Evaluating the Acceptability and Validity of Assessing Pain and Posttraumatic Stress Symptoms in an Adaptable eHealth System for School-Age Children.
Evaluating the Acceptability and Validity of Assessing Pain and Posttraumatic Stress Symptoms in an Adaptable eHealth System for School-Age Children.
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评估学龄儿童适应性电子医疗系统中评估疼痛和创伤后应激症状的可接受性和有效性。
DOI：
10.1037/cpp0000261
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发表时间：
2019
影响因子：
1.1
通讯作者：
Marsac,MeghanL
中科院分区：
文献类型：
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作者：
Kassam-Adams,Nancy;Kohser,KristenL;McLaughlin,Jeffery;Winston,Flaura;Marsac,MeghanL
目的：本研究的目的是提供一个新的电子健康系统的可接受性的初步评价，将个性化的自我报告评估的多个健康领域的学龄儿童和评估收敛有效性的两个简短的措施，通过这个system.Methods：生病或受伤的儿童（N= 167），年龄6-14岁，在两个儿科医疗保健系统招募使用的原型eScreen接口上的移动终端选择一个化身和完整的简短评估疼痛和创伤后应激症状（PTSS）。儿童评级技术的可接受性和完成验证措施的疼痛和PTSS.Results：儿童的评级表明，他们发现的eScreen界面易于使用（平均评级4.4的1-5级），可能有助于他们恢复（M= 3.7），并会使用/推荐（M= 4.0）。在6-8岁的儿童中，平均评分如下：易于使用（3.7），有用性（3.3）和会使用/推荐（3.4）。可接受性在儿童性别、家庭收入或通常使用移动的设备方面基本一致。eScreen测量结果显示，与既定测量结果相比，具有较强的收敛效度。eScreen Pain Screener高度相关（r= 0.86 - 0.92），并与两种经验证的疼痛测量结果高度一致。eScreen PTSS评分与经验证的PTSS指标密切相关（r= .67）; PTSS筛查阳性与PTSS严重程度显著升高相关。（易用性，意图使用/建议，感知有用性），这些工具的年龄较大的学龄儿童，并提供了强有力的初步证据的有效性两个简短的措施提出了一种新的数字model.Implications影响StatementKey部分的适应性电子健康筛查系统被评为积极的儿童年龄9-14;年龄较小的儿童的评级表明，需要额外的发展，为他们的使用。结果支持的有效性，短暂的疼痛和创伤后应激反应的措施，通过这个系统和个性化的化身选择的孩子。
Objective:The objective of this study is to provide initial evaluation of the acceptability of a new eHealth system incorporating personalized self-report assessment of multiple health domains in school-age children and assess convergent validity of two brief measures presented via this system.Methods:Ill or injured children (N= 167) ages 6–14 recruited in two pediatric health care systems used the prototype eScreen interface on a mobile device to select an avatar and complete brief assessments of pain and posttraumatic stress symptoms (PTSS). Children rated technology acceptability and completed validated measures for pain and PTSS.Results:Children’s ratings indicated they found the eScreen interface easy to use (mean rating 4.4 on a 1–5 scale), potentially useful in helping them recover (M= 3.7), and would use/recommend it (M= 4.0). Among children ages 6–8, mean ratings were as follows: easy to use (3.7), usefulness (3.3), and would use/recommend (3.4). Acceptability was largely consistent across child gender, family income, or usual access to mobile devices. eScreen measures showed strong convergent validity with established measures. The eScreen Pain Screener was highly correlated (r= .86–.92) and evidenced strong agreement with two validated pain measures. eScreen PTSS scores were strongly correlated with a validated PTSS measure (r= .67); a positive PTSS screen was associated with significantly higher PTSS severity.Conclusions:Study results support the acceptability (ease of use, intention to use/recommend, perceived usefulness) of these tools for older school-age children and provide strong initial evidence for the validity of two brief measures presented in a novel digital modality.Implications for Impact StatementKey parts of an adaptable eHealth screening system were rated positively by children ages 9–14; younger children’s ratings suggest the need for additional development for their use. Results support the validity of brief pain and posttraumatic stress measures presented via this system and personalized with an avatar chosen by the child.