The CALI-9: A brief measure for assessing activity limitations in children and adolescents with chronic pain.
The CALI-9: A brief measure for assessing activity limitations in children and adolescents with chronic pain.
复制标题
DOI：
10.1097/j.pain.0000000000001063
复制
发表时间：
2018-01
期刊：
影响因子：
7.4
通讯作者：
Palermo TM
中科院分区：
文献类型：
--
作者：
Holley AL;Zhou C;Wilson AC;Hainsworth K;Palermo TM
疼痛相关的功能限制是评估儿童和青少年慢性疼痛的一个重要结果领域。本研究的目的是扩展CALI-21（21项儿童活动限制访谈）的实证支持，这是一种经过验证的活动限制测量方法，使用大型、多地点的样本，并开发一种具有更可解释评分的简短形式。1616名青少年和1614名家长在美国中西部或西北部3家疼痛专科诊所中的1家首次预约时完成了CALI-21，或作为首次访问后的研究的一部分。所有的年轻人也报告了通常的疼痛强度。来自1236名青少年及其父母的CALI-21数据被用于分析。探索性和验证性因素分析的结果支持儿童和家长报告版本的共同的2因素结构（积极因素和常规因素）。使用项目缩减，9项测量（CALI-9）被开发与孩子和父母版本显示出良好的内部一致性和高交叉信息的信度。最初的有效性是由CALI-9区分疼痛强度水平的能力来证明的。研究结果表明，CALI-9是评估青少年慢性疼痛相关活动限制和家长代理报告的一个有希望的简短工具。缩短量表的优点包括修订的0-100分制，增加了可解释性，并进一步验证了子量表评分，以评估活动和常规身体功能领域的特定限制。
Pain-related functional limitations represent an important outcome domain to assess in children and adolescents with chronic pain. The aim of this study was to extend the empirical support of the CALI-21 (21-item Child Activity Limitations Interview), a well-validated measure of activity limitations, using a large, multisite sample and to develop a brief form of the measure with more interpretable scoring. A sample of 1616 youth and 1614 parents completed the CALI-21 at an initial appointment in 1 of 3 pain specialty clinics in the Midwest or Northwest United States, or as part of a research study following this initial visit. All youth also reported on usual pain intensity. CALI-21 data from 1236 youth and parents were used in analyses. Results of the exploratory and confirmatory factor analyses supported a common 2-factor structure (Active and Routine factors) for both child and parent report versions. Using item reduction, the 9 item measure (CALI-9) was developed with both child and parent versions showing good internal consistency and high cross-informant reliability. Initial validity was shown by the ability of the CALI-9 to distinguish by level of pain intensity. Findings suggest that the CALI-9 is a promising brief tool for the evaluation of pain-related activity limitations in youth with chronic pain and for proxy-report by parents. Advantages of the shortened scale include the revised 0-100 point scale, which increases interpretability, and further validation of the subscale scoring to assess specific limitations in active and routine physical functioning domains.
登录
查看更多内容
影响因子：
7.4
作者：
Palermo TM;Lewandowski AS;Long AC;Burant CJ
通讯作者：
Burant CJ
影响因子：
3.6
作者：
Caes, L.;Fisher, E.;Eccleston, C.
通讯作者：
Eccleston, C.
影响因子：
7.4
作者：
Palermo, Tonya M.;Law, Emily F.;Tai, Gabrielle
通讯作者：
Tai, Gabrielle
影响因子：
3.6
作者：
Wilson, Anna C.;Moss, Ashley;Fales, Jessica L.
通讯作者：
Fales, Jessica L.
影响因子：
7.4
作者：
Hirschfeld, Gerrit;Zernikow, Boris
通讯作者：
Zernikow, Boris