title: Measurement of behavioral, affective, and somatic responses to pediatric bone marrow transplantation: development of the BASES scale.
abstract: A new measure to assess behavioral, affective and somatic outcomes in the acute phase of bone marrow transplant is described. The Behavioral Affective and Somatic Experiences Scale (BASES) is a 38 item nurse-report instrument, with five subscales labeled Somatic distress, Compliance, Mood/Behavior, Interactions, and Activity. A series of pilot studies were conducted to refine the content of the BASES scale and to establish its psychometric properties in terms of internal consistency, inter-rater reliability, and validity. Internal consistency (Chronbach's alpha) for the subscales ranged from .742 to .902. Inter-rater reliability was good, with a median correlation between paired nurse observations of .866. A parent report version of the BASES scale has also been developed, and the finding of significant parent-nurse correlations provides preliminary evidence of the validity of the measure. Potential uses of the BASES scale in the pediatric BMT setting are discussed.
authors.affiliation: Department of Pediatrics, St Jude Children's Research Hospital, University of Tennessee College of Medicine, Memphis 38101-0318.
authors.forename: S
authors.initials: S
authors.lastname: Phipps
authors.forename: P S
authors.initials: PS
authors.lastname: Hinds
authors.forename: S
authors.initials: S
authors.lastname: Channell
authors.forename: G L
authors.initials: GL
authors.lastname: Bell
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D016026:Bone Marrow Transplantation / Q000502:physiology / Q000523:psychology*; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D015588:Observer Variation; D010349:Patient Compliance; D010371:Pediatric Nursing / Q000379:methods*; D010865:Pilot Projects; D011594:Psychometrics; D015203:Reproducibility of Results; D013315:Stress, Psychological / Q000451:nursing / Q000523:psychology