{"id":{"repo_id":"york","oai_identifier":"oai:yorkspace.library.yorku.ca:10315/41857"},"canonical_url":"https://search.dev.ndltd.org/etd/york/oai:yorkspace.library.yorku.ca:10315/41857","repository":{"repo_id":"york","name":"York University","base_url":"https://yorkspace.library.yorku.ca/oai/request"},"display":{"title":"Healthcare Worker Factors Influencing Reports of Pain Judgments about Older Patients with Cancer and Delirium","abstract":"Healthcare workers (HCWs) rely on behavioural cues to judge pain in older adults with cancer and delirium. This study identified HCW factors associated with pain judgments about older patients with advanced cancer who are cognitively intact or have delirium, including the hypoactive, hyperactive, and mixed subtypes. Fifty-three HCWs with experience in pain-related specialties were interviewed on their experiences regarding pain judgments about this patient population. The Cancer Pain and Delirium Scale (CPDS) was used to score each interview transcript for reported pain cues for each patient group. Backward regression models found that age, discipline, specialty, years of experience in palliative oncology or geriatrics, percentage of older patients cared for per month, and pain catastrophizing each contributed to at least one of the models for CPDS INT, DEL, HYPO, and HYPER. These results support the biopsychosocial model of pain and aging and highlight the influence HCW factors have on pain assessments.","abstract_html":"Healthcare workers (HCWs) rely on behavioural cues to judge pain in older adults with cancer and delirium. This study identified HCW factors associated with pain judgments about older patients with advanced cancer who are cognitively intact or have delirium, including the hypoactive, hyperactive, and mixed subtypes. Fifty-three HCWs with experience in pain-related specialties were interviewed on their experiences regarding pain judgments about this patient population. The Cancer Pain and Delirium Scale (CPDS) was used to score each interview transcript for reported pain cues for each patient group. Backward regression models found that age, discipline, specialty, years of experience in palliative oncology or geriatrics, percentage of older patients cared for per month, and pain catastrophizing each contributed to at least one of the models for CPDS INT, DEL, HYPO, and HYPER. These results support the biopsychosocial model of pain and aging and highlight the influence HCW factors have on pain assessments.","abstract_has_math":false,"creators":["Carbone, Vanessa Luisa"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Gagliese, Lucia"],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024-03-16","date_published":"2024-03-16","updated_at":"2026-07-24T06:33:43Z","subjects":["Oncology","Health sciences","Kinesiology"],"languages":["en"],"rights":["Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests."],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/10315/41857","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Gagliese, Lucia"]},{"key":"dc:creator","label":"Author","values":["Carbone, Vanessa Luisa"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2024-03-18T17:51:57Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2024-03-18T17:51:57Z"]},{"key":"dc:date.issued","label":"Date","values":["2024-03-16"]},{"key":"dc:type","label":"Dc Type","values":["Electronic Thesis or Dissertation"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Oncology","Health sciences","Kinesiology"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/10315/41857"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Healthcare workers (HCWs) rely on behavioural cues to judge pain in older adults with cancer and delirium. This study identified HCW factors associated with pain judgments about older patients with advanced cancer who are cognitively intact or have delirium, including the hypoactive, hyperactive, and mixed subtypes. Fifty-three HCWs with experience in pain-related specialties were interviewed on their experiences regarding pain judgments about this patient population. The Cancer Pain and Delirium Scale (CPDS) was used to score each interview transcript for reported pain cues for each patient group. Backward regression models found that age, discipline, specialty, years of experience in palliative oncology or geriatrics, percentage of older patients cared for per month, and pain catastrophizing each contributed to at least one of the models for CPDS INT, DEL, HYPO, and HYPER. These results support the biopsychosocial model of pain and aging and highlight the influence HCW factors have on pain assessments."]},{"key":"dc:title","label":"Title","values":["Healthcare Worker Factors Influencing Reports of Pain Judgments about Older Patients with Cancer and Delirium"]}]}],"canonical_facts":{"dc:contributor.advisor":["Gagliese, Lucia"],"dc:creator":["Carbone, Vanessa Luisa"],"dc:date.accessioned":["2024-03-18T17:51:57Z"],"dc:date.available":["2024-03-18T17:51:57Z"],"dc:date.issued":["2024-03-16"],"dc:description.abstract":["Healthcare workers (HCWs) rely on behavioural cues to judge pain in older adults with cancer and delirium. This study identified HCW factors associated with pain judgments about older patients with advanced cancer who are cognitively intact or have delirium, including the hypoactive, hyperactive, and mixed subtypes. Fifty-three HCWs with experience in pain-related specialties were interviewed on their experiences regarding pain judgments about this patient population. The Cancer Pain and Delirium Scale (CPDS) was used to score each interview transcript for reported pain cues for each patient group. Backward regression models found that age, discipline, specialty, years of experience in palliative oncology or geriatrics, percentage of older patients cared for per month, and pain catastrophizing each contributed to at least one of the models for CPDS INT, DEL, HYPO, and HYPER. These results support the biopsychosocial model of pain and aging and highlight the influence HCW factors have on pain assessments."],"dc:identifier.uri":["https://hdl.handle.net/10315/41857"],"dc:language":["en"],"dc:rights":["Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests."],"dc:subject":["Oncology","Health sciences","Kinesiology"],"dc:title":["Healthcare Worker Factors Influencing Reports of Pain Judgments about Older Patients with Cancer and Delirium"],"dc:type":["Electronic Thesis or Dissertation"]},"updated_at":"2026-07-24T06:33:43Z"}