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Ital J Pediatr. 2017 Aug 22;43(1):75. doi: 10.1186/s13052-017-0388-2.

Validation of the Italian version of the Non-Communicating Children's Pain Checklist-Postoperative Version.

Author information

1
Institute for Maternal and Child Health IRCCS "Burlo Garofolo" Trieste, Trieste, Italy.
2
University of Trieste, Trieste, Italy.
3
University of Trieste, Trieste, Italy. giovanna.ferrara@gmaill.com.
4
Pediatric Clinic, Insitute for Maternal and Child Health IRCCS Burlo Garofolo, via dell'Istria 65/1, Trieste, Italy. giovanna.ferrara@gmaill.com.
5
Institute of Physiatrics and Rehabilitation Gervasutta, Udine, Italy.

Abstract

BACKGROUND:

This study evaluated the validity and reliability of the Italian version of the Non-Communicating Children's Pain Checklist-Postoperative version (I-NCCPC-PV).

METHODS:

The original NCCPC-PV version was translated into Italian following the guidelines for "the translation, adaptation, and validation of instruments or scales for cross-cultural healthcare research". We tested the Italian NCCPC-PV version (I-NCCPC-PV) in 40 children (3-18 years of age) with severe to profound Intellectual Disability and no verbal communication. Each child's behavior was observed by a parent or caregiver and by an external observer in a quiet situation and a painful one. They independently assessed the child's level of pain using the translated Italian version of the NCCPCPV (I-NCCPC-PV).

RESULTS:

The results from 80 assessments showed that children's behavioral signs differed significantly between painful and calm situations (p < 0.001). The inter-rater reliability was poor in a quiet condition (ICC 0.62) and fair in a painful situation (ICC 0.77). The inter-rater agreement was good in both calm and painful conditions (72.50% and 77.50% respectively).

CONCLUSION:

The Italian version of the NCCPC-PV (I-NCCPC-PV) can be used for pain assessment in children with Intellectual Disability who lack verbal communication.

KEYWORDS:

Child; Intellectual disability; Pain; Pain assessment

PMID:
28830498
PMCID:
PMC5568299
DOI:
10.1186/s13052-017-0388-2
[Indexed for MEDLINE]
Free PMC Article

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