Computer Assessment of Pain

计算机疼痛评估

• 批准号: 6949710
• 负责人: JOHN C BAIRD
• 金额: $ 35.74万
• 依托单位: PSYCHOLOGICAL APPLICATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-03-08 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6949710
• 关键词: backache; behavioral /social science research tag; clinical research; computer human interaction; computer program /software; computer system design /evaluation; data collection methodology /evaluation; emotions; epidural anesthesia; human subject; injection /infusion; nonEnglish language; pain; psychometrics

DESCRIPTION (provided by applicant): There is a continuing need in clinical practice for valid and reliable instruments that measure an individual's subjective experience of pain. Recent standards issued by the Joint Commission on Accreditation of Healthcare Organizations state that pain is one of the vital signs that should be routinely assessed when an individual enters the health care system. The paper-and-pencil methods currently used in the clinic for this purpose are costly in terms of staff time and often produce time-delayed results. With the dramatic and ongoing improvement in computer technology, our ability to assess pain in a quantitative and efficient manner has greatly improved, The assessment battery under development in this Phase II proposal is referred to as the "Computer Assessment of Pain" (CAP). By dynamically interacting with visual displays, the patient indicates the intensity and emotional impact of pain, the word descriptors that best characterize pain and its emotional impact, and the precise location of pain on the body. The research objective is to examine the psychometric properties and clinical utility of CAP for patients in chronic pain. In Year 1 the method's test-retest reliability and validity will be investigated. In Year 2 the sensitivity of CAP will be examined by determining how well the instrument tracks relief from low back pain before and after epidural steroid injection. A Spanish version also will be developed and tested in Year 2. The main advantages of this new assessment suite are (a) ratio scale measures are obtained, (b) ratings of items are given in the context of other items, (c) dynamic adjustments and fine-tuning of ratings are possible, and (d) data collection and analysis is efficient and inexpensive. PROPOSED COMMERCIAL APPLICATION. The commercial goal is to replace paper-and-pencil methods with a computer-administered method that allows dynamic ratings of pain variables within the context of other variables. The software will be available for the two major computer platforms (Windows & Macintosh). As marketed in Phase III, the software package will be purchased by physicians, pain clinics and hospitals.

描述（由申请人提供）： 在临床实践中，持续需要有效且可靠的工具来测量个体对疼痛的主观体验。最近由医疗保健组织认证联合委员会发布的标准指出，疼痛是个人进入医疗保健系统时应常规评估的生命体征之一。目前诊所为此目的使用的纸笔方法在工作人员时间方面成本很高，并且经常产生延迟的结果。随着计算机技术的显著和持续改进，我们以定量和有效的方式评估疼痛的能力大大提高，本第II阶段提案中正在开发的评估组合被称为“疼痛计算机评估”（CAP）。通过与视觉显示器动态交互，患者指示疼痛的强度和情绪影响，最能表征疼痛及其情绪影响的词语描述符，以及疼痛在身体上的精确位置。本研究的目的是探讨CAP在慢性疼痛患者中的心理测量学特性和临床实用性。在第一年，该方法的重测信度和效度将进行调查。在第2年，将通过确定该仪器在硬膜外类固醇注射前后跟踪腰痛缓解情况的程度来检查CAP的敏感性。西班牙语版本也将在第二年开发和测试。这套新的评估办法的主要优点是：（a）可以获得比率尺度，（B）结合其他项目对项目进行评级，（c）可以对评级进行动态调整和微调，（d）数据收集和分析效率高，费用低。建议的商业应用。商业目标是用计算机管理的方法取代纸笔方法，该方法允许在其他变量的背景下对疼痛变量进行动态评级。该软件将可用于两个主要的计算机平台（视窗和麦金塔）。在第三阶段上市时，医生、疼痛诊所和医院将购买该软件包。

项目成果

Quality of chronic pain websites.

• DOI: 10.1111/j.1526-4637.2008.00419.x
• 发表时间: 2008-11
• 期刊: Pain medicine
• 影响因子: 3.1
• 作者: Tabitha A. Washington;G. Fanciullo;J. A. Sorensen;J. Baird

Computer assessment and diagnostic classification of chronic pain patients.

慢性疼痛患者的计算机评估和诊断分类。

• DOI: 10.1111/j.1526-4637.2007.00379.x
• 发表时间: 2007
• 期刊: Pain medicine (Malden, Mass.)
• 作者: Provenzano,DavidA;Fanciullo,GilbertJ;Jamison,RobertN;McHugo,GregoryJ;Baird,JohnC
• 通讯作者: Baird,JohnC

Web-based health survey systems in outcome assessment and management of pain.

基于网络的健康调查系统，用于疼痛的结果评估和管理。

• DOI: 10.1111/j.1526-4637.2007.00382.x
• 发表时间: 2007
• 期刊: Pain medicine (Malden, Mass.)
• 作者: Podichetty,VinodK;Weiss,LisaT;Fanciullo,GilbertJ;Baird,JohnC
• 通讯作者: Baird,JohnC