82 Eliciting the Minimal Clinically Important Difference in the Pain Response from Parents of Newborn Infants and Nurses
Notice bibliographique
Résumé
The minimal clinically important difference (MCID) is the smallest difference in an attribute of health that signifies an important effect on a patients well being. For studies of infant pain, a 20% reduction in pain is regarded by clinicians and researchers as the MCID when comparing two treatments. This value has not been empirically determined and does not consider consumers values. To determine parental and nurses views of the MCID when comparing heel lance and venipuncture techniques of blood collection in newborn infants. Prospective interview study of parents of newly born infants and nurses from the NICU and postnatal floor. Using a structured interview, parents and nurses were told that both techniques are associated with the same success rate for sample retrieval, adverse effects and quantity of pain but that the heel lance technique is the standard method used. Parents and nurses were asked to indicate their preferred technique. The strength of their preference was determined by identifying the probability of reduced pain they would require before considering the alternative technique. Then parents and nurses were informed that venipuncture is less painful than heel lance and their preference was again solicited. Finally, they were asked about their willingness to pay to have the less painful procedure for newborn infants. 94 parents and 98 nurses were interviewed. Heel lance was initially preferred by 86% of parents. Venipuncture was preferred by 79% of parents after a median MCID in pain of 13% (interquartile range, 6%–38%). 90% parents preferred venipuncture when told it was less painful and were willing to pay $25 ($10–$81) to decrease infant pain. Heel lance was initially preferred by 79% of nurses. Venipuncture was preferred by 68% of nurses after a median MCID in pain of 19% (interquartile range, 13%–38%). 85% preferred venipuncture when told it was less painful and were willing to pay $10 ($0–$50) to decrease infant pain. Parents and nurses prefer venipuncture to heel lance for blood collection in newborn infants if it is associated with a median decrease of 13% and 19% in infant pain scores respectively. Parents are willing to accept smaller MCID values compared to clinicians and researchers and are willing to pay more to alleviate their infant pain.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,010 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».