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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools

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A simple tool to measure procedural restraint intensity in children: validation of the PRIC (Procedural Restraint

Bénédicte Lombart1, Daniel Annequin1, Patricia Cimerman2

  • 1AP-HP, Unité Fonctionnelle de lutte contre la douleur, Hôpital Trousseau, Université Paris 6, 75012, Paris, France.

Heliyon
|August 17, 2019
PubMed

Insights

The Procedural Restraint Intensity in Children (PRIC) scale was metrologically validated for measuring restraint intensity during pediatric procedures. This new scale shows high reliability and validity, offering a standardized tool for clinical use.

Area of Science:

  • Pediatric healthcare
  • Clinical assessment tools
  • Patient safety

Background:

  • Restraint is frequently employed during pediatric procedures.
  • A validated scale to quantify restraint intensity was lacking.
  • This study addresses the need for a reliable measurement tool.

Purpose of the Study:

  • To validate the metrological criteria of the Procedural Restraint Intensity in Children (PRIC) scale.
  • To assess the reliability and construct validity of the PRIC scale.
  • To establish a standardized method for measuring restraint intensity in children.

Main Methods:

  • Seven healthcare professionals evaluated 20 videos of pediatric procedures.
  • Inter-rater and test-retest reliability were assessed using intra-class correlation coefficients.
  • Construct validity was determined by correlating the PRIC scale with a numerical rating scale.

Main Results:

  • High inter-rater reliability (0.98) and test-retest reliability (0.98) were observed.
  • A strong positive correlation (Spearman coefficient 0.93) was found between the PRIC scale and a numerical rating scale.
  • 140 measurements were completed, supporting the scale's robustness.

Conclusions:

  • The PRIC scale demonstrated metrological validity for measuring restraint intensity in children.
  • While limitations exist due to the absence of a gold standard and experimental conditions, the PRIC scale is the first of its kind with metrological validation.
  • Future research will focus on validating the PRIC scale in real-world clinical settings.
Abstract

Keywords:
Child nursingHealth professionRestraintValidated scale

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