Child Health Evaluative Sciences, Hospital for Sick Children, Room 424, 123 Edward Street, Toronto, Ontario M5G 1E2, Canada.
Eur J Oncol Nurs. 2010 Feb;14(1):29-41. doi: 10.1016/j.ejon.2009.10.004. Epub 2009 Dec 1.
A new paediatric mucositis assessment instrument, the Children's International Mucositis Evaluation Scale (ChIMES), has required several phases of development. A draft of ChIMES was developed that required further refinement. This paper describes two iterations of refinements of ChIMES using child and parent reporting of understandability, content validity and overall acceptability.
Parents, children and teenagers were asked to rate their opinion of understandability and overall acceptability of ChIMES on a five-point ordinal scale. Content validity was assessed by whether participants considered the instrument "good", "okay" or "bad". Descriptive analysis of the results was conducted.
One hundred and twenty-two participants evaluated two iterations. On the initial evaluation, ChIMES was considered easy to understand, acceptable and have content validity. However, minor amendments were required and a further iteration of testing was necessary to achieve a satisfactory instrument. A final version of ChIMES was developed.
Modification of each draft of ChIMES was performed until comments were minimal and the scores from participants were consistently high. A final instrument appeared to contain the correct content and was easy to understand by parents, older children and teenagers.
一种新的儿科黏膜炎评估工具，即儿童国际黏膜炎评估量表（ChIMES），已经经历了几个阶段的开发。ChIMES 的草案需要进一步完善。本文描述了使用儿童和家长对可理解性、内容有效性和整体可接受性的报告，对 ChIMES 进行了两轮细化。
家长、儿童和青少年被要求对 ChIMES 的可理解性和整体可接受性进行五分制的评价。内容有效性通过参与者是否认为该工具“好”、“可以”或“差”来评估。对结果进行了描述性分析。
122 名参与者评估了两轮。在最初的评估中，ChIMES 被认为易于理解、可接受且具有内容有效性。然而，需要进行一些小的修改，并且需要进一步的测试迭代才能获得令人满意的工具。最终版本的 ChIMES 被开发出来。
对 ChIMES 的每个草案进行了修改，直到评论很少，并且参与者的评分一直很高。最终的工具似乎包含了正确的内容，并且易于家长、大孩子和青少年理解。
