PMID- 36514328
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221221
IS  - 2398-8835 (Electronic)
IS  - 2398-8835 (Linking)
VI  - 6
IP  - 1
DP  - 2023 Jan
TI  - Development and preclinical testing of the critical care pain observation tool 
      for family caregiver use (CPOT-Fam).
PG  - e986
LID - 10.1002/hsr2.986 [doi]
LID - e986
AB  - BACKGROUND AND AIMS: Pain assessment in noncommunicative intensive care unit 
      (ICU) patients is challenging. For these patients, family caregivers (i.e., 
      family members, friends) may be able to assist in pain assessment by identifying 
      individualistic signs of pain due to their intimate patient knowledge. This study 
      adapted the critical care pain observation tool (CPOT) to facilitate pain 
      assessment in adult ICU patients by family caregivers. METHODS: This study was 
      conducted through three distinct phases: (1)CPOT adaptation for family caregiver 
      use (to create the CPOT-Fam): A working group met monthly to adapt the CPOT and 
      develop educational material and sample cases for practice scoring until 
      consensus was reached.(2)CPOT-Fam preclinical testing: Family caregiver study 
      participants viewed educational materials and scored four randomly selected 
      sample cases using the CPOT-Fam. Scores were compared to reference scores to 
      assess agreement and identify CPOT-Fam sections requiring revision. Open-ended 
      feedback on the CPOT-Fam was collected.(3)CPOT-Fam revision: the CPOT-Fam was 
      revised by the working group considering score agreement and feedback received 
      from study participants. RESULTS: Of the n = 30 participants, n = 14 (47.0%) had 
      experience with an ICU patient. Agreement between CPOT-Fam participant scores and 
      reference scores were highest for the vocalization dimension (Is the patient 
      making any sounds?; Intraclass correlation coefficient; ICC = 1.0) and lowest for 
      the body movements dimension (What are the patient's body movements like?; 
      ICC = 0.85. Participants indicated they found the CPOT-Fam to be "informative" 
      and "easy-to-use" but "not graphic enough"; participants also indicated that 
      descriptors like "lack of breath" and "struggling to move" are helpful with 
      identifying individualistic behaviors of pain exhibited by their loved ones. 
      CONCLUSION: The CPOT-Fam shows ease of use and may be of value in involving 
      family caregivers in ICU care. Clinical pilot testing is needed to determine 
      feasibility and acceptability and identify further areas for refinement.
CI  - (c) 2022 The Authors. Health Science Reports published by Wiley Periodicals LLC.
FAU - Shahid, Anmol
AU  - Shahid A
AUID- ORCID: 0000-0001-5638-4988
AD  - Department of Critical Care Medicine, Cumming School of Medicine University of 
      Calgary & Alberta Health Services Calgary Alberta Canada.
FAU - Sept, Bonnie G
AU  - Sept BG
AD  - Department of Critical Care Medicine, Cumming School of Medicine University of 
      Calgary & Alberta Health Services Calgary Alberta Canada.
FAU - Longmore, Shelly
AU  - Longmore S
AD  - Department of Critical Care Medicine, Cumming School of Medicine University of 
      Calgary & Alberta Health Services Calgary Alberta Canada.
FAU - Owen, Victoria S
AU  - Owen VS
AD  - Department of Critical Care Medicine, Cumming School of Medicine University of 
      Calgary & Alberta Health Services Calgary Alberta Canada.
FAU - Moss, Stephana J
AU  - Moss SJ
AD  - Department of Critical Care Medicine, Cumming School of Medicine University of 
      Calgary & Alberta Health Services Calgary Alberta Canada.
FAU - Soo, Andrea
AU  - Soo A
AD  - Department of Critical Care Medicine, Cumming School of Medicine University of 
      Calgary & Alberta Health Services Calgary Alberta Canada.
FAU - Fiest, Kirsten M
AU  - Fiest KM
AD  - Department of Critical Care Medicine, Cumming School of Medicine University of 
      Calgary & Alberta Health Services Calgary Alberta Canada.
AD  - Department of Psychiatry, Hotchkiss Brain Institute Cumming School of Medicine 
      Calgary Alberta Canada.
AD  - Department of Community Health Sciences University of Calgary Calgary Alberta 
      Canada.
FAU - Gelinas, Celine
AU  - Gelinas C
AD  - Centre for Nursing Research and Lady Davis Institute, Ingram School of 
      Nursing, Jewish General Hospital-CIUSSS West-Central Montreal McGill University 
      Montreal Canada.
FAU - Stelfox, Henry T
AU  - Stelfox HT
AD  - Department of Critical Care Medicine, Cumming School of Medicine University of 
      Calgary & Alberta Health Services Calgary Alberta Canada.
AD  - O'Brien Institute for Public Health University of Calgary Calgary Alberta Canada.
LA  - eng
PT  - Journal Article
DEP - 20221209
PL  - United States
TA  - Health Sci Rep
JT  - Health science reports
JID - 101728855
PMC - PMC9732740
OTO - NOTNLM
OT  - critical care pain observation tool
OT  - family partnership
OT  - intensive care unit pain
OT  - pain assessment
OT  - quality improvement
OT  - tool development
COIS- The authors declare no conflict of interest.
EDAT- 2022/12/15 06:00
MHDA- 2022/12/15 06:01
PMCR- 2022/12/09
CRDT- 2022/12/14 01:54
PHST- 2022/06/06 00:00 [received]
PHST- 2022/11/26 00:00 [revised]
PHST- 2022/11/28 00:00 [accepted]
PHST- 2022/12/14 01:54 [entrez]
PHST- 2022/12/15 06:00 [pubmed]
PHST- 2022/12/15 06:01 [medline]
PHST- 2022/12/09 00:00 [pmc-release]
AID - HSR2986 [pii]
AID - 10.1002/hsr2.986 [doi]
PST - epublish
SO  - Health Sci Rep. 2022 Dec 9;6(1):e986. doi: 10.1002/hsr2.986. eCollection 2023 
      Jan.