Children's Computer Assessment of Pain

描述（由申请人提供）：项目摘要/摘要：对儿童疼痛管理及其治疗的持续关注使儿童疼痛评估成为高度优先的医疗事项。目前，主要的临床技术是让儿童从一组静态的、程式化的面部表情中进行选择，这些表情代表不同程度的疼痛。虽然这种方法的广泛使用已经产生了大量的临床信息，但这些所谓的“面部量表”只能显示少量的面部表情（6或7），不允许用户微调评级，并且不提供自动计算机存储和数据分析。第一阶段的目标是开发一种计算机化的方法来评估疼痛，方法是让孩子调整一张卡通脸，这张脸的表情可以从皱眉到微笑连续变化。该软件被称为儿童计算机疼痛评估（C-CAP），并已在住院儿童和健康儿童的可比组的初步工作中成功测试。这一初步工作的结果是有希望的，并鼓励进一步发展。这里提出的2项研究的目的是收集数据的C-CAP的心理测量学特性的重测信度，同时效度，并通过测试的120例患者在2家医院（1农村，1城市），提供专门的儿童护理。建议的商业应用。让孩子们评估自己疼痛程度的计算机软件有很好的商业前景。这种方法也可以被证明是有用的测试语言技能有限的成年人，并在跨文化的情况下，语言差异的影响必须被否定。一旦软件包被实施和测试，该程序的网站许可证将出售给诊所和医院，以及在美国和国际上进行临床试验的制药公司。项目叙述：本项目的目的是评估一种新的计算机化方法，该方法允许儿童（患者）通过调整和微调卡通脸的情感表达来表达他们的痛苦。这种类型的信息将有助于护士和其他医疗保健提供者确定最适当的治疗儿童疼痛。

DESCRIPTION (provided by applicant): Project Summary/Abstract: Ongoing concerns about the management of children's pain and its treatment make pain assessment in children a high medical priority. Currently, the dominant clinical technique has children indicate pain by selecting from among a set of static, stylized facial expressions that represent different degrees of pain. Although the widespread use of such methods has yielded substantial clinical information, these so-called "face scales" can only show a small number of facial expressions (6 or 7), do not allow the user to fine-tune ratings, and do not provide for automatic computer storage and data analysis. The objective of this Phase I proposal is to develop a computerized method for assessing pain by having a child adjust a cartoon face whose expression can range continuously from a frown to a smile. This software is referred to as the Children's Computer Assessment of Pain (C-CAP), and it has been successfully tested in preliminary work with hospitalized children and with a comparable group of healthy children. The results of this preliminary work are promising and encourage further development. The purpose of the 2 studies proposed here is to collect data on the C-CAP's psychometric properties of test-retest reliability, concurrent validity, and acceptance through the testing of 120 patients in 2 hospitals (1 rural, 1 urban) that provide specialized care for children. PROPOSED COMMERCIAL APPLICATIONS. There are excellent commercial prospects for computer software that allows children to rate their level of pain. Such a method could also prove useful for testing adults with limited language skills, and in cross-cultural situations where the impact of language differences must be negated. Once the software package is implemented and tested, site licenses for the program will be sold to clinics and hospitals, as well as to pharmaceutical companies conducting clinical trials both in the US and internationally. Project Narrative: The objective of this project is to evaluate a new computerized method that allows children (patients) to express their pain by adjusting and fine-tuning the emotional expression of a cartoon face. This type of information will assist nurses and other health care providers in determining the most appropriate treatment for children in pain.