-provider communication, tool development

© 2020 Susan M Tupper et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
Pain assessment, chronic pain, bleeding disorders, patient-provider communication, tool development