Cognitive considerations for adults with sickle cell disease completing the brief pain inventory
Abstract. Introduction:. Accurate assessment of pain severity is important for caring for patients with sickle cell disease (SCD). The Brief Pain Inventory was developed to address limitations of previous pain-rating metrics and is available in a short form (BPI-SF). However, the BPI-SF is a self-re...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-02-01
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| Series: | PAIN Reports |
| Online Access: | http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001189 |
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| author | Julia A. O'Brien Jermon A. Drake Donald J. Bearden Kim E. Ono Soumitri Sil Lindsey L. Cohen Alana Karras Enrico M. Novelli Charles R. Jonassaint |
| author_facet | Julia A. O'Brien Jermon A. Drake Donald J. Bearden Kim E. Ono Soumitri Sil Lindsey L. Cohen Alana Karras Enrico M. Novelli Charles R. Jonassaint |
| author_sort | Julia A. O'Brien |
| collection | DOAJ |
| description | Abstract. Introduction:. Accurate assessment of pain severity is important for caring for patients with sickle cell disease (SCD). The Brief Pain Inventory was developed to address limitations of previous pain-rating metrics and is available in a short form (BPI-SF). However, the BPI-SF is a self-report scale dependent on patient comprehension and interpretation of items.
Objective:. To examine patterns in how patients completed the BPI-SF and determine whether incorrectly completing the BPI-SF was related to cognitive functioning or education.
Methods:. A secondary analysis was completed using data from a study examining brain aging and cognitive impairment in SCD. T-tests were performed to examine whether neurocognitive function (immediate and delayed memory, visuospatial skills, attention, and language), word reading, and years of education differed based on correct BPI-SF completion.
Results:. The sample (n = 71) was 43.7% male, 98.6% African American or mixed race. Of that, 53.5% had sickle cell anemia, and the mean years of education was 13.6. Overall, 21.1% of participants (n = 15) incorrectly completed the BPI-SF pain severity items, and 57.7% completed the body map item incorrectly. Those who completed the severity items incorrectly had statistically significant differences in education. Group differences in neurocognitive function were no longer significant after familywise error rates were controlled for. Literacy was not associated with error rates.
Conclusion:. Education level may influence patients' ability to correctly complete the BPI-SF. Findings suggest that careful consideration is warranted for use of the BPI in patients with SCD. Recommended revisions to the BPI include simplifying the language, shortening sentence length, and clearly specifying the timeframes. |
| format | Article |
| id | doaj-art-ea84d0b73ac24aaf94856687e3126120 |
| institution | Kabale University |
| issn | 2471-2531 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | PAIN Reports |
| spelling | doaj-art-ea84d0b73ac24aaf94856687e31261202024-12-24T09:47:10ZengWolters KluwerPAIN Reports2471-25312025-02-01101e118910.1097/PR9.0000000000001189PR90000000000001189Cognitive considerations for adults with sickle cell disease completing the brief pain inventoryJulia A. O'Brien0Jermon A. Drake1Donald J. Bearden2Kim E. Ono3Soumitri Sil4Lindsey L. Cohen5Alana Karras6Enrico M. Novelli7Charles R. Jonassaint8a School of Nursing, University of Pittsburgh, Pittsburgh, PA, USAb Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USAc Emory University School of Medicine, Atlanta, GA, USAc Emory University School of Medicine, Atlanta, GA, USAc Emory University School of Medicine, Atlanta, GA, USAd Children's Healthcare of Atlanta, Atlanta, GA, USAf School of Medicine, University of Pittsburgh, Pittsburgh, PA, USAg School of Medicine, Department of Medicine, Division of Hematology/Oncology, University of Pittsburgh, Pittsburgh, PA, USAh Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USAAbstract. Introduction:. Accurate assessment of pain severity is important for caring for patients with sickle cell disease (SCD). The Brief Pain Inventory was developed to address limitations of previous pain-rating metrics and is available in a short form (BPI-SF). However, the BPI-SF is a self-report scale dependent on patient comprehension and interpretation of items. Objective:. To examine patterns in how patients completed the BPI-SF and determine whether incorrectly completing the BPI-SF was related to cognitive functioning or education. Methods:. A secondary analysis was completed using data from a study examining brain aging and cognitive impairment in SCD. T-tests were performed to examine whether neurocognitive function (immediate and delayed memory, visuospatial skills, attention, and language), word reading, and years of education differed based on correct BPI-SF completion. Results:. The sample (n = 71) was 43.7% male, 98.6% African American or mixed race. Of that, 53.5% had sickle cell anemia, and the mean years of education was 13.6. Overall, 21.1% of participants (n = 15) incorrectly completed the BPI-SF pain severity items, and 57.7% completed the body map item incorrectly. Those who completed the severity items incorrectly had statistically significant differences in education. Group differences in neurocognitive function were no longer significant after familywise error rates were controlled for. Literacy was not associated with error rates. Conclusion:. Education level may influence patients' ability to correctly complete the BPI-SF. Findings suggest that careful consideration is warranted for use of the BPI in patients with SCD. Recommended revisions to the BPI include simplifying the language, shortening sentence length, and clearly specifying the timeframes.http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001189 |
| spellingShingle | Julia A. O'Brien Jermon A. Drake Donald J. Bearden Kim E. Ono Soumitri Sil Lindsey L. Cohen Alana Karras Enrico M. Novelli Charles R. Jonassaint Cognitive considerations for adults with sickle cell disease completing the brief pain inventory PAIN Reports |
| title | Cognitive considerations for adults with sickle cell disease completing the brief pain inventory |
| title_full | Cognitive considerations for adults with sickle cell disease completing the brief pain inventory |
| title_fullStr | Cognitive considerations for adults with sickle cell disease completing the brief pain inventory |
| title_full_unstemmed | Cognitive considerations for adults with sickle cell disease completing the brief pain inventory |
| title_short | Cognitive considerations for adults with sickle cell disease completing the brief pain inventory |
| title_sort | cognitive considerations for adults with sickle cell disease completing the brief pain inventory |
| url | http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001189 |
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