Children with sickle cell disease suffer from episodes of severe, unrelenting pain. Limited novel therapeutic options for sickle cell pain have been developed in the last 25 years and there are currently no valid pain assessment tools, nor adequate analgesic options for children hospitalized with vasoocclusive pain. The candidate's long-term goal is to become an independent investigator, and an expert and national leader in sickle cell disease pain management. To achieve this goal the candidate will receive advanced training in research methodology culminating in a Masters in Clinical Research and an international research fellowship in pediatric pain management. The candidate will be mentored by experts in sickle cell disease, pediatric pain, health disparities, psychometrics and career development. The candidate's research project will focus on the hypothesis that the assessment of functional status better reflects response to pain therapies in children with sickle cell disease than currently available measures.
The first aim of the project is the development of the Functional Assessment and Recovery Scale (PARS) as a daily measure of function in children hospitalized with sickle cell pain. Indeed, at the current time there is no specific instrument that is aimed to assess pain and functionality in hospitalized children with sickle cell disease. To establish domains and items for the PARS, the candidate has assembled a panel of experts in this area, and will interview children hospitalized with vasoocclusive pain. In the second aim the candidate will demonstrate the reliability, validity and responsiveness of the PARS in children hospitalized with sickle cell pain. The candidate anticipates that the completion of the proposed research project will result in a substantial improvement in the assessment of pain in children with sickle cell disease. Relevance: Children with sickle cell disease suffer from episodes of severe unrelenting pain. This project will develop a functional assessment tool for the measurement of pain in sickle cell disease. We hope this will result in a marked improvement in the care of these children.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23HL090832-04
Application #
8366617
Study Section
Special Emphasis Panel (ZHL1-CSR-R (O1))
Program Officer
Werner, Ellen
Project Start
2009-01-09
Project End
2013-12-31
Budget Start
2012-01-01
Budget End
2013-12-31
Support Year
4
Fiscal Year
2012
Total Cost
$121,230
Indirect Cost
$8,980
Name
Connecticut Children's Medical Center
Department
Type
DUNS #
077314268
City
Hartford
State
CT
Country
United States
Zip Code
06106
Zempsky, William T; O'Hara, Emily A; Santanelli, James P et al. (2014) Development and validation of the Youth Acute Pain Functional Ability Questionnaire (YAPFAQ). J Pain 15:1319-27
Zempsky, William T; Palermo, Tonya M; Corsi, John M et al. (2013) Daily changes in pain, mood and physical function in children hospitalized for sickle cell disease pain. Pain Res Manag 18:33-8
Zempsky, William T; O'Hara, Emily A; Santanelli, James P et al. (2013) Validation of the sickle cell disease pain burden interview-youth. J Pain 14:975-82
Zempsky, William T; Corsi, John M; McKay, Kathleen (2011) Pain scores: are they used in sickle cell pain? Pediatr Emerg Care 27:27-8
Zempsky, William T (2009) Treatment of sickle cell pain: fostering trust and justice. JAMA 302:2479-80