BACKGROUND Although a variety of patient-reported outcome measures (PROMs) for children have been developed, there is no pediatric PROM specific to Korean medicine (KM) that is validated by experts in the field. The aim of this study was to collate the opinions of specialists in KM pediatrics on the development of a generic PROM that can be used by Korean medical doctors to assess the health status of children. METHODS A three-round Delphi survey was conducted to determine the level of consensus on the development of a new PROM. Delphi questionnaires were sent by e-mail to 91 KM pediatricians on January 24, 2018. The Delphi questionnaire was composed of four sections: conceptualization, construction, items, and sources of content for a PROM. A nine-point Likert scale was used, and if more than two-thirds of the panels agreed or disagreed with a given sentence, they were considered to have reached a consensus. A draft of a PROM for the pediatric field of KM was developed in accordance with the preliminary conceptual framework. RESULTS Out of 91 experts, 18 finished three rounds of the Delphi survey. The experts reached a consensus on the necessity of a KM pediatric PROM for measuring various areas including child health, and using Likert scales with a recall period of 3 months. They also agreed on specific items and sources of content. A new draft of a health questionnaire for KM pediatrics was developed based on the Delphi consensus. It contains 44 items covering 7 domains: i) functions of the digestive system, ii) functions of the respiratory system, iii) mental functions, iv) skin functions, v) pain, vi) functions of the metabolic and endocrine systems, and vii) demographic details. CONCLUSIONS This research represents the first step in developing a health questionnaire for the pediatric field of KM. The questionnaire can be used in clinical and research settings after verifying several types of validity and reliability.

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关于制定韩国医学儿科领域健康相关问卷的专家共识：德尔菲研究。


背景虽然已经开发了多种针对儿童的患者报告结果测量（PROM），但还没有经过该领域专家验证的针对韩国医学（KM）的儿科PROM。本研究的目的是整理 KM 儿科专家对开发通用 PROM 的意见，韩国医生可以使用该通用 PROM 来评估儿童的健康状况。方法 进行了三轮德尔菲调查以确定新 PROM 开发的共识程度。 Delphi 调查问卷于 2018 年 1 月 24 日通过电子邮件发送给 91 KM 儿科医生。Delphi 调查问卷由四个部分组成：概念、构建、项目和 PROM 内容来源。采用九点李克特量表，如果超过三分之二的专家组同意或不同意某个句子，则认为他们已达成共识。根据初步概念框架，制定了儿科知识管理领域的 PROM 草案。结果 91 名专家中，18 名完成了三轮德尔福调查。专家们就KM儿科PROM的必要性达成共识，该KM儿科PROM用于测量包括儿童健康在内的各个领域，并使用回忆期为3个月的李克特量表。他们还就具体项目和内容来源达成了一致。基于德尔菲共识，制定了新的KM儿科健康调查问卷草案。它包含 44 个项目，涵盖 7 个领域：i) 消化系统功能，ii) 呼吸系统功能，iii) 精神功能，iv) 皮肤功能，v) 疼痛，vi) 代谢和内分泌系统功能，以及 vii ）人口统计详细信息。 结论 这项研究代表了为 KM 儿科领域开发健康问卷的第一步。该问卷在验证多种类型的有效性和可靠性后可用于临床和研究环境。