Validity and reliability of a Swedish version of the Non‐Communicating Children’s Pain Checklist – Postoperative Version
- 4 May 2010
- journal article
- research article
- Published by Wiley in Acta Paediatrica
- Vol. 99 (6), 929-933
- https://doi.org/10.1111/j.1651-2227.2009.01632.x
Abstract
To test the validity and reliability of a Swedish version of the Non-Communicating Children's Pain Checklist-Postoperative Version (NCCPC-PV). Thirty-two consecutive children/adolescents (2-20 years of age) with cognitive impairment and no verbal communication from four habilitation centres were admitted to the study. Each child's behaviour was observed by a parent or a caregiver and by a physiotherapist in two calm and two painful situations within the child's everyday life. The raters independently assessed and graded the child's behaviour during 5 min according to the translated Swedish version of the NCCPC-PV. The intrarater and interrater reliability were determined, and the construct validity was examined. The results from 202 assessments showed that the construct validity was good: children's behavioural signs differed significantly between situations of pain and situations of calm (p < 0.001). Repeated assessments showed poor agreement both within and between raters [intraclass correlation coefficient (ICC) 0.51-0.65]. The agreement for pain was good (ICC 0.83). The Swedish version of the NCCPC-PV can be used for pain assessment in children with cognitive impairments who lack verbal communication. Aspects of reliability need to be further analysed.Keywords
This publication has 24 references indexed in Scilit:
- Association between self‐report pain ratings of child and parent, child and nurse and parent and nurse dyads: meta‐analysisJournal of Advanced Nursing, 2008
- A Comparison of the Clinical Utility of Pain Assessment Tools for Children with Cognitive ImpairmentAnesthesia & Analgesia, 2008
- Development of the Paediatric Pain Profile: Role of Video Analysis and Saliva Cortisol in Validating a Tool to Assess Pain in Children with Severe Neurological DisabilityJournal of Pain and Symptom Management, 2007
- Pain’s impact on adaptive functioningJournal of Intellectual Disability Research, 2007
- When to use agreement versus reliability measuresJournal of Clinical Epidemiology, 2006
- Clinical validation of the Paediatric Pain ProfileDevelopmental Medicine and Child Neurology, 2004
- Psychometric properties of the non-communicating children's pain checklist-revisedPain, 2002
- Children with Cognitive ImpairmentJournal of Developmental & Behavioral Pediatrics, 1999
- Statistical Methods For Assessing Measurement Error (Reliability) in Variables Relevant to Sports MedicineSports Medicine, 1998
- STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENTThe Lancet, 1986