Show-N-Tell: Computerized Assessment of Pain in Children

Show-N-Tell：儿童疼痛的计算机化评估

• 批准号: 7612475
• 负责人: Anthony P Zuccolotto
• 金额: $ 14.17万
• 依托单位: PSYCHOLOGY SOFTWARE TOOLS, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-14 至 2011-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7612475
• 关键词: Acute; Acute Pain; Address; Adult; African American; Age; Area; Asians; Blood Pressure; Businesses; Cartoons; Caucasians; Caucasoid Race; Child; Child health care; Childhood; Clinic; Clinical; Code; Cognitive; Color; Communication; Complex; Computer software; Computers; Data; Descriptor; Development; Devices; Discipline of Nursing; Disease; Distress; Elderly; Ensure; Ethnic Origin; Ethnic group; Face; Facial Affective Scale; Female; Figs - dietary; Gastroenterology; Gender; Goals; Gold; Hand; Handheld Computers; Head; Health Care Costs; Health Personnel; Health Professional; Healthcare; Heart Rate; Hispanics; Human; Individual; Intervention; Intestines; Language; Lead; Left; Measurement; Measures; Medical; Modeling; Monitor; Morbidity - disease rate; Muscle; Numerical value; Orthopedics; Outcome; Outpatients; Pain; Pain Assessment Tool; Pain Measurement; Pain management; Pain-Free; Parents; Patient Self-Report; Patients; Phase; Phase I Clinical Trials; Physical therapy; Physicians; Physiologic Monitoring; Physiological; Policy Maker; Psychology; Race; Research; Research Personnel; Research Proposals; Sampling; Series; Structure; Symptoms; System; Tablets; Techniques; Technology; Testing; Time; Touch sensation; Translating; Trauma; Validity and Reliability; Variant; Visual Analogue Pain Scale; Work; analog; animation; base; computer generated; computerized; data collection evaluation; design; effective therapy; experience; functional disability; improved; innovation; male; meter; multidisciplinary; novel; preference; public health relevance; response; software development; tool; touchscreen

DESCRIPTION (provided by applicant): Health care professionals who work with children have an especially difficult task when it comes to assessment of pain, particularly acute pain. Proper assessment of pediatric pain symptoms is needed not only for managing symptoms, but also for determining effective treatment and intervention. There are several assessment tools available for pediatric pain, the most common being either Likert scales (rate pain on scale of 1 to 10) or a series of cartoon type faces showing various amounts of distress. None of the current assessment techniques have been adapted for presentation/scoring/tracking via computer. Moreover, none of the assessment techniques utilize any physiological response indicators of pain in conjunction with self-report. The goal of this project is to develop a computerized face scale assessment - the Show-n-Tell - that will reliably quantify degree of pain symptoms in children and gather physiological measurement (heart rate and blood pressure) concurrent with self-report. Versions specific for gender, age, and ethnicity will be developed. The faces will be presented on a hand-held PC with touch screen capability. The child will see an initial neutral face which they can adjust through various levels of pain to indicate their level of perceived pain. Concurrently, unobtrusive physiological monitors worn by the child will register heart rate and blood pressure. In the Phase I portion, we will: 1) demonstrate that pediatric patients can reliably use a face scale on a handheld device to translate their pain level, 2) assess the association between self-report and physiological indications of pain, 3) assess the correlation between the child's self- report, physician rating, and parent rating in a sample of children with acute pain, 4) assess the feasibility of using the Show-n-Tell in a Physical Therapy Clinic and other specialized assessment settings. PUBLIC HEALTH RELEVANCE: This study will provide a quick and easy assessment of pain in children that can be presented and tracked on a hand held computer with concurrent physiological assessment. This test will allow patients, researchers, clinicians and policy-makers to collaborate in addressing the complex illness management issues faced by the numerous health care providers who assess pediatric pain. Specialized pain interventions have the potential to decrease morbidity, healthcare costs, and better track patient related outcomes.

描述（由申请人提供）：与儿童一起工作的卫生保健专业人员在评估疼痛，特别是急性疼痛时，任务特别困难。正确评估儿科疼痛症状不仅需要管理症状，而且还需要确定有效的治疗和干预。有几种评估工具可用于儿科疼痛，最常见的是李克特量表（1至10级疼痛）或一系列卡通类型的面孔，显示不同程度的痛苦。目前没有一种评估技术适合通过计算机进行演示/评分/跟踪。此外，没有一种评估技术结合自我报告使用任何疼痛的生理反应指标。该项目的目标是开发一种计算机化的面部量表评估-显示-告诉-将可靠地量化儿童疼痛症状的程度，并收集与自我报告同时进行的生理测量（心率和血压）。将开发针对性别、年龄和种族的版本。这些面孔将显示在一台具有触摸屏功能的手持个人电脑上。孩子会看到一个最初的中性脸，他们可以通过不同程度的疼痛来调整，以表明他们感知到的疼痛程度。同时，孩子佩戴的不显眼的生理监测器将记录心率和血压。在第一阶段，我们将：1）证明儿科患者可以可靠地使用手持设备上的面部量表来翻译他们的疼痛水平，2）评估自我报告与疼痛的生理指征之间的关联，3）评估患有急性疼痛的儿童样本中儿童的自我报告、医生评级和父母评级之间的相关性，4）评估在物理治疗诊所和其他专业评估环境中使用Show-n-Tell的可行性。公共卫生关系：这项研究将提供一个快速和简单的评估儿童疼痛，可以提出和跟踪的手持电脑与同步生理评估。这项测试将使患者、研究人员、临床医生和政策制定者能够合作解决众多评估儿科疼痛的医疗保健提供者所面临的复杂疾病管理问题。专门的疼痛干预措施有可能降低发病率，医疗保健成本，并更好地跟踪患者相关的结果。