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Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
Published on: June 10, 2013
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Developing Items to Measure Theory of Planned Behavior Constructs for Opioid Administration for Children: Pilot
Catherine Vincent1, Barth B Riley2, Diana J Wilkie3
1Department of Women, Children, and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois.
Summary
This study developed a reliable instrument to measure pediatric nurses' intentions for administering opioid pain relief. The Theory of Planned Behavior guided the creation of tools to improve pain management for children.
Area of Science:
- Nursing Research
- Behavioral Science
- Pain Management
Background:
- The Theory of Planned Behavior (TpB) explains behavior through attitudes, perceived norms, and perceived behavioral control.
- Understanding these factors is crucial for behavior change interventions in healthcare.
Purpose of the Study:
- To develop a valid and reliable instrument measuring pediatric nurses' attitudes, perceived norms, perceived behavioral control, and intentions.
- The instrument focuses on administering PRN opioid analgesics for moderate to severe pain in hospitalized children.
Main Methods:
- Applied Fishbein and Ajzen's guidelines for instrument development.
- Defined behavior, specified population, formulated direct and indirect measures, and pilot-tested the questionnaire.
- Assessed internal consistency (Cronbach's alpha) and test-retest reliability.
Main Results:
- Cronbach's alpha values ranged from 0.60 to 0.90 for all constructs.
- Test-retest reliability correlations were between 0.63 and 0.90.
- Demonstrated good reliability for most subscales in early development stages.
Conclusions:
- Following Fishbein and Ajzen's guidelines provided a feasible and organized approach for instrument development.
- The developed instrument shows promise for use in pediatric pain management research.
- Understanding TpB constructs can inform interventions to improve nurses' pain management behaviors.
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