Children's Computer Assessment of Pain and Mood

儿童疼痛和情绪的计算机评估

• 批准号: 7896624
• 负责人: JOHN C BAIRD
• 金额: $ 49.93万
• 依托单位: PSYCHOLOGICAL APPLICATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7896624
• 关键词: Adult; Cartoons; Chest; Child; Childhood; Clinical; Clinical Research; Clinics and Hospitals; Computer software; Computers; Computing Methodologies; Conduct Clinical Trials; Congenital funnel chest; Data; Data Analyses; Depressed mood; Face; Facial Affective Scale; Facial Expression; Figs - dietary; Fingers; Goals; Grant; Handheld Computers; Hospitalized Child; Hospitals; Inguinal Hernia; Language; Left; Length of Stay; Licensing; Measurement; Measures; Medical; Methods; Moods; Nurses; Pain; Pain Measurement; Personal Digital Assistant; Pharmacologic Substance; Phase; Postoperative Pain; Postoperative Period; Preparation; Private Practice; Property; Psychometrics; Reporting; Resolution; Rest; Rural; Site; Small Business Innovation Research Grant; Smiling; Specific qualifier value; Stream; Techniques; Testing; Thumb structure; Time; Urban Hospitals; Verbal Rating Scale; Work; Writing; commercial application; commercialization; computer code; computer network; computer program; computerized; design; innovation; meetings; posters; programs; psychologic; public health relevance; repaired; skills; tool; wireless network

DESCRIPTION (provided by applicant): Ongoing concerns about the management and treatment of children's pain/mood make quantitative assessment in children a high medical priority. Currently, the dominant clinical technique has children indicate only their pain by selecting from among a set of static, stylized facial expressions. Although the widespread use of such methods has yielded substantial clinical information, these "face scales" can only show a small number of expressions, do not allow the user to indicate mood as well as pain, and do not provide for automatic computer storage and data analysis. The objective of this Phase II proposal is to further develop a computerized method for assessing pain and mood by having a child adjust an animated cartoon face whose expression can range continuously from a neutral state to a frown for pain, and from a smile to a frown for mood. The child uses a PDA computer to create two facial expressions; one to indicate their current pain, the other to indicate their current mood. This software is referred to as the Computer Face Scale and its psychometric properties have been established in Phase I work with hospitalized children at a rural and an urban hospital. The first objective of the work is to develop a wireless network so that assessments obtained with PDAs in different hospital rooms can be seen together on a server at the nurse's station. The second objective is to test the responsiveness of the new method by collecting pain and mood ratings from children (5 to 12 years) periodically both pre- and post-operatively. The third objective is to establish the construct validity of the new computer method by comparing results with a well-established poster version of a Face Scale intended to measure only pain, and a verbal rating scale to measure mood. PROPOSED COMMERCIAL APPLICATIONS. There are excellent commercial prospects for computer software that allows children to rate their levels of pain and mood. 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, hospitals, and private practices, as well as to pharmaceutical companies conducting clinical trials both in the US and internationally. PUBLIC HEALTH RELEVANCE: The objective of this project is to determine the responsiveness of a new computer method for assessing children's pain and mood. Children adjust the expression of a cartoon face to represent the degree of their pain and their current mood state (happy to sad). Ratings will be obtained both pre- and post-operatively from children and the change in their ratings post-operatively will be tracked.

描述(由申请人提供)：对儿童疼痛/情绪管理和治疗的持续关注使儿童的量化评估成为医学上的高度优先事项。目前，占主导地位的临床技术是让儿童只通过从一组静态的、程式化的面部表情中进行选择来表明他们的疼痛。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“脸部刻度”只能显示少量的表情，不允许用户显示情绪和疼痛，并且没有提供自动的计算机存储和数据分析。这项第二阶段建议的目标是进一步开发一种计算机化的方法来评估疼痛和情绪，方法是让儿童调整一张卡通脸，其表情可以连续变化，从中性状态到痛苦的皱眉，从微笑到情绪的皱眉。孩子使用PDA电脑创建两个面部表情；一个表示他们当前的疼痛，另一个表示他们当前的情绪。这个软件被称为计算机脸部量表，其心理测量学特性已在第一阶段与一家农村和一家城市医院的住院儿童一起工作。这项工作的第一个目标是开发一个无线网络，以便在护士站的服务器上可以一起查看在不同医院房间使用PDA获得的评估结果。第二个目标是通过定期收集手术前和手术后儿童(5-12岁)的疼痛和情绪评分来测试新方法的反应性。第三个目标是通过将结果与仅用于衡量疼痛的脸部量表和衡量情绪的言语评级量表的成熟海报版本进行比较，来确定新计算机方法的结构有效性。建议的商业应用。计算机软件有很好的商业前景，它可以让孩子们评估他们的疼痛和情绪水平。这种方法在测试语言能力有限的成年人，以及在语言差异的影响必须被否定的跨文化环境中也被证明是有用的。一旦该软件包被实施和测试，该计划的现场许可证将出售给诊所、医院和私人诊所，以及在美国和国际上进行临床试验的制药公司。公共卫生相关性：该项目的目标是确定一种用于评估儿童疼痛和情绪的新的计算机方法的响应性。孩子们会调整一张卡通脸的表情，以代表他们痛苦的程度和他们目前的情绪状态(从高兴到悲伤)。儿童将在手术前和手术后获得评分，并将跟踪他们手术后评分的变化。