Assessment Tools of Patient Competences

The Spanish Version of the R-NPQ and Three Practical Cases in Women with Breast Cancer and Persistent Pain

Bibliographic Data

ID15510252
AuthorsMaria Torres-Lacomba (0000-0002-7051-3130, Universidad de Alcalá), Beatriz Navarro-Brazález (0000-0002-9939-7946, Universidad de Alcalá), Javier Bailón-Cerezo (0000-0002-0852-7312, Universidad de Alcalá, corresponding author), Fernando Vergara-Pérez (0000-0002-6417-8452, Universidad de Alcalá), Irene de la Rosa-Díaz (0000-0002-7103-7279, Universidad de Alcalá), Virginia Prieto-Gómez (0000-0003-0833-4083, Universidad de Alcalá)
Year2021
Volume18
Issue9
Pages4463-4463
Publication date2021-04-22
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18094463
PMID33922314
OpenAlexW3154475494
LanguageEN
References cited37

Persistent pain following treatment for breast cancer (PPBCT) is a prevalent and complex clinical issue. Education together with physiotherapy have been shown to lessen pain and disability in chronic pain. Although the evaluation of the patient's competences is a major part of the educational program, the published educational programs rarely describe the tools used to assess competences, especially regarding those related to decision-making and problem-solving. The aim of this study was to provide two competences assessment tools: the cross-cultural adaptation and validation of the Spanish version of the Revised Neurophysiology of Pain Questionnaire (R-NPQ) and practical cases of women with PPBCT. The Spanish cross-cultural adaptation was conducted following recognized criteria. Measurement properties testing included an analysis of construct validity (known-groups approach), reliability (internal consistency and test-retest reliability), responsiveness, interpretability, and feasibility. To promote a tool that would allow evaluation of the educational program competences, a group of experts developed three cases extracted from real contexts by means of an iterative process. A total of 80 women with PPBCT (mean age 56 years) and 81 physiotherapy students (mean age 20 years) participated in the measurement properties analysis. The three developed cases were presented to the same 80 women with PPBCT before and after the educational program. As we expected, students showed a significantly higher score ( p < 0.001) than did women with PPBCT in the R-NPQ questionnaire, with a large effect size (d = 2.49), demonstrating good construct validity. The Cronbach alpha was 0.90 (95% CI, 0.87-0.92) and the intraclass correlation coefficient was 0.82 (95% CI, 0.73-0.88). A large effect size (5.2) was found, as we expected, between baseline and post-treatment scores, suggesting adequate responsiveness. In addition, identifying and analyzing, decision making, communicating needs, knowing how to manage, and problem-solving skills were evaluated through the three practical cases. Most women (88.75%) reached the highest level in the assessment rubric of the proposed practical cases. The Spanish R-NPQ is a comprehensible, valid, reliable, and responsive tool for Spanish women with PPBCT. The practical cases are a useful competence assessment tool and were well accepted by women with PPBCT. Further studies are needed to investigate more competence assessment tools and to investigate whether the achievement of different levels of competences has an effect on health behaviors

Adaptation (eye · Breast cancer · Cancer · Construct (python library · Construct validity · Cronbach's alpha · Interpretability · Physical therapy · Psychometrics · Reliability (semiconductor · Test (biology · Cancer Treatment and Pharmacology · Clinical Psychology · Computer Science · Medicine · Musculoskeletal pain and rehabilitation · Pain Management and Opioid Use · Psychology · Artificial Intelligence · Internal Medicine

Tools

Open DOIOpen Access