Overgaard Freja Gomez, Lauridsen Henrik Hein, Damkjær Mads, Ebbesen Anne Reffsøe, Hestbæk Lise, Konner Mikkel Brunsgaard, O'Neill Søren Francis Dyhrberg, Pape Stine Haugaard, Rathleff Michael Skovdal, Straszek Christian Lund, Nim Casper
Medical Spinal Research Unit, Spine Centre of Southern Denmark, University Hospital of Southern Denmark, Kolding, Denmark.
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
BMC Med Res Methodol. 2025 Jan 4;25(1):2. doi: 10.1186/s12874-024-02449-2.
Spinal pain affects up to 30% of school-age children and can interfere with various aspects of daily life, such as school attendance, physical function, and social life. Current assessment tools often rely on parental reporting which limits our understanding of how each child is affected by their pain. This study aimed to address this gap by developing MySpineData-Kids ("MiRD-Kids"), a tailored patient-reported questionnaire focusing on children with spinal pain in secondary care (Danish hospital setting).
The process and development of MiRD-Kids followed a structured, multi-phase approach targeted children in outpatient care. The first phase involved evidence-synthesis, expert consultations, and item formulation, resulting in the first version. The second phase involved pilot testing among pediatric spinal pain patients, leading to modifications for improved clarity and relevance. The third phase involved implementation at the Pediatric outpatient track at The Spine Centre of Southern Denmark, University Hospital of Southern Denmark.
MiRD-Kids was based on selected items from seven questionnaires, encompassing 20 items across six domains. Pilot testing with 13 pediatric patients facilitated modifications and finalized the questionnaire. The questionnaire includes sections for parents/legal guardians and six domains for children covering pain, sleep, activities, trauma, concerns, and treatment, following the International Classification of Functioning, Disability, and Health (ICF). Implementation challenges were overcome within a 2-month period, resulting in the clinical questionnaire MiRD-Kids a comprehensive tool for assessing pediatric spinal pain in hospital outpatient settings.
MiRD-Kids is the first comprehensive questionnaire for children with spinal pain seen in outpatient caresetting and follows the ICF approach. It can support age-specific high-quality research and comprehensive clinical assessment of children aged 12 to 17 years, potentially, contributing to efforts aimed at mitigating the long-term consequences of spinal pain.
脊柱疼痛影响着高达30%的学龄儿童，并可能干扰日常生活的各个方面，如上学、身体功能和社交生活。目前的评估工具通常依赖家长报告，这限制了我们对每个孩子如何受到疼痛影响的理解。本研究旨在通过开发MySpineData-Kids（“MiRD-Kids”）来填补这一空白，这是一份针对二级医疗（丹麦医院环境）中脊柱疼痛儿童量身定制的患者报告问卷。
MiRD-Kids的制定过程采用了结构化的多阶段方法，针对门诊护理中的儿童。第一阶段包括证据综合、专家咨询和项目制定，形成了第一版。第二阶段涉及在儿科脊柱疼痛患者中进行试点测试，从而进行修改以提高清晰度和相关性。第三阶段涉及在丹麦南丹麦大学医院脊柱中心的儿科门诊实施。
MiRD-Kids基于七份问卷中的选定项目，涵盖六个领域的20个项目。对13名儿科患者进行的试点测试有助于进行修改并最终确定问卷。该问卷包括家长/法定监护人部分以及儿童的六个领域，涵盖疼痛、睡眠、活动、创伤、担忧和治疗，遵循国际功能、残疾和健康分类（ICF）。在两个月内克服了实施挑战，产生了临床问卷MiRD-Kids，这是一种用于评估医院门诊环境中儿科脊柱疼痛的综合工具。
MiRD-Kids是第一份针对门诊环境中脊柱疼痛儿童的综合问卷，并遵循ICF方法。它可以支持针对12至17岁儿童的特定年龄段高质量研究和全面临床评估，有可能为减轻脊柱疼痛的长期后果做出贡献。
