Cerebral palsy pain instruments: Recommended tools for clinical research studies by the National Institute of Neurological Disorders and Stroke Cerebral Palsy Common Data Elements project

IF 3.8 2区 医学 Q1 CLINICAL NEUROLOGY
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Abstract

This study describes the process of updating the cerebral palsy (CP) common data elements (CDEs), specifically identifying tools that capture the impact of chronic pain on children's everyday functioning.

A CDE is a precisely defined question paired with a set of structured responses, used systematically across different sites, studies, or clinical trials to ensure consistent data collection. The CDEs consist of specific terminology with identification of common definitions, standardized case-report forms, and standardized tools/instruments. The overarching aim of developing condition-specific CDEs is to accelerate research, enable prompt uptake of evidence into clinical practice, and to deliver the best quality of care to individuals who require it.

Following an adapted CP chronic pain tools' rating system, and a review of psychometric properties, clinical utility, and compliance with inclusion/exclusion criteria, a set of recommended pain tools was posted online for external public comment in May 2022.

Fifteen chronic pain tools met inclusion criteria, representing constructs across all components of the International Classification of Functioning, Disability and Health.

This paper describes the first condition-specific pain CDEs for a pediatric population. The novel CP CDE pain tools harmonize the assessment of chronic pain, addressing not only intensity of chronic pain, but also the functional impact of experiencing pain in everyday activities.

Beyond research applications, this comprehensive set of CP CDE pain tools also serves as a clinical resource for teaching, standardizing the selection of pain measures and pain assessments, adopting a biopsychosocial approach to pain evaluation, harmonizing data collection and reporting, and guiding quality-improvement projects to further develop the care of children and young people with CP and chronic pain.

Abstract Image

脑瘫疼痛仪器:国家神经疾病和中风研究所脑瘫公共数据元素项目推荐的临床研究工具。
本研究描述了更新脑瘫(CP)共同数据元素(CDEs)的过程,特别是确定了捕捉慢性疼痛对儿童日常功能影响的工具。CDE是一个精确定义的问题,搭配一组结构化的回答,系统地在不同的地点、研究或临床试验中使用,以确保数据收集的一致性。cde由确定共同定义的特定术语、标准化病例报告表格和标准化工具/工具组成。开发针对特定疾病的CDEs的总体目标是加速研究,使证据能够迅速应用于临床实践,并向有需要的个人提供最高质量的护理。经过调整的CP慢性疼痛工具评级系统,以及对心理测量特性、临床效用和纳入/排除标准的审查,于2022年5月在网上发布了一套推荐的疼痛工具,以征求外部公众意见。15种慢性疼痛工具符合纳入标准,代表了国际功能、残疾和健康分类的所有组成部分。本文描述了第一个条件特异性疼痛CDEs为儿科人群。新的CP CDE疼痛工具协调了慢性疼痛的评估,不仅解决了慢性疼痛的强度,而且还解决了日常活动中经历疼痛的功能影响。除了研究应用外,这套全面的CP CDE疼痛工具还可作为临床教学资源,规范疼痛测量和疼痛评估的选择,采用生物心理社会方法进行疼痛评估,协调数据收集和报告,指导质量改进项目,以进一步发展儿童和青少年CP和慢性疼痛的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.80
自引率
13.20%
发文量
338
审稿时长
3-6 weeks
期刊介绍: Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.
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