Children's Computer Assessment of Pain and Mood

描述（由申请人提供）：对儿童疼痛/情绪的管理和治疗的持续关注使儿童的定量评估成为高度优先的医疗事项。目前，占主导地位的临床技术让儿童通过从一组静态的、程式化的面部表情中选择来表示他们的疼痛。尽管这种方法的广泛使用已经产生了大量的临床信息，但是这些“面部量表”只能显示少量的表情，不允许使用者指示情绪以及疼痛，并且不提供自动计算机存储和数据分析。第二阶段建议的目的是进一步开发一种计算机化的方法，通过让儿童调整动画卡通脸来评估疼痛和情绪，该动画卡通脸的表情可以从中性状态到皱眉持续变化，以表示疼痛，从微笑到皱眉持续变化，以表示情绪。孩子使用PDA计算机创建两个面部表情;一个表示他们当前的痛苦，另一个表示他们当前的情绪。该软件被称为计算机面部量表，其心理测量特性已在第一阶段的工作与住院儿童在农村和城市医院。这项工作的第一个目标是开发一个无线网络，以便在不同的病房与PDA获得的评估可以一起看到在护士站的服务器上。第二个目标是通过定期收集术前和术后儿童（5至12岁）的疼痛和情绪评分来测试新方法的反应性。第三个目标是建立新的计算机方法的结构效度，通过比较结果与一个完善的海报版本的脸量表，旨在衡量只有疼痛，和一个口头评级量表，以衡量情绪。建议的商业应用。让孩子们评估自己的疼痛和情绪水平的计算机软件有很好的商业前景。这种方法也可以被证明是有用的测试语言技能有限的成年人，并在跨文化的情况下，语言差异的影响必须被否定。一旦软件包被实施和测试，该程序的网站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：本项目的目的是确定一种新的计算机方法评估儿童的疼痛和情绪的反应。孩子们调整卡通脸的表情来代表他们的痛苦程度和他们当前的情绪状态（快乐到悲伤）。将在术前和术后从儿童中获得评级，并将跟踪其术后评级的变化。

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.