Designing an oral mucositis assessment instrument for use in children: generating items using a nominal group technique


There was a need to develop a mucositis instrument that would be specific for use with children. This paper describes the step of generating items in the process of developing a new instrument for the assessment of oral mucositis in children. Nine health care professionals with expertise in pediatric cancer, mucositis assessment, and oral assessment in children were invited to participate in a nominal group technique to generate items that should be included in an instrument. Thirty items were generated initially. Voting processes established that six of these items were thought to be necessary for inclusion: (1) presence of ulcers, (2) pain assessment, (3) amount of pain medication received, (4) effect on eating, (5) drooling–pooling of saliva, and (6) effect on drinking. Using these six items, an initial draft of an instrument was developed that could be used to assess oral mucositis in children, namely, the Children’s International Mucositis Evaluation Scale. The six items generated by this process provided the basis for a simple, feasible, and reliable instrument. With increased clinical research investigating interventions to reduce and prevent oral mucositis, such an instrument will be critical to the effective conduct of this research in children. Further testing of this instrument is necessary.

DOI: 10.1007/s00520-008-0523-0

4 Figures and Tables


Citations per Year

98 Citations

Semantic Scholar estimates that this publication has 98 citations based on the available data.

See our FAQ for additional information.

Cite this paper

@article{Tomlinson2008DesigningAO, title={Designing an oral mucositis assessment instrument for use in children: generating items using a nominal group technique}, author={Deborah Tomlinson and Faith Gibson and Nathaniel Simon Treister and Christina R. Baggott and Peter L Judd and Eleanor I Hendershot and A Maloney and John J. Doyle and Brian Feldman and Lillian Sung}, journal={Supportive Care in Cancer}, year={2008}, volume={17}, pages={555-562} }