Assessing the use of the distress and discomfort assessment tool (DisDAT) in a pediatric population

PURPOSE: The purpose of this study is to assess the effectiveness and usefulness of the DisDAT form in a pediatric population. DESIGN AND METHODS: This is a mixed-methods study using content analysis of completed DisDAT forms as well as thematic analysis of semi-structured interviews to assess the use of the DisDAT to identify signs of distress across multiple domains of patient behavior and appearance. RESULTS: We found that, regardless of the perceived difficulty of using the form, caregivers universally found it to be worthwhile and useful. Based on interview findings, caregivers felt that the DisDAT enhanced their ability to communicate with healthcare providers. Quantitative analysis found that the DisDAT was equally effective at prompting cues associated with contentment and with distress. CONCLUSIONS: Building on prior research conducted in adults, the DisDAT is an effective tool to communicate distress signals for nonspeaking pediatric patients. PRACTICE IMPLICATIONS: The DisDAT is a useful adjunct to clinical practice in pediatric patients with severe communication impairments.