Reliability and validity of the brief behavioral distress scale: a measure of children's distress during invasive medical procedures.
J Pediatr Psychol
; 26(8): 513-23, 2001 Dec.
Article
em En
| MEDLINE
| ID: mdl-11700336
ABSTRACT
OBJECTIVE:
To evaluate the reliability and validity of a new observational measure of children's procedure-related distress behaviors, the Brief Behavioral Distress Scale (BBDS), to provide clinicians with an efficient, economical alternative measure that does not depend on continuous interval coding.METHODS:
Forty-eight randomly selected videotaped invasive medical procedures performed on children (ages 2 to 10 years) with chronic illness were coded with the BBDS and the Observation Scale of Behavioral Distress (OSBD). Reliability and validity analyses along with item analysis were conducted.RESULTS:
Total distress scores of the BBDS were highly correlated with six of seven concurrent validity measures from multiple sources (i.e., OSBD, parent ratings, two nurse ratings, child self-report, and a physiological arousal measure, heart rate) (range r =.57-.76, p <.001-.0001). A robust association was found between the BBDS distress scores and OSBD total distress scores (r =.72, p <.0001). For two concurrent validity measures, the BBDS demonstrated stronger associations than did the OSBD. Interrater reliability was high for each BBDS distress behavior category.CONCLUSIONS:
Based on the findings reported, the BBDS is a reliable and valid measure of children's procedure-related distress with functional utility in both research and clinical settings.
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Bases de dados:
MEDLINE
Assunto principal:
Determinação da Personalidade
/
Papel do Doente
/
Terapêutica
/
Doença Crônica
Limite:
Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
J Pediatr Psychol
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Estados Unidos