{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:31:33Z","timestamp":1761514293164,"version":"3.37.3"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,31]],"date-time":"2018-10-31T00:00:00Z","timestamp":1540944000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004386","name":"Universiti Malaya","doi-asserted-by":"publisher","award":["BK031\u20102016"],"award-info":[{"award-number":["BK031\u20102016"]}],"id":[{"id":"10.13039\/501100004386","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009381","name":"International Medical University","doi-asserted-by":"publisher","award":["Small Research Project Fund: W01\u201089904; PR NO. IG5"],"award-info":[{"award-number":["Small Research Project Fund: W01\u201089904; PR NO. IG5"]}],"id":[{"id":"10.13039\/501100009381","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Effective pain management involves a cycle of continual pain assessment, good pain control strategies, and assessment of a standard quality improvement measures. A validated questionnaire that focuses on the quality of postoperative pain management in pediatric surgical patients and parental satisfaction on pain treatment is lacking. We, therefore, modified the revised American Pain Society Patient Outcome Questionnaire to evaluate the quality of postoperative pain management in a pediatric surgical setting. The primary aim of this study was to validate the modified version of revised American Pain Society Patient Outcome Questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Parents whose children aged below 12\u00a0years and were scheduled for elective surgery in a teaching hospital, were approached to participate in this survey. The reliability of the modified version of revised American Pain Society Patient Outcome Questionnaire was evaluated using Cronbach's alpha test, while the construct validity was assessed with a principal component analysis using a varimax rotation. The parental satisfaction with pain treatment received was measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 108 parents completed the questionnaire. The internal consistency of the questionnaire shows a Cronbach's alpha of 0.798. Principal component analysis revealed a four\u2010factor structure of the 12 items which explained 69.7% of the total variance. The factors are \u201cInterference of sleep and activity,\u201d \u201cPain severity and drowsiness,\u201d \u201cPerception of care,\u201d and \u201cAdverse effects,\u201d respectively. Our study showed that this questionnaire is a valid and reliable measure for \u201cInterference of sleep and activity\u201d and \u201cPain severity and drowsiness\u201d factors, but not for \u201cPerception of care\u201d and \u201cAdverse effects.\u201d The results for \u201cPerception of care\u201d and \u201cAdverse effects,\u201d therefore, should be reported as individual items instead of total score. The parental satisfaction with pain treatment given was good (median 8.0; IQR 3.0).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The modified version of revised American Pain Society Patient Outcome Questionnaire is a feasible and easy instrument to administer. The questionnaire can be used to obtain feedback from parents about the outcomes and experiences of pain management and is helpful in continuous quality evaluation and improvement in the postoperative care in a pediatric setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.13528","type":"journal-article","created":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T05:09:10Z","timestamp":1541048950000},"page":"68-76","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of the quality of acute pain management in a pediatric surgical setting: Validation of a parent proxy modified version of the revised American Pain Society Patient Outcome Questionnaire"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3886-6435","authenticated-orcid":false,"given":"SookHui","family":"Chaw","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YokeLin","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice School of Pharmacy International Medical University Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ina I.","family":"Shariffuddin","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JiaWing","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice School of Pharmacy International Medical University Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JiaYin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice School of Pharmacy International Medical University Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David WeiJie","family":"Leong","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin WeiShan","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.atc.2004.11.013"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200209000-00025"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(01)00399-2"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.14.1574"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03009257"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2077.74491"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0100603"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2013.04.018"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0149-7189(83)90002-2"},{"key":"e_1_2_9_11_1","first-page":"49","article-title":"Patient satisfaction: what we know about and what we still need to explore. 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