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Brief report: Assessment of children's gastrointestinal symptoms for clinical trials
Lynn S Walker1, Susan C Sorrells
1Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN 37232, USA. Lynn.Walker@mcmail.vanderbilt.edu
Insights
This pilot study shows a new method for assessing daily symptoms and functioning in children with gastrointestinal issues is promising. Parents and children found the computer-based symptom assessment engaging and accurate.
Area of Science:
- Pediatric gastroenterology
- Clinical informatics
- Patient-reported outcomes
Background:
- Assessing daily symptoms and functioning in pediatric patients is crucial for effective treatment.
- Existing methods may not capture the dynamic nature of symptoms and their impact on daily life.
- Novel data collection procedures are needed to improve the accuracy and engagement of pediatric symptom reporting.
Purpose of the Study:
- To pilot a novel procedure for assessing daily symptoms and functioning in pediatric patients.
- To evaluate the feasibility and acceptability of a computer-based data collection method for children and parents.
- To explore the utility of this procedure in a pediatric gastroenterology setting.
Main Methods:
- A pilot study involving 11 parent-child dyads with constipation and abdominal pain.
- Families used a hand-held computer and modem for 7 days to report on children's gastrointestinal symptoms and functional interference.
- Parents participated in a telephone interview to evaluate the procedure.
Main Results:
- Parents reported children understood most questions, and computer-entered responses were accurate.
- Parents and children expressed enthusiasm for the data collection method.
- Some technical challenges were encountered with the computer system.
Conclusions:
- The computer-based daily symptom and functioning assessment procedure shows promise for pediatric symptom outcome evaluation.
- Despite minor technical issues and a small sample size, the method was well-received by participants.
- Further research with larger cohorts is warranted to confirm its utility.
Objective:
To conduct a pilot study evaluating a procedure for assessment of daily symptoms and functioning in pediatric patients.
Method:
Participants included 11 parent-child dyads referred to a tertiary care center for evaluation of constipation and abdominal pain. Each family was provided a hand-held computer and modem. For 7 consecutive days, parents and children (ages 6-10 years) responded as a team to questions regarding the level of children's gastrointestinal symptoms and the extent to which symptoms interfered with the day's activities. Parents responded to a telephone interview evaluating the procedure.
Results:
Parents reported that children understood most questions and that responses entered into the computer were accurate. Parents and children were enthusiastic about the data collection method. Some technical problems arose in use of the computers.
Conclusions:
Within the limitations of a small sample, this data collection procedure appears to have promise for evaluating pediatric symptom outcomes.
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