Verifying the validity and reliability of the Japanese version of the Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale.
Verifying the validity and reliability of the Japanese version of the Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale.
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DOI：
10.1371/journal.pone.0194094
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Inoue Y
中科院分区：
文献类型：
--
作者：
Matsuishi Y;Hoshino H;Shimojo N;Enomoto Y;Kido T;Hoshino T;Sumitani M;Inoue Y
儿科患者，尤其是在语言前阶段，无法自我报告疼痛强度，因此一些经过验证的观察工具，包括面部、腿部、活动、哭泣、安慰性 (FLACC) 行为量表，已被用作评估儿科疼痛的基准。不幸的是，该量表目前在日语中不可用，妨碍了其在日本医院的广泛使用。翻译并验证日语版FLACC行为量表的有效性和可靠性。首先由八名医学研究人员进行反向翻译，然后将筑波大学儿科重症监护室的可用患者样本（2017 年 5 月至 2017 年 8 月）纳入临床研究。两名研究人员通过加权 kappa 系数和组内相关系数 (ICC) 评估了翻译后的 FLACC 行为量表的有效性。同时通过视觉模拟量表（VAS obs）测量观察疼痛，并通过相关分析评估可靠性。原作者同意翻译。在这项临床研究中，共从 24 名儿科患者中获得了 121 项观察结果。观察者之间的一致性对于每个 FLACC 类别（面部：κ = 0.85，腿部：κ = 0.74，活动：κ = 0.89，哭泣：κ = 0.93，安慰性：κ = 0.93）以及总分（总计：κ = 0.95）高度相关。相关性分析表明 FLACC 量表和 VAS 观测值之间具有良好的标准验证。 (r = 0.96) 我们的日语版 FLACC 行为量表显示出很高的有效性和可靠性。
Pediatric patients, especially in the preverbal stage, cannot self-report intensity of pain therefore several validated observational tools, including the Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale, have been used as a benchmark to evaluate pediatric pain. Unfortunately, this scale is currently unavailable in Japanese, precluding its widespread use in Japanese hospitals. To translate and verify the validity and reliability of the Japanese version of the FLACC Behavioral Scale. Back-translation was first conducted by eight medical researchers, then an available sample of patients at the University of Tsukuba Pediatric Intensive Care Unit (from May 2017 to August 2017) was enrolled in a clinical study. Two researchers evaluated the validity of the translated FLACC Behavioral Scale by weighted kappa coefficient and intraclass correlation coefficients (ICC). Observational pain was simultaneously measured by the visual analog scale (VAS obs) and reliability was evaluated by correlation analysis. The original author approved the translation. For the clinical study, a total of 121 observations were obtained from 24 pediatric patients. Agreement between observers was highly correlated for each of the FLACC categories (Face: κ = 0.85, Leg: κ = 0.74, Activity: κ = 0.89, Cry: κ = 0.93, Consolability: κ = 0.93) as well as the total score (Total: κ = 0.95,). Correlation analysis demonstrated a good criterion validation between the FLACC scale and the VAS obs. (r = 0.96) Our Japanese version of the FLACC Behavioral Scale shows high validity and reliability.
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