期刊
QUALITY OF LIFE RESEARCH
卷 31, 期 5, 页码 1573-1585出版社
SPRINGER
DOI: 10.1007/s11136-021-03049-z
关键词
Observer-reported outcome; Fever distress; Concept elicitation; Fever signs; Fever behaviours
类别
资金
- Reckitt Benckiser Healthcare, Hull, UK
This qualitative study aimed to construct an observer-reported outcome measure (ObsRO) to evaluate fever distress in young children. By conducting a literature review, interviewing clinical experts and parents, and using cognitive interviews, a final set of 18 items were developed for the ObsRO. Further validation studies will be conducted to test the measurement properties of each item.
Purpose This qualitative study aimed to construct an observer-reported outcome measure (ObsRO) to evaluate fever distress in young children. Methods A literature review was conducted to identify fever-related concepts. Clinical experts were interviewed for feedback on these concepts. Parents of young children were interviewed to identify behaviours the child exhibited during a recent fever episode. Fever sign and behaviour concepts endorsed by >= 20% parents were used to create items for the draft ObsRO. Parents of young children who recently had fever completed the ObsRO and gave feedback during two successive rounds of cognitive interviews. Results Twenty-five parents participated in the concept elicitation. Mean child age was 2.7 years (range: 0.6-5.8 years). Fever sign and behaviour concepts endorsed by >= 20% participants were high temperature (80%), skin hot to touch (32%), skin redness/flushing (32%), reduced appetite/drink (96%), needy/clingy/irritable (48-92%), less active/interactive (68-84%) and lethargic (64-88%). Eighteen items, four in the Fever Signs Module and 14 in the Fever Behaviours Module, were developed for the draft ObsRO. Chosen recall period was 24 h. Thirty participants (Round 1: n = 17; Round 2: n = 13), participated in cognitive interviews. Mean child age was 2.4 years (range 0.3-5.8). Round 1 feedback resulted in two Fever Signs items being combined. Three Fever Behaviour items were deleted, six revised and four unchanged. No changes were made following Round 2 feedback. Most participants understood all aspects of the ObsRO and found it user-friendly. Conclusion The ObsRO will undergo further development in validation studies testing measurement properties of each item.
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