Development and validation of the Child Activity Limitations Interview: a measure of pain-related functional impairment in school-age children and adolescents
Development and validation of the Child Activity Limitations Interview: a measure of pain-related functional impairment in school-age children and adolescents
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DOI：
10.1016/j.pain.2004.02.023
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发表时间：
2004-06-01
期刊：
影响因子：
7.4
通讯作者：
Drotar, DD
中科院分区：
文献类型：
--
作者：
Palermo, TM;Witherspoon, D;Drotar, DD
儿童时期反复发作的疼痛很常见，并经常影响儿童的日常功能。然而，目前可用来衡量反复疼痛对儿童日常活动的影响的工具有限，特别是可用于确定适当干预目标和衡量对这种干预措施的反应。本研究的目的是开发和验证一种新的测量方法，即儿童活动限制访谈(CALI)，以改进对学龄儿童和青少年因反复疼痛而造成的功能损害的评估，并将该测量方法与功能残疾问卷进行比较。参与者包括189名8-16岁的儿童(男性=12.4，SD 2.5)，其中60%为女性，40%为少数民族，他们参与了一项关于患有头痛、幼年特发性关节炎和镰状细胞疾病的儿童反复疼痛的纵向研究。完成了对社会人口学、疼痛、焦虑和抑郁以及功能残疾的测量。一组参与者(47%)在1个月后再次接受CALI，并在日常日记中使用CALI完成对疼痛和活动限制的预期评级。CALI的内部一致性很好(阿尔法=0.88，儿童版；阿尔法=0.95，父母版)。1个月重测信度(r=0.33，儿童报告)和交叉信息者信度(r=0.43)中等。结果表明，支持面孔，结构，和同时的有效性，以及对疼痛症状波动的反应。结果表明，CALI是一种有前景的评估和监测复发性和慢性疼痛学龄儿童和青少年功能损害的主观报告的方法。(C)2004年国际疼痛研究协会。爱思唯尔出版，版权所有。
Recurrent pain in childhood are common and frequently impact children's everyday functioning. However, there are currently limited tools available to measure the impact of recurrent pain on children's daily activities, in particular, that can be used to identify appropriate targets for intervention and measure response to such interventions. The purpose of this study was to develop and validate a new measure, the Child Activity Limitations Interview (CALI), to improve the assessment of functional impairment due to recurrent pain in school-age children and adolescents, and to compare this measure to the Functional Disability Inventory. Participants included 189 children, aged 8-16 years (M = 12.4, SD 2.5), 60% female, 40% minority, who were part of a longitudinal study of recurrent pain in children with headaches, juvenile idiopathic arthritis, and sickle cell disease. Measures of socio-demographics, pain, anxiety and depression, and functional disability were completed. A subset of participants (47%) were re-administered the CALI 1 month later and completed prospective ratings of pain and activity limitations using the CALI in daily diaries. Internal consistency of the CALI was excellent (alpha = 0.88, child version; alpha = 0.95, parent version). One-month test-retest reliability (r = 0.33, child report) and cross-informant reliability (r = 0.43) were moderate. Results demonstrate support for face, construct, and concurrent validity as well as responsiveness to pain symptom fluctuation. Findings demonstrate that the CALI is a promising measure for assessing and monitoring subjective report of functional impairment in school-age children and adolescents with recurrent and chronic pain. (C) 2004 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.