Development and validation of the self-reported PROMIS pediatric pain behavior item bank and short form scale
Development and validation of the self-reported PROMIS pediatric pain behavior item bank and short form scale
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DOI：
10.1097/j.pain.0000000000000914
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发表时间：
2017-07-01
期刊：
影响因子：
7.4
通讯作者：
Morgan, Esi M.
中科院分区：
文献类型：
--
作者：
Cunningham, Natoshia R.;Kashikar-Zuck, Susmita;Morgan, Esi M.
疼痛行为是慢性疼痛功能的重要指标；然而，还没有为儿科人群开发出自我报告的疼痛行为量表。这项研究的目的是创建一种简短的儿科患者报告疼痛行为的测量方法，作为患者报告结果测量信息系统(PROIS)的一部分。先前已通过定性研究确定了这项措施的47个候选项目库。在这项研究中，来自3个儿科中心的患有青少年纤维肌痛、青少年特发性关节炎或镰状细胞病(年龄8-18岁)的慢性疼痛患者完成了所有47个候选项目，以开发疼痛行为项目库，并建立了疼痛干预、抑郁症状、疲劳、平均疼痛强度和疼痛灾变的测量标准。照顾者报告了社会人口信息和健康史。疼痛行为条目的心理测量学特性使用条目反应理论框架进行验证性因素分析，并检查不同条目的功能、内部一致性和测试信息曲线。结果与专家共识一起使用，并与成人前部疼痛行为项目进行比对，得出由8个项目组成的儿童疼痛行为简表，所有47个项目都保留在校准的题库中。验证性因素分析和与疼痛、疼痛干预和心理社会功能的有效测量的相关性为简表的可靠性和效度提供了支持。新的PROMIS儿童疼痛行为量表为今后学龄儿童慢性疼痛行为的研究提供了可靠、准确、有效的测量工具。
Pain behaviors are important indicators of functioning in chronic pain; however, no self-reported pain behavior instrument has been developed for pediatric populations. The purpose of this study was to create a brief pediatric measure of patient-reported pain behaviors as part of the Patient-Reported Outcome Measurement Information System (PROMIS). A pool of 47 candidate items for this measure had been previously developed through qualitative research. In this study, youth with chronic pain associated with juvenile fibromyalgia, juvenile idiopathic arthritis, or sickle cell disease (ages 8-18 years) from 3 pediatric centers completed all 47 candidate items for development of the pain behavior item bank along with established measures of pain interference, depressive symptoms, fatigue, average pain intensity, and pain catastrophizing. Caregivers reported on sociodemographic information and health history. Psychometric properties of the pain behavior items were examined using an item response theory framework with confirmatory factor analysis and examination of differential item functioning, internal consistency, and test information curves. Results were used along with expert consensus and alignment with the adult PROMIS pain behavior items to arrive at an 8-item pediatric pain behavior short form, and all 47 items were retained in a calibrated item bank. Confirmatory factor analysis and correlations with validated measures of pain, pain interference, and psychosocial functioning provided support for the short form's reliability and validity. The new PROMIS pediatric pain behavior scale provides a reliable, precise, and valid measure for future research on pain behavior in school-aged children with chronic pain.