ObjectiveTo analyze the development and evolution of the theoretical domains framework (TDF), behavior change wheel (BCW), and behavior change technique (BCT). MethodsThe PubMed, EMbase, EBSCO, Web of Science, CNKI, WanFang Data, VIP and CBM databases were electronically searched to collect related studies on the establishment and development of theoretical frameworks for behavior change from the inception to September 4, 2022. Two researchers independently screened the literature, extracted the data, and conducted qualitative analysis and summary. ResultsA total of 11 studies were included, and the establishment and development of TDF, BCW and BCT taxonomy was analyzed, integrated and presented in this article. ConclusionTDF, BCW and BCT taxonomy are the fundamental theoretical framework of behavior change, which can be used independently and can be mapped and integrated with each other, providing theoretical guidance for the analysis of obstacles and promoting factors in the implementation of research and the design of intervention measures, with good promotion value. However, there are few domestic applications, so expanding the application in the local environment is necessary.
ObjectiveTo systematically evaluate the measurement properties of observational pain assessment scales for pediatric patients after surgery. MethodsThe PubMed, Embase, CINAHL, PsycArticles, and SinoMed databases were electronically searched to collect studies related to the objects from inception to April 13, 2024. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. And the quality of measurement properties was rated using updated criteria for good measurement properties to determine recommendation levels. ResultsA total of 26 studies were finally included involving 12 observational pain assessment scales for pediatric patients after surgery. None reported measurement error or cross-cultural validity. The overall content validity of all 12 scales was evaluated by reviewers, with measurement properties rated as sufficient or inconsistent. For internal consistency, due to insufficient or uncertain content validity, the evidence quality was low. Eight scales calculated internal consistency, among which CHEOPS, CHIPPS, COMFORT, FLACC, and NCCPC-PV scales had sufficient measurement properties with evidence quality of low or above, receiving Grade A recommendations. ConclusionCompared with other scales, CHEOPS, CHIPPS, COMFORT, FLACC, and NCCPC-PV scales demonstrated good measurement property evaluation with acceptable evidence quality and can be recommended for use. Other scales still require further improvement in measurement property validation.