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Measurement of Behavioral, Affective, and Somatic Responses to Pediatric Bone Marrow Transplantation: Development of the BASES Scale

Division of Behavioral Medicine, St Jude Children's Research Hospital, PO Box 318, Memphis, TN 38101-0318

Pamela S. Hinds, RN, PhD, CS

Division of Behavioral Medicine, Department of Pediatrics and the Department of Nursing, St Jude Children's Research Hospital, University of Tennessee College of Medicine, Memphis, TN

Susan Channell, RN

Division of Behavioral Medicine, Department of Pediatrics and the Department of Nursing, St Jude Children's Research Hospital, University of Tennessee College of Medicine, Memphis, TN

Gay L. Bell, RN

Division of Behavioral Medicine, Department of Pediatrics and the Department of Nursing, St Jude Children's Research Hospital, University of Tennessee College of Medicine, Memphis, TN

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 ) 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.

Journal of Pediatric Oncology Nursing, Vol. 11, No. 3, 109-117 (1994)
DOI: 10.1177/104345429401100305


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