Validation of the Non-communicating Childrenʼs Pain Checklist–Postoperative Version
- 1 March 2002
- journal article
- clinical trial
- Published by Ovid Technologies (Wolters Kluwer Health) in Anesthesiology
- Vol. 96 (3), 528-535
- https://doi.org/10.1097/00000542-200203000-00004
Abstract
This study evaluated the psychometric properties of the Non-communicating Children's Pain Checklist–Postoperative Version (NCCPC-PV) when used with children with severe intellectual disabilities. The caregivers of 24 children with severe intellectual disabilities (aged 3–19 yr) took part. Each child was observed by one of their caregivers and one of the researchers for 10 min before and after surgery. They independently completed the NCCPC-PV and made a visual analog scale rating of the child's pain intensity for those times. A nurse also completed a visual analog scale for the same observations. The NCCPC-PV was internally reliable (Cronbach α = 0.91) and showed good interrater reliability. A repeated-measures analysis of variance indicated NCCPC-PV total and subscale scores were significantly higher after surgery and did not differ by observer. Postoperative NCCPC-PV scores correlated with visual analog scale ratings provided by caregivers and researchers, but not with those of nurses. A score of 11 on the NCCPC-PV, by caregivers, provided 0.88 sensitivity and 0.81 specificity for classifying children with moderate to severe pain. The NCCPC-PV displayed good psychometric properties when used for the postoperative pain of children with severe intellectual disabilities and has the potential to be useful in a clinical setting. The results suggest familiarity with an individual child with intellectual disabilities is not necessary for pain assessment.Keywords
This publication has 22 references indexed in Scilit:
- Measuring pain accurately in children with cognitive impairments: Refinement of a caregiver scaleThe Journal of Pediatrics, 2001
- Preliminary validation of an observational checklist for persons with cognitive impairments and inability to communicate verballyDevelopmental Medicine and Child Neurology, 2000
- The reliability and validity of the COMFORT scale as a postoperative pain instrument in 0 to 3-year-old infantsPain, 2000
- Management of Pain from Heel Lance with Lidocaine-Prilocaine (EMLA) CreamJournal of Developmental & Behavioral Pediatrics, 1999
- Children's Self-Report of Postoperative Pain Intensity and Treatment ThresholdThe Clinical Journal of Pain, 1998
- Comparison of three preverbal scales for postoperative pain assessment in a diverse pediatric sampleJournal of Pain and Symptom Management, 1996
- Management of Postoperative Pain in Children Undergoing Orthopaedic SurgeryJournal of Pediatric Orthopaedics, 1996
- Postoperative pain in childrenAnaesthesia, 1996
- Is there an increasing interest in pediatric pain? Analysis of the biomedical articles published in the 1980sJournal of Pain and Symptom Management, 1993
- The incidence of postoperative pain in childrenPain, 1983