title: [Patient perspectives in outcome research : Development of a focus group concept for collating patient perspectives on determination of effectiveness of multimodal pain therapy - A pilot study].
abstract: BACKGROUND
  To assess the efficacy of multimodal pain therapy for chronic pain patients it is necessary to use suitable outcome domains as well as reliable and valid measurement instruments. Using pain intensity as an example, however, it is shown that there are critical issues with respect to suitability for chronic pain patients and the quality (e.g. content validity, feasibility and interpretability) of commonly used measurement instruments.
  
  
  METHODS
  A focus group concept was designed to discuss the construct of pain intensity and common measurement instruments with chronic pain patients who underwent multimodal pain therapy. The focus group concept was tested in two pilot groups (N = 10) where eight issues previously established in guidelines were discussed.
  
  
  RESULTS
  The results of the pilot studies affirmed that the construct of pain intensity as well as the measurement instruments must be critically considered when applied to chronic pain patients and the effectiveness of multimodal pain therapy. The concept of patient focus groups proved to be a suitable method for patient participation. Integrating patients should be considered not only in discussions of existing pain scales but also in developing new measurement instruments.
authors.affiliation: Universitäts-SchmerzCentrum, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. katrin.neustadt@uniklinikum-dresden.de.
authors.forename: K
authors.initials: K
authors.lastname: Neustadt
authors.affiliation: Zentrum für Evidenzbasierte Gesundheitsversorgung, Medizinische Fakultät, TU Dresden, Dresden, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Deckert
authors.affiliation: Universitäts-SchmerzCentrum, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Heineck
authors.affiliation: Zentrum für Evidenzbasierte Gesundheitsversorgung, Medizinische Fakultät, TU Dresden, Dresden, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Kopkow
authors.affiliation: Universitäts-SchmerzCentrum, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Preißler
authors.affiliation: Universitäts-SchmerzCentrum, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.|Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Sabatowski
authors.affiliation: Zentrum für Evidenzbasierte Gesundheitsversorgung, Medizinische Fakultät, TU Dresden, Dresden, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Schmitt
authors.affiliation: Universitäts-SchmerzCentrum, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Kaiser
mesh_terms: D059350:Chronic Pain / Q000523:psychology / Q000534:rehabilitation*; D003131:Combined Modality Therapy / Q000706:statistics & numerical data; D017144:Focus Groups; D005858:Germany; D006785:Hospitals, University; D006801:Humans; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D018710:Pain Clinics; D010147:Pain Measurement / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D010865:Pilot Projects; D015203:Reproducibility of Results; D016896:Treatment Outcome
keywords: Content validity; Focus groups; Pain intensity; Patient participation; Qualitative research