[Measuring the intensity of restraint during care in children: Validation of the Pric scale]

Bénédicte Lombart1, Céline Bouchart2, Daniel Annequin2

  • 1Hôpital Armand-Trousseau, AP-HP, 26 avenue du Dr Arnold-Netter, 75012 Paris, France; Laboratoire interdisciplinaire d'études du politique Hannah-Arendt, UR 7373, Université Paris-Est Créteil, 61 avenue du Général-de-Gaulle, 94010 Créteil cedex, France.

Insights

This study validated the Procedural Restraint Intensity in Children tool for measuring physical restraint intensity in pediatric care. It is the first metrologically validated scale, though further clinical validation is needed.

Area of Science:

  • Pediatric care
  • Medical device validation
  • Child psychology

Context:

  • Restraint is frequently employed in pediatric healthcare settings.
  • Existing methods lack validated scales for assessing restraint intensity.
  • This gap hinders objective measurement and comparison of restraint techniques.

Purpose:

  • To conduct the metrological validation of the Procedural Restraint Intensity in Children (PRIC) tool.
  • To establish a reliable instrument for quantifying the intensity of physical restraint in children.
  • To address the absence of a validated scale in this critical area of pediatric practice.

Summary:

  • The study validated the PRIC tool for measuring procedural restraint intensity in children.
  • Metrological validation was performed under experimental conditions, acknowledging certain limitations.
  • This represents the first metrologically validated scale for assessing physical constraint intensity in pediatric care.

Impact:

  • Provides the first metrologically validated tool for objectively measuring physical restraint intensity in children.
  • Establishes a foundation for more consistent and evidence-based application of restraint in pediatric care.
  • Highlights the need for ongoing research, including validation in real-world clinical scenarios, to enhance its utility.