Candelas López-López, Ignacio Latorre-Marco, María Del Mar Sánchez-Sánchez, Carmen María Sarabia-Cobo, Montserrat Solís-Muñoz, Teresa Pérez-Pérez, Juan Roldan-Merino, Gemma Robleda-Font
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The starting point for the e-Delphi study was a questionnaire containing 30 behavioural indicators of pain. The expert panel evaluated the content validity of the 30 items based on four criteria: relevance, pertinence, clarity and usefulness. Each criterion was scored on a Likert-type scale ranging from 1 'strongly disagree' to 5 'strongly agree'. Upon completion of all five e-Delphi rounds, a face validity test was performed.</p><p><strong>Results: </strong>Of the initial 30 behavioural indicators, 10 remained after the final round. These items were defined and categorized and included in the final version of the instrument. The degree of consensus among the experts was high with regard to the content validity of these 10 indicators. In terms of face validity, 70% of the experts considered that the writing and comprehensibility of nine of the 10 items was 'good'.</p><p><strong>Conclusions: </strong>A strong consensus was reached by the expert panel through the e-Delphi technique. 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引用次数: 0
摘要
背景：获得性脑损伤和意识障碍危重患者的疼痛评估具有挑战性。目的：评价疼痛行为指标量表（西班牙语：Escala de condutas Indicadoras de Dolor [ESCID]）在获得性脑损伤、意识障碍和人工气道患者中的内容效度。研究设计：修正e-Delphi研究。进行了五轮e-Delphi研究来评估ESCID的内容效度。招募了10名在相关领域有经验的临床专家。e-Delphi研究的起点是一份包含30个疼痛行为指标的问卷。专家小组根据相关性、针对性、清晰度和有用性四个标准评估了30个项目的内容效度。每项标准都按照李克特量表进行评分，从1分“非常不同意”到5分“非常同意”。在完成所有五轮e-Delphi测试后，进行面部效度测试。结果：在最初的30个行为指标中，有10个在最后一轮之后保留了下来。对这些项目进行了定义和分类，并纳入了文书的最终版本。专家们对这10个指标的内容效度的共识程度很高。在面子效度方面，70%的专家认为10个项目中有9个项目的写作和可理解性是“好的”。结论：专家小组通过e-Delphi技术达成了强烈的共识。这10个项目代表了这个人群对疼痛的行为反应的内容。与临床实践的相关性：本研究是适应疼痛量表行为指标用于该患者群体的第一步。这种调整后的量表将为临床医生提供一个特定的工具来改善疼痛检测和管理。试验注册：该方案已在ClinicalTrials.gov上注册：NCT04898491，可访问：https://classic.Clinicaltrials: gov/ct2/show/NCT04898491。
Content Validation of the Behavioural Indicators of Pain Scale in Critically Ill Patients With Acquired Brain Injury: A Delphi Study.
Background: Pain assessment in critically ill patients with acquired brain damage and disorders of consciousness is challenging.
Aim: To evaluate the content validity of an adapted version of the Behavioural Indicators of Pain Scale (Spanish: Escala de Conductas Indicadoras de Dolor [ESCID]) in patients with acquired brain damage, disorders of consciousness and an artificial airway.
Study design: Modified e-Delphi study. Five rounds of e-Delphi study to assess the content validity of the ESCID were conducted. Ten experienced clinical experts specialized in the area of interest were recruited. The starting point for the e-Delphi study was a questionnaire containing 30 behavioural indicators of pain. The expert panel evaluated the content validity of the 30 items based on four criteria: relevance, pertinence, clarity and usefulness. Each criterion was scored on a Likert-type scale ranging from 1 'strongly disagree' to 5 'strongly agree'. Upon completion of all five e-Delphi rounds, a face validity test was performed.
Results: Of the initial 30 behavioural indicators, 10 remained after the final round. These items were defined and categorized and included in the final version of the instrument. The degree of consensus among the experts was high with regard to the content validity of these 10 indicators. In terms of face validity, 70% of the experts considered that the writing and comprehensibility of nine of the 10 items was 'good'.
Conclusions: A strong consensus was reached by the expert panel through the e-Delphi technique. The 10 items represent the content of the behavioural response to pain in this population.
Relevance to clinical practice: This study is the first step to adapt Behavioural Indicators of Pain Scale for use in this patient population. This adapted scale will provide clinicians with a specific tool to improve pain detection and management.
Trial registration: The protocol is registered with ClinicalTrials.gov: NCT04898491, available at: https://classic.
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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