Stinson Jennifer N, Kavanagh Tricia, Yamada Janet, Gill Navreet, Stevens Bonnie
Faculty of Nursing, University of Toronto, Hospital for Sick Children, Toronto, Ont., Canada.
Pain. 2006 Nov;125(1-2):143-57. doi: 10.1016/j.pain.2006.05.006. Epub 2006 Jun 13.
The aim of this study was to systematically review the psychometric properties, interpretability and feasibility of self-report pain intensity measures for children and adolescents for use in clinical trials evaluating pain treatments. Databases were searched for self-report measures of single-item ratings of pain intensity for children aged 3-18 years. A total of 34 single-item self-report measures were found. The measures' psychometric properties, interpretability and feasibility, were evaluated independently by two investigators according to a set of psychometric criteria. Six single-item measures met the a priori criteria and were included in the final analysis. While these six scales were determined as psychometrically sound and show evidence of responsivity, they had varying degrees of interpretability and feasibility. No single scale was found to be optimal for use with all types of pain or across the developmental age span. Specific recommendations regarding the most psychometrically sound and feasible measures based on age/developmental level and type of pain are discussed. Future research is needed to strengthen the measurement of pain in clinical trials with children.
本研究的目的是系统评价用于评估疼痛治疗的临床试验中的儿童和青少年自我报告疼痛强度测量工具的心理测量特性、可解释性和可行性。检索数据库，查找3至18岁儿童疼痛强度单项评分的自我报告测量工具。共找到34种单项自我报告测量工具。两名研究人员根据一套心理测量标准独立评估这些测量工具的心理测量特性、可解释性和可行性。六项单项测量工具符合先验标准，纳入最终分析。虽然这六个量表在心理测量上是可靠的，并有反应性的证据，但它们的可解释性和可行性程度各不相同。没有发现单一量表对所有类型的疼痛或整个发育年龄范围都是最佳的。讨论了基于年龄/发育水平和疼痛类型的最具心理测量学可靠性和可行性的测量工具的具体建议。未来需要开展研究，以加强儿童临床试验中疼痛的测量。
