Development and evaluation of the patient-reported outcomes measurement information system (PROMIS) pediatric pain quality item bank and short form.
Development and evaluation of the patient-reported outcomes measurement information system (PROMIS) pediatric pain quality item bank and short form.
复制标题
开发和评估患者报告结果测量信息系统 (PROMIS) 儿科疼痛质量项目库和简表。
DOI：
10.1097/j.pain.0000000000002739
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发表时间：
2023
期刊：
影响因子：
7.4
通讯作者：
Morgan,EsiM
中科院分区：
文献类型：
--
作者：
Mara,ConstanceA;Carle,AdamC;Goldschneider,KennethR;Kashikar-Zuck,Susmita;Sherry,DavidD;Dampier,Carlton;Morgan,EsiM
疼痛是儿童的常见问题，特别是患有儿科慢性病的儿童。疼痛的多方面评估可以改善疼痛的沟通，并帮助临床医生表征，区分和治疗患者的独特疼痛体验。疼痛质量是疼痛的一个重要领域，描述了与疼痛相关的主观感觉体验以及疼痛的情感体验。本研究的目的是定量评估59个患者报告结果测量信息系统儿科疼痛质量候选项目的测量特性，这些项目是作为美国国立卫生研究院患者报告结果测量信息系统倡议的一部分开发的，并由患有慢性疼痛的儿童和青少年输入。参与者包括N= 448名8至18岁的慢性健康状况的儿童患者，其中慢性或复发性疼痛是主要组成部分，包括青少年纤维肌痛，青少年特发性关节炎和镰状细胞病。一个验证性因素分析显示，一个一维模型拟合数据最好的，与56的59个项目表现出良好的心理测量特性列入最终措施。此外，建立共识的方法被用来建立2个版本的一个简短的形式测量一个有8个项目主要集中在感觉疼痛的质量和一个有8个项目集中在情感疼痛的质量。最终的测量结果显示了良好的可靠性和有效性，并建议用于儿科人群的研究和临床护理。
Pain is a common problem among children, particularly those with pediatric chronic diseases. Multifaceted assessment of pain can improve communication about pain and help clinicians characterize, differentiate, and treat a patient's unique experience of pain. Pain quality is an important domain of pain, describing the subjective sensory experiences associated with pain as well as the affective experiences of pain. The aim of the current study was to quantitatively evaluate the measurement properties of the 59 Patient-Reported Outcomes Measurement Information System pediatric pain quality candidate items developed as part of the National Institutes of Health's Patient-Reported Outcomes Measurement Information System initiative with input from children and adolescents with chronic pain. Participants included N= 448 pediatric patients between 8 and 18 years of age with chronic health conditions with a prominent component of chronic or recurrent pain, including juvenile fibromyalgia, juvenile idiopathic arthritis, and sickle cell disease. A confirmatory factor analysis revealed a unidimensional model fit the data best, with 56 of the 59 items demonstrating good psychometric properties for inclusion in the final measure. In addition, a consensus-building method was used to establish 2 versions of a short form measure—one with 8 items focused primarily on the sensory pain qualities and one with 8 items focused on affective pain qualities. The final measure shows good reliability and validity, and is recommended for use in research and clinical care with pediatric populations.