• J Pain Symptom Manage · Mar 2020

    Validation of the Dutch version of the Breakthrough Pain Assessment Tool in Patients with Cancer.

    • Wendy H Oldenmenger, Anne Lucas, Gertruud F H van der Werff, Katherine Webber, Dick Visser, van der VeldenAnnette W GAWGDepartment of Internal Medicine and Palliative Care, Martini Hospital, Groningen, The Netherlands., and van der RijtCarin C DCCDDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center, Rotterdam, The Netherlands; Netherlands Comprehensive Cancer Organization, Utrecht, The Netherlands..
    • Department of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center, Rotterdam, The Netherlands. Electronic address: w.h.oldenmenger@erasmusmc.nl.
    • J Pain Symptom Manage. 2020 Mar 1; 59 (3): 709-716.e2.

    ContextEssential for adequate management of breakthrough cancer pain is a combination of accurate (re-)assessment and a personalized treatment plan. The Breakthrough Pain Assessment Tool (BAT) has been proven to be a brief, multidimensional, reliable, and valid questionnaire for the assessment of breakthrough cancer pain.ObjectivesThe aim of this study was to examine the validity and reliability of the Dutch Language version of the BAT (BAT-DL) in patients with cancer.MethodsThe BAT was forward-backward translated into the Dutch language. Thereafter, the psychometric properties of the BAT-DL were tested, that is factor structure, reliability (internal consistency and test-retest reliability), validity (content validity and construct validity), and the responsiveness to change.ResultsThe BAT-DL confirmed the two-factor structure in 170 patients with cancer: pain severity/impact factor and pain duration/medication efficacy factor. The Cronbach's alpha coefficient was 0.72, and the intraclass correlation for the test-retest reliability was 0.81. The BAT-DL showed to be able to differentiate between different group of patients and correlated significantly with the Brief Pain Inventory. In addition, the BAT-DL was capable to detect clinically important changes over time.ConclusionThe BAT-DL is a valid and reliable questionnaire to assess breakthrough pain in Dutch patients with cancer and is a relevant questionnaire for daily practice.Copyright © 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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