The development of the Guangzhou adaptation Chinese Cancer Pain Assessment Tool (CCPAT) : an abridged version

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The development of the Guangzhou adaptation Chinese Cancer Pain Assessment Tool (CCPAT) : an abridged version


Author: Chung, Lai-har
Title: The development of the Guangzhou adaptation Chinese Cancer Pain Assessment Tool (CCPAT) : an abridged version
Year: 2001
Subject: Cancer pain -- China -- Guangzhou
Hong Kong Polytechnic University -- Dissertations
Department: Dept. of Nursing and Health Sciences
Pages: vi, 76, [23] leaves ; 30 cm
Language: English
InnoPac Record:
Abstract: Introduction: Pain is always associated with cancer and accurate pain assessment is regarded as cornerstone to effective pain management. However, in Hong Kong the commonly used assessing tool were all developed in English. The first pain assessment tool in Chinese, the Chinese Cancer Pain Assessment Tool (CCPAT), was developed in 1998 by Chung. The CCPAT consists of 6-dimension (53 items in total). The reliability and validity are established. It requires 18 minutes (S.D. = 3.48) to complete. A long version is useful in initial and non-emergency encounter. However, in subsequent assessments, an abridged version is desirable. Purpose: To develop an abridged version of the CCPAT for subsequent and quick assessment. Method: This is a methodological study. Nurses (N = 17) in a Cancer Center in Guangzhou were invited to participate in the study after attending a workshop introducing the CCPAT. By convenience sampling method, the nurses used the CCPAT to assess their patients' pain experience. The time spent in completing the CCPAT was recorded. Factor analysis was applied in data reduction. By means of the Principal Axis Factoring method, factors were extracted and then orthogonally rotated using the varimax technique. Factors, with loading greater than 0.55 were retained in the Tool. Cronbach's coefficient alpha was calculated to test the reliability. Results: Three hundred and nineteen patients (220 men and 99 women) in the Cancer Center were recruited. The mean age was 49.9 (S.D. = 11.6). Year of disease ranged from 1 to 13 years, with a mean of 2 years and 4 months. Time in completing the CCPAT ranged from 5-40 minutes, with a mean of 18.9 (S.D. = 5.33). The mode was 20 minutes, with a frequency of 78. The Kaiser-Meyer-Olkin (KMO) for factor analysis was 0.77, as it was greater than 0.5, adequate sampling was indicated. After reduction, the 53-item CCPAT was refined to a 17-item abridged version, with a good reliability of 0.85. Conclusion: There is no golden rule on the amount of time should be used on pain assessment, as it depends on the clinical setting, and time of performing the assessment. Spending an average of 18.9 minutes in initial assessment would be reasonable, however, the abridged version CCPAT would be more practical in daily regular uses. Further research is recommended to test the psychometric properties of the abridged version of the CCPAT.

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