학술논문
Development of an Outcome Measure of Observable Signs of Health and Well-Being in Infants With Orofacial Clefts.
Document Type
Academic Journal
Author
Heike CL; Seattle Children's Research Institute, Seattle, WA, USA.; 7274Seattle Children's Hospital, Seattle, WA, USA.; 7284University of Washington, Seattle, WA, USA.; Albert M; Shriners Hospital for Children, Chicago, IL, USA.; 14681University of Illinois at Chicago, Chicago, IL, USA.; Aspinall CL; 7274Seattle Children's Hospital, Seattle, WA, USA.; 7284University of Washington, Seattle, WA, USA.; Bautista S; 14681University of Illinois at Chicago, Chicago, IL, USA.; Bellucci CC; Shriners Hospital for Children, Chicago, IL, USA.; 14681University of Illinois at Chicago, Chicago, IL, USA.; Kapp-Simon KA; Shriners Hospital for Children, Chicago, IL, USA.; 14681University of Illinois at Chicago, Chicago, IL, USA.; Mecham S; 7284University of Washington, Seattle, WA, USA.; Patrick DL; 7284University of Washington, Seattle, WA, USA.; Rosenberg J; 21725University of Illinois Hospital and Health Science System, Chicago, IL, USA.; Siebold B; Seattle Children's Research Institute, Seattle, WA, USA.; 7274Seattle Children's Hospital, Seattle, WA, USA.; Stueckle LP; Seattle Children's Research Institute, Seattle, WA, USA.; 7274Seattle Children's Hospital, Seattle, WA, USA.; Edwards TC; 7284University of Washington, Seattle, WA, USA.
Source
Publisher: SAGE Publications in Association with American Cleft Palate-Craniofacial Association Country of Publication: United States NLM ID: 9102566 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-1569 (Electronic) Linking ISSN: 10556656 NLM ISO Abbreviation: Cleft Palate Craniofac J Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: To develop an outcomes instrument that assesses observations that can be reliably reported by caregivers and can be used to assess health of infants with a cleft lip or cleft lip and cleft palate (CL±P) and impacts of treatments.
Design: Cross-sectional, mixed methods study.
Setting: Caregivers and health-care providers were recruited from 3 academic craniofacial centers and national advertisements. Most interviews were conducted by telephone, and surveys were completed online.
Participants: Caregivers had a child less than 3 years of age with CL±P and spoke either English or Spanish. Health-care providers were members of a cleft team. Caregivers (n = 492) and health-care professionals (n = 75) participated in at least one component of this study.
Main Outcome Measure(s): Caregivers and health-care providers participated in tasks related to instrument development: concept elicitation for items within relevant health domains, prioritization of items, and item review.
Results: We identified 295 observations of infant well-being across 9 health areas. Research staff and specialists evaluated items for clarity, specificity to CL±P, and responsiveness to treatment. Caregivers and health-care providers rated the resulting list of 104 observations and developed the final instrument of 65 items.
Conclusions: In this phase of development of the Infant with Clefts Observation Outcomes (iCOO) instrument, items were developed to collect caregiver observations about indicators of children's health and well-being across multiple domains allowing for psychometric testing, sensitivity to changes associated with treatment, and documentation of the effects of treatment.
Design: Cross-sectional, mixed methods study.
Setting: Caregivers and health-care providers were recruited from 3 academic craniofacial centers and national advertisements. Most interviews were conducted by telephone, and surveys were completed online.
Participants: Caregivers had a child less than 3 years of age with CL±P and spoke either English or Spanish. Health-care providers were members of a cleft team. Caregivers (n = 492) and health-care professionals (n = 75) participated in at least one component of this study.
Main Outcome Measure(s): Caregivers and health-care providers participated in tasks related to instrument development: concept elicitation for items within relevant health domains, prioritization of items, and item review.
Results: We identified 295 observations of infant well-being across 9 health areas. Research staff and specialists evaluated items for clarity, specificity to CL±P, and responsiveness to treatment. Caregivers and health-care providers rated the resulting list of 104 observations and developed the final instrument of 65 items.
Conclusions: In this phase of development of the Infant with Clefts Observation Outcomes (iCOO) instrument, items were developed to collect caregiver observations about indicators of children's health and well-being across multiple domains allowing for psychometric testing, sensitivity to changes associated with treatment, and documentation of the effects of treatment.