Duenpen Horatanaruang1, Montalee Sutthithum1, Samerduen Kharmwan1, Wimonrat Sriraj1
1) Thailand
Proper pain assessment tool is a key to effective pain management for children with limited ability to communicate. The objective of this study is to test the validity and reliability of the Thai language version of the Non-Communicating Children’s Pain Checklist– Postoperative Version (NCCPC-PV)
NCCPC-PV was translated to Thai-version from English using bilingual expert in the area of pediatric pain studies. One-hundred-fourteen children who have problems with verbal communication due to cognitive impairment or disability underwent procedures in operating room were assessed pain both prior to, and following the procedures by nurses and parents using the NCCPC-PV Thai-Version. To assess criterion validity, a 10 cm. visual analog scale was compared with NCCPC-PV total score. The gauge inter-rater reliability (nurses VS parents), two approaches were used. First, for the continuous version of NCCPC-PV, intraclass correlation (ICC) was used. For categorization of NCCPC-PV cut-off score (score ≥ 11 moderate to severe pain, 6-10 mild pain) Cohen’s kappa statistic was employed.
The agreement between parents and nurses was moderately strong reproducibility both for VAS (ICC=0.74, 95%CI = 0.63-0.82) and Thai-version NCCPC-PV (ICC=0.67, 95%CI = 0.55-0.75; kappa=0.6). The Bland-Altman plot showed high agreement between nurses and parents. The agreement between Thai-version NCCPC-PV and VAS was moderately strong. (kappa=0.5). Nurses tended to provide systematically lower scores than parents.
The Thai-Version of NCCPC-PV can be used as pain assessment for cognitive impaired or disability children.
This project was supported by the faculty of medicine, Khon Kaen university research fund.
