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

描述(由申请人提供)：从事儿童工作的卫生保健专业人员在评估疼痛，特别是急性疼痛时，任务特别艰巨。对儿科疼痛症状的正确评估不仅是为了管理症状，也是为了确定有效的治疗和干预措施。有几种可用于评估儿童疼痛的工具，最常见的是Likert量表(从1到10分的疼痛等级)或一系列显示出不同程度痛苦的卡通类型的脸。目前的任何一种评估技术都不适用于通过计算机显示/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。这个项目的目标是开发一种计算机化的面部评分评估--Show-n-Tell-将可靠地量化儿童疼痛症状的程度，并在自我报告的同时收集生理测量数据(心率和血压)。将开发针对性别、年龄和种族的版本。这些面孔将出现在具有触摸屏功能的手持PC上。孩子最初会看到一张中性的脸，他们可以通过不同程度的疼痛进行调整，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。在第一阶段中，我们将：1)证明儿科患者可以可靠地使用手持设备上的脸部标尺来转换他们的疼痛程度；2)评估自我报告与疼痛生理指标之间的关联；3)在急性疼痛的儿童样本中评估儿童的自我报告、医生评分和父母评分之间的相关性；4)评估在理疗诊所和其他专业评估环境中使用Show-n-Tell的可行性。与公共健康相关：这项研究将提供对儿童疼痛的快速和简单的评估，可以在手持计算机上显示和跟踪，同时进行生理评估。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面临的复杂疾病管理问题。专门的疼痛干预有可能降低发病率，降低医疗成本，并更好地跟踪与患者相关的结果。

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.