Cultural adaptation of patient and observational outcome measures: A methodological example using the COMFORT behavioral rating scale

Andersen, Randi Dovland; Jylli, Leena; Ambuel, Bruce

doi:10.1016/j.ijnurstu.2013.10.006

Cited by 15 publications

(21 citation statements)

References 24 publications

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“…Although reliability coefficients are not comparable across studies , the same pattern is seen in two earlier studies , indicating that these two variables are more difficult to assess. We have previously demonstrated that raters without training lacked knowledge and experience regarding the assessment and interpretation of muscle tone and facial tension and our findings in the present study indicate that these difficulties persist even after training. Although training seems necessary, and probably increases inter‐rater reliability, it may not be sufficient to confer mastery of assessment and interpretation of some of the behaviours associated with pain.…”

Section: Discussionmentioning

confidence: 45%

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The COMFORT behavioural scale provides a useful assessment of sedation, pain and distress in toddlers undergoing minor elective surgery

et al. 2015

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Section: Discussionmentioning

confidence: 45%

“…A summation of the scores for the behavioural anchors indicative of a normal state equals 14 points, while scores >14 indicate increasing levels of pain and distress and scores <14 indicate a sleeping or sedated child (Table ). This study used a previously published Norwegian translation of the scale with established face and content validity .…”

Section: Methodsmentioning

confidence: 99%

The COMFORT behavioural scale provides a useful assessment of sedation, pain and distress in toddlers undergoing minor elective surgery

et al. 2015

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“…The study followed the methodology recommended by the International Society For Pharmacoeconomics and Outcomes Research (ISPOR) Task Force for Translation and Cultural Adaptation [ 20 ]. An existing study protocol developed based on ISPOR methodology and enhanced with cognitive interviews [ 25 ] was modified for this study. For an overview of the translation and cultural adaptation process, see Fig 1 .…”

Section: Methodsmentioning

confidence: 99%

“…The cultural adaptation of the national versions of the PIPP-R was carried out using cognitive interviews as described by Andersen et al [ 25 ]. Originally, cognitive interviewing aims to understand how respondents understand, process and answer questions and also to identify potential problems with survey questions.…”

Section: Methodsmentioning

confidence: 99%

Cultural adaptation and harmonization of four Nordic translations of the revised Premature Infant Pain Profile (PIPP-R)

et al. 2018

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BackgroundPreterm infants are especially vulnerable to pain. The intensive treatment often necessary for their survival unfortunately includes many painful interventions and procedures. Untreated pain can lead to both short- and long-term negative effects. The challenge of accurately detecting pain has been cited as a major reason for lack of pain management in these non-verbal patients. The Premature Infant Pain Profile (PIPP) is one of the most extensively validated measures for assessing procedural pain in premature infants. A revised version, PIPP-R, was recently published and is reported to be more user-friendly and precise than the original version. The aims of the study were to develop translated versions of the PIPP-R in Finnish, Icelandic, Norwegian, and Swedish languages, and to establish their content validity through a cultural adaptation process using cognitive interviews.MethodsPIPP-R was translated using the recommendations from the International Society for Pharmacoeconomics and Outcomes Research and enhanced with cognitive interviews. The respondent nurse was given a copy of the translated, national version of the measure and used this together with a text describing the infant in the film to assess the pain of an infant in a short film. During the assessment the nurse was asked to verbalize her thought process (thinking aloud) and upon completion the interviewer administered probing questions (verbal probing) from a structured interview guide. The interviews were recorded, transcribed, and analyzed using a structured matrix approach.ResultsThe systematic approach resulted in translated and culturally adapted versions of PIPP-R in the Finnish, Icelandic, Norwegian and Swedish languages. During the cultural adaptation process several problems were discovered regarding how the respondent understood and utilized the measure. The problems were either measure problems or other problems. Measure problems were solved by a change in the translated versions of the measure, while for other problems different solutions such as education or training were suggested.ConclusionsThis study have resulted in translations of the PIPP-R that have content validity, high degree of clinical utility and displayed beginning equivalence with each other and the original version of the measure.

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“…Several scales, such as the Comfort Scale (CS) (Ambuel et al, 1992), the Comfort Behaviour Scale (CBS) (Ista et al, 2005) and the State Behavioural Scale (SBS) (Curley et al, 2006), have been published, and many articles have explored the effects of these scales. For example, one study used the CS to evaluate sedation in children (Tschiedel, Muller, Schara, Felderhoff-Muser, & Dohna-Schwake, 2015), whereas another used the CBS (Andersen et al, 2014). Most of the systematic reviews studying these scales showed that evaluation of pain and sedation in the paediatric ICU patient population is challenging (De Jonghe et al, 2000;Harris et al, 2016;Hartman et al, 2009;Vet et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Psychometric analysis of subjective sedation scales used for critically ill paediatric patients

Zhang

Zhou

2017

Nursing in Critical Care

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Aims: This study evaluated the psychometric properties of subjective sedation scales using one psychometric scoring system to identify the appropriate scale that is most suitable for clinical care practice. Background: A number of published sedation assessment scales for paediatric patients are currently used to attempt to achieve a moderate depth of sedation to avoid the undesirable effects caused by over-or undersedation. However, there has been no systematic review of these scales. Search strategy: We searched the Cochrane Library, PubMed, EMBASE, the Cumulative Index to Nursing and Allied Health Literature, etc., to obtain relevant articles. The quality of the selected studies was evaluated according to the Consensus-based Standards for the Selection of Health Measurement Instruments checklist. Inclusion criteria: Articles that had been published or were in press and discussed the psychometric properties of sedation scales were included. The population comprised critically ill infants and non-verbal children ranging in age from 0 to 18 years who underwent sedation in an intensive care unit. Findings: Data were independently extracted by two investigators using a standard data extraction checklist: 43 articles were included in this review, and 13 sedation scales were examined. The quality of the psychometric evidence for the Comfort Scale and Comfort Behaviour Scale was 'very good', with the Comfort Scale having a higher quality (total weighted scores, Comfort Scale = 17⋅3 and Comfort Behaviour Scale = 15⋅5). Conclusions: We suggest that the scales be systematically and comprehensively tested in terms of development method, reliability, validation, feasibility and correlation with clinical outcome. The Comfort Scale and Comfort Behaviour Scale are useful tools for measuring sedation in paediatric patients. Relevance to clinical practice: Nursing staff should choose one subjective sedation scale that is suitable for assessing paediatric patients' depth of sedation. We recommend the Comfort Scale and Comfort Behaviour Scale as optimal choices if the clinical environment permits.

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Cultural adaptation of patient and observational outcome measures: A methodological example using the COMFORT behavioral rating scale

Cited by 15 publications

References 24 publications

The COMFORT behavioural scale provides a useful assessment of sedation, pain and distress in toddlers undergoing minor elective surgery

The COMFORT behavioural scale provides a useful assessment of sedation, pain and distress in toddlers undergoing minor elective surgery

Cultural adaptation and harmonization of four Nordic translations of the revised Premature Infant Pain Profile (PIPP-R)

Psychometric analysis of subjective sedation scales used for critically ill paediatric patients

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