Development of a set of indicators for the quality of chronic pain management in Chinese community-dwelling older adults: a Delphi study
Abstract Background Standardized and systematic quality assessments of chronic pain management, particularly among older adult populations, are lacking in resource-limited community settings. A specific set of indicators to evaluate the quality of chronic pain management in this population has yet t...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-024-05638-2 |
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| author | Xiaoyan Li Jihua Zou Qiying Hu Rui Li Jingquan Gao Linyan Xu Jiajia Chen Yingge Tong Yubin Chen |
| author_facet | Xiaoyan Li Jihua Zou Qiying Hu Rui Li Jingquan Gao Linyan Xu Jiajia Chen Yingge Tong Yubin Chen |
| author_sort | Xiaoyan Li |
| collection | DOAJ |
| description | Abstract Background Standardized and systematic quality assessments of chronic pain management, particularly among older adult populations, are lacking in resource-limited community settings. A specific set of indicators to evaluate the quality of chronic pain management in this population has yet to be developed. Therefore, the present study constructed a set of indicators to assess the quality of chronic pain management in Chinese community-dwelling older adults, providing a standardized reference and guidance for community health centers to manage chronic pain in this population. Methods The indicator set was developed in three steps. Step 1 involved preparation by forming a research team and establishing the guiding theory. Step 2 included developing an expert inquiry questionnaire based on a literature review and semi-structured interviews. Step 3 completed the construction of the indicator set through the Delphi method and hierarchical analysis to quantify the relative importance of each indicator and ensure the development of a scientifically validated and practically applicable evaluation model. Results The final set of indicators for evaluating the quality of chronic pain management among community-dwelling older adults in China comprised three primary indicators: structural quality indicator, process quality indicator, and outcome quality indicator. Structural quality indicators included 3 secondary and 11 tertiary indicators; process quality indicators included 4 secondary and 21 tertiary indicators; and outcome quality indicators included 2 secondary and 4 tertiary indicators. Across two rounds of questionnaires, the response rate was 100%, with expert authority coefficients of 0.924 and 0.938, coefficients of variation ranging from 0 to 0.32 and 0 to 0.20, and Kendall’s concordance coefficients of 0.302 and 0.220, respectively. Hierarchical analysis showed that the consistency ratios of all indicators were < 0.1000, indicating a balanced distribution of indicator weights. Conclusions This study introduces a preliminary framework, based on the “Structure-Process-Outcome” theory, to evaluate chronic pain management in Chinese community-dwelling older adults. Its reliance on expert opinions without empirical validation, exclusion of patient perspectives, and focus on Chinese communities limit its applicability and generalizability. Future research should address these limitations by incorporating patient feedback, empirically validating indicators, and evaluating their applicability across diverse populations. |
| format | Article |
| id | doaj-art-da61d0c7789f47c5af71eaeede16b5db |
| institution | Kabale University |
| issn | 1471-2318 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj-art-da61d0c7789f47c5af71eaeede16b5db2024-12-29T12:46:39ZengBMCBMC Geriatrics1471-23182024-12-0124111710.1186/s12877-024-05638-2Development of a set of indicators for the quality of chronic pain management in Chinese community-dwelling older adults: a Delphi studyXiaoyan Li0Jihua Zou1Qiying Hu2Rui Li3Jingquan Gao4Linyan Xu5Jiajia Chen6Yingge Tong7Yubin Chen8Medicine College, Lishui UniversityMedicine College, Lishui UniversityMedical Education Department, Qingyuan County Hospital of Traditional Chinese MedicineResearch Institute of Xi’an Jiaotong UniversityMedicine College, Lishui UniversityMedicine College, Lishui UniversityThe First Affiliated Hospital of Zhejiang Chinese Medical UniversityHangzhou Normal UniversityHarbin Medical UniversityAbstract Background Standardized and systematic quality assessments of chronic pain management, particularly among older adult populations, are lacking in resource-limited community settings. A specific set of indicators to evaluate the quality of chronic pain management in this population has yet to be developed. Therefore, the present study constructed a set of indicators to assess the quality of chronic pain management in Chinese community-dwelling older adults, providing a standardized reference and guidance for community health centers to manage chronic pain in this population. Methods The indicator set was developed in three steps. Step 1 involved preparation by forming a research team and establishing the guiding theory. Step 2 included developing an expert inquiry questionnaire based on a literature review and semi-structured interviews. Step 3 completed the construction of the indicator set through the Delphi method and hierarchical analysis to quantify the relative importance of each indicator and ensure the development of a scientifically validated and practically applicable evaluation model. Results The final set of indicators for evaluating the quality of chronic pain management among community-dwelling older adults in China comprised three primary indicators: structural quality indicator, process quality indicator, and outcome quality indicator. Structural quality indicators included 3 secondary and 11 tertiary indicators; process quality indicators included 4 secondary and 21 tertiary indicators; and outcome quality indicators included 2 secondary and 4 tertiary indicators. Across two rounds of questionnaires, the response rate was 100%, with expert authority coefficients of 0.924 and 0.938, coefficients of variation ranging from 0 to 0.32 and 0 to 0.20, and Kendall’s concordance coefficients of 0.302 and 0.220, respectively. Hierarchical analysis showed that the consistency ratios of all indicators were < 0.1000, indicating a balanced distribution of indicator weights. Conclusions This study introduces a preliminary framework, based on the “Structure-Process-Outcome” theory, to evaluate chronic pain management in Chinese community-dwelling older adults. Its reliance on expert opinions without empirical validation, exclusion of patient perspectives, and focus on Chinese communities limit its applicability and generalizability. Future research should address these limitations by incorporating patient feedback, empirically validating indicators, and evaluating their applicability across diverse populations.https://doi.org/10.1186/s12877-024-05638-2Older adultsChronic painPain managementQuality assessment researchDelphi method |
| spellingShingle | Xiaoyan Li Jihua Zou Qiying Hu Rui Li Jingquan Gao Linyan Xu Jiajia Chen Yingge Tong Yubin Chen Development of a set of indicators for the quality of chronic pain management in Chinese community-dwelling older adults: a Delphi study BMC Geriatrics Older adults Chronic pain Pain management Quality assessment research Delphi method |
| title | Development of a set of indicators for the quality of chronic pain management in Chinese community-dwelling older adults: a Delphi study |
| title_full | Development of a set of indicators for the quality of chronic pain management in Chinese community-dwelling older adults: a Delphi study |
| title_fullStr | Development of a set of indicators for the quality of chronic pain management in Chinese community-dwelling older adults: a Delphi study |
| title_full_unstemmed | Development of a set of indicators for the quality of chronic pain management in Chinese community-dwelling older adults: a Delphi study |
| title_short | Development of a set of indicators for the quality of chronic pain management in Chinese community-dwelling older adults: a Delphi study |
| title_sort | development of a set of indicators for the quality of chronic pain management in chinese community dwelling older adults a delphi study |
| topic | Older adults Chronic pain Pain management Quality assessment research Delphi method |
| url | https://doi.org/10.1186/s12877-024-05638-2 |
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