Staab Jennifer H, Klayman Gail Jean, Lin Li
Children's Hospital Colorado, USA
Cincinnati Children's Hospital Medical Center, USA.
J Child Health Care. 2014 Dec;18(4):378-87. doi: 10.1177/1367493513496671. Epub 2013 Aug 12.
The aim of this study was to examine the psychometric properties of the Psychosocial Risk Assessment in Pediatrics (PRAP). PRAP is a screening tool designed to assess pediatric patients who are at risk of experiencing elevated distress during health-care encounters. A cross-sectional observational study was conducted with 200 pediatric patients. Patient's distress levels were observed during their health-care encounter using the Children's Emotional Manifestation Scale (CEMS). Health-care staff and parents were asked to rate the patient's level of cooperation and stress. Exploratory factor analysis supported a single latent factor structure of the PRAP tool. Cronbach's α for internal reliability was .83. PRAP score was strongly correlated with CEMS score with r = .82 (p < .0001). The PRAP is a standardized, reliable, and valid method for health-care providers to assess a patient's risk of experiencing significant distress during treatment or testing.
本研究的目的是检验儿科心理社会风险评估（PRAP）的心理测量特性。PRAP是一种筛查工具，旨在评估在医疗保健过程中面临情绪困扰加剧风险的儿科患者。对200名儿科患者进行了一项横断面观察研究。使用儿童情绪表现量表（CEMS）在患者接受医疗保健期间观察其痛苦程度。要求医护人员和家长对患者的合作程度和压力水平进行评分。探索性因素分析支持PRAP工具的单一潜在因素结构。内部信度的Cronbach's α为0.83。PRAP得分与CEMS得分高度相关，r = 0.82（p < 0.0001）。PRAP是一种标准化、可靠且有效的方法，可供医疗保健提供者评估患者在治疗或检查期间经历显著痛苦的风险。
