Premium
Self‐reported post‐operative recovery in children: development of an instrument
Author(s) -
Bramhagen AnnCathrine,
Eriksson Mats,
Ericsson Elisabeth,
Nilsson Ulrica,
Harden Sue,
Idvall Ewa
Publication year - 2016
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.12451
Subject(s) - cronbach's alpha , medicine , content validity , significant difference , test (biology) , quality of life (healthcare) , physical therapy , psychometrics , clinical psychology , nursing , paleontology , biology
Abstract Rationale, aims and objectives According to the U nited N ations (1989), children have the right to be heard and to have their opinions respected. Since post‐operative recovery is an individual and subjective experience and patient‐reported outcome measures are considered important, our aim was to develop and test an instrument to measure self‐reported quality of recovery in children after surgical procedures. Methods Development of the instrument P ostoperative R ecovery in C hildren ( PRiC ) was influenced by the Q uality of R ecovery‐24, for use in adults. Eighteen children and nine professionals validated the items with respect to content and language. A photo questionnaire was developed to determine whether the children's participation would increase compared with the text questionnaire. The final instrument was distributed consecutively to 390 children, ages 4–12 years, who underwent tonsil surgery at four hospitals in S weden. Results A total of 238 children with a mean age of 6.5 years participated. According to the parents, 23% circled the answers themselves and 59% participated to a significant degree. However, there was no significant difference in participation between those who received a photo versus a text questionnaire. Psychometric tests of the instrument showed that C ronbach's alpha for the total instrument was 0.83 and the item‐total correlations for 22 of the items were ≥0.20. Conclusion Our results support use of the PRiC instrument to assess and follow‐up on children's self‐reported post‐operative recovery after tonsil operation, both in clinical praxis as well in research.