Journal article
Development and Validation of the Decisions to use Opioids Measure
Pain management nursing, Vol.26(2), pp.149-155
04/01/2025
DOI: 10.1016/j.pmn.2024.10.001
PMCID: PMC12720183
PMID: 39521629
Abstract
Millions experience inadequately managed acute pain each year. Opioids are an important tool for managing pain; however, recent reductions in opioid prescriptions have exacerbated preexisting challenges in pain management. Moreover, patient expectations and desires for pain management may drive additional opioid use. There is an important need to characterize patient motivations for using opioids in order to develop promising interventions. The aim of this study was to develop the Decisions To use Opioids (DTO) measure.
We used an exploratory sequential mixed methods design to create items for the DTO measure. Qualitative data from patient interviews and focus groups informed the development of items for the DTO. We evaluated the content validity of candidate items with nine experts using the content validity index (CVI) and conceptual significance. Face validity was assessed via cognitive interviews with five emergency department (ED) participants who experienced acute pain.
We generated an initial pool of 52 items. Expert ratings provided evidence of content validity on 40 items, as indicated by an item CVI score of 0.83 or higher. Nine items with CVI scores of <0.83 were retained and revised due to the conceptual significance. The remaining three items were discarded.
This study provided evidence of content and face validity of the DTO measure for ED patients. Further psychometric evaluation is needed to gather data regarding the DTO's internal consistency, construct validity, and criterion validity.
Details
- Title: Subtitle
- Development and Validation of the Decisions to use Opioids Measure
- Creators
- Brittany E. Punches - The Ohio State UniversityJennifer L. Brown - Department of Psychological Sciences, Purdue University, West Lafayette, INMichael S. Lyons - The Ohio State UniversityGordon L. Gillespie - University of Cincinnati Medical CenterEdward W. Boyer - The Ohio State UniversityAlison R. Anderson - University of Iowa, NursingStephanie Carreiro - American College of Medical ToxicologyJason J. Bischof - The Ohio State University Wexner Medical CenterEmily Kauffman - The Ohio State UniversityHenry Young - Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, OHDavid Spatholt - The Ohio State UniversityAlai Tan - The Ohio State UniversityMacarius Donneyong - The Ohio State UniversityAndy Ni - The Ohio State UniversityTamilyn Bakas - University of Cincinnati Medical Center
- Resource Type
- Journal article
- Publication Details
- Pain management nursing, Vol.26(2), pp.149-155
- DOI
- 10.1016/j.pmn.2024.10.001
- PMID
- 39521629
- PMCID
- PMC12720183
- NLM abbreviation
- Pain Manag Nurs
- ISSN
- 1524-9042
- eISSN
- 1532-8635
- Publisher
- Elsevier Inc
- Number of pages
- 7
- Comment
- Test development: Decisions To use Opioids Measure (DTO Measure)
- Language
- English
- Date published
- 04/01/2025
- Academic Unit
- Nursing
- Record Identifier
- 9985033550502771
Metrics
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