PaiNEd app. Assessing central sensitization in survivors of breast cancer: A reliability study.

Autor:	Fernández-Gualda MÁ; Biomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain.; Instituto de Investigación Biosanitaria, Ibs.GRANADA, Granada, Spain.; Sport and Health Research Center (IMUDs), Parque Tecnológico de la Salud, Granada, Spain., Ariza-Vega P; Instituto de Investigación Biosanitaria, Ibs.GRANADA, Granada, Spain.; Sport and Health Research Center (IMUDs), Parque Tecnológico de la Salud, Granada, Spain.; Department of Physical and Sport Education, PA-HELP 'Physical Activity for HEaLth Promotion' Research Group, Faculty of Sports Sciences, University of Granada, Granada, Spain., Galiano-Castillo N; Biomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain.; Instituto de Investigación Biosanitaria, Ibs.GRANADA, Granada, Spain.; Sport and Health Research Center (IMUDs), Parque Tecnológico de la Salud, Granada, Spain., Tovar-Martín I; Instituto de Investigación Biosanitaria, Ibs.GRANADA, Granada, Spain.; Department of Radiation Oncology, Hospital Universitario Virgen de las Nieves, Granada, Spain., Ortiz-Comino L; Instituto de Investigación Biosanitaria, Ibs.GRANADA, Granada, Spain.; Sport and Health Research Center (IMUDs), Parque Tecnológico de la Salud, Granada, Spain.; Health Sciences Faculty (Melilla), University of Granada, Granada, Spain., Lozano-Lozano M; Biomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain.; Instituto de Investigación Biosanitaria, Ibs.GRANADA, Granada, Spain.; Sport and Health Research Center (IMUDs), Parque Tecnológico de la Salud, Granada, Spain., Fernández-Lao C; Biomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain.; Instituto de Investigación Biosanitaria, Ibs.GRANADA, Granada, Spain.; Sport and Health Research Center (IMUDs), Parque Tecnológico de la Salud, Granada, Spain.
Jazyk:	angličtina
Zdroj:	Digital health [Digit Health] 2024 Jun 14; Vol. 10, pp. 20552076241260150. Date of Electronic Publication: 2024 Jun 14 (Print Publication: 2024).
DOI:	10.1177/20552076241260150
Abstrakt:	Introduction: Pain is a common adverse event in survivors of breast cancer (sBCs). As there is no gold standard to assess pain experience predominantly related to central sensitization (CS) symptoms, we designed the PaiNEd app , which includes an algorithm to report whether patients are under predominant CS pain mechanisms. Objective: We aimed to assess the reliability of the PaiNEd app to estimate whether sBC pain experience is predominantly related to CS symptoms. Methods: An observational, descriptive reliability design was employed to assess the inter- and intrarater reliability of the PaiNEd app. This app includes an algorithm that considers the number of painful body parts and some questionnaires related to pain, such as the Numeric Pain-Rating Scale , the Brief Pain Inventory, the Tampa Scale for Kinesiophobia, the Pain Catastrophizing Scale, and the Central Sensitization Inventory (CSI). Results: A total of 21 sBCs with persistent pain were recruited. We observe a general trend of close agreement between the paper-based and app-based formats (ICCs ranged between 0.802 and 0.972; Cronbach's alpha ranged between 0.797 and 0.971). Test-retest reliabilities were moderate to excellent (ICCs ranged between 0.510 and 0.941; Cronbach's alpha ranged between 0.499 and 0.938). The agreement between the categorization of the CS algorithm and the CSI (cut-off point ≥ 40 for CS symptoms) was 95.24%. Conclusion: The PaiNEd app emerges as a robust tool for evaluating pain experience predominantly related to CS and pain-related symptoms in sBCs. Its demonstrated reliability not only bolsters its utility but also signifies its potential as a valuable asset for healthcare professionals engaged in pain education programs. Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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