BACKGROUND: The Non-Communicating Children Pain Check List-Revised (NCCPC-R) is a clinical assessment tool used to assess and measure pain in children aged 3 to 18 years, with mental and intellectual disabilities, incapable to speaking. AIM: Aim of our study was to test the validity and reliability of the Italian version of the NCCPC- R in children with cognitive impairment, in order to obtain a valid tool for pain assessment in these children. DESIGN: Prospective observational study. SETTING: Paediatric Outpatient of Physical and Rehabilitative Medicine Department, and Paediatrics, Child Neurology and Psychiatry Department, Sapienza University, Rome. POPULATION: 55 non-communicating children, with severe intellectual disability, aged 3-18 years. METHODS: The guidelines for "translation, adaptation, and validation of instruments or scales for cross-cultural healthcare research" were used to translate the scale, which was administered by the parents/caregivers twice for 2 consecutive days, in association with NRS (Numerical Rating Scale). The reliability of the scale was evaluated using the intra and inter-class correlation coefficient (ICCs); Cronbach alpha coefficient was used to test the internal validity of the scale; "Receiver Operating Characteristic" (ROC) curves were used to compare pain-free scores with pain scores, determining threshold scores; Pearson correlation between NCCPC-R and NRS values was measured. RESULTS: The InterCC between the first and the second interviewer at T0 was 0,97, the IntraCC of the first interviewer at T0-T1 was 0,89, showing a high correlation; the Cronbach alpha coefficient at T0 was 0,97, showing a high scale's validity. Pearson correlation between NRS and NCCPC-R values at T0 was 0,54 showing a medium level of agreement (p<0,0001). AUC (area under the curve) obtained by ROC curve at T0 was 0,807 (p=0,001), with sensitivity 95,2 and specificity 55,6, while a T1 AUC was 0,814 (p<0,001), with sensitivity 86,49, specificity 78,57. CONCLUSIONS: The Italian version of NCCPC-R scale could be used to asses pain in non- communicating patients with mental and intellectual disabilities, showing a good correlation when compared to the NRS. CLINICAL REHABILITATION IMPACT: The use of NCCPC-R scale in daily life made parents/caregivers able to discriminate the presence/absence of pain in non-communicating children, based on the scores obtained with the questionnaire

Validity and reliability of italian version of the non-communicating children's pain checklist. Revised version / Murgia, Massimiliano; Izzo, Rosanna; Bettinelli, Alessandra; Di Maggio, Chiara; De Angelis, Martina; Mangone, Massimiliano; Paoloni, Marco; Bernetti, Andrea; Torquati, Andrea; Leuzzi, Vincenzo; Santilli, Valter. - In: EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE. - ISSN 1973-9095. - ELETTRONICO. - 55:1(2019), pp. 89-94. [10.23736/S1973-9087.18.05314-5]

Validity and reliability of italian version of the non-communicating children's pain checklist. Revised version

Murgia, Massimiliano;Izzo, Rosanna;Bettinelli, Alessandra;Di Maggio, Chiara;De Angelis, Martina;Mangone, Massimiliano;Paoloni, Marco;Bernetti, Andrea;Torquati, Andrea;Leuzzi, Vincenzo;Santilli, Valter
2019

Abstract

BACKGROUND: The Non-Communicating Children Pain Check List-Revised (NCCPC-R) is a clinical assessment tool used to assess and measure pain in children aged 3 to 18 years, with mental and intellectual disabilities, incapable to speaking. AIM: Aim of our study was to test the validity and reliability of the Italian version of the NCCPC- R in children with cognitive impairment, in order to obtain a valid tool for pain assessment in these children. DESIGN: Prospective observational study. SETTING: Paediatric Outpatient of Physical and Rehabilitative Medicine Department, and Paediatrics, Child Neurology and Psychiatry Department, Sapienza University, Rome. POPULATION: 55 non-communicating children, with severe intellectual disability, aged 3-18 years. METHODS: The guidelines for "translation, adaptation, and validation of instruments or scales for cross-cultural healthcare research" were used to translate the scale, which was administered by the parents/caregivers twice for 2 consecutive days, in association with NRS (Numerical Rating Scale). The reliability of the scale was evaluated using the intra and inter-class correlation coefficient (ICCs); Cronbach alpha coefficient was used to test the internal validity of the scale; "Receiver Operating Characteristic" (ROC) curves were used to compare pain-free scores with pain scores, determining threshold scores; Pearson correlation between NCCPC-R and NRS values was measured. RESULTS: The InterCC between the first and the second interviewer at T0 was 0,97, the IntraCC of the first interviewer at T0-T1 was 0,89, showing a high correlation; the Cronbach alpha coefficient at T0 was 0,97, showing a high scale's validity. Pearson correlation between NRS and NCCPC-R values at T0 was 0,54 showing a medium level of agreement (p<0,0001). AUC (area under the curve) obtained by ROC curve at T0 was 0,807 (p=0,001), with sensitivity 95,2 and specificity 55,6, while a T1 AUC was 0,814 (p<0,001), with sensitivity 86,49, specificity 78,57. CONCLUSIONS: The Italian version of NCCPC-R scale could be used to asses pain in non- communicating patients with mental and intellectual disabilities, showing a good correlation when compared to the NRS. CLINICAL REHABILITATION IMPACT: The use of NCCPC-R scale in daily life made parents/caregivers able to discriminate the presence/absence of pain in non-communicating children, based on the scores obtained with the questionnaire
2019
rehabilitation; pain; validity; reliability
01 Pubblicazione su rivista::01a Articolo in rivista
Validity and reliability of italian version of the non-communicating children's pain checklist. Revised version / Murgia, Massimiliano; Izzo, Rosanna; Bettinelli, Alessandra; Di Maggio, Chiara; De Angelis, Martina; Mangone, Massimiliano; Paoloni, Marco; Bernetti, Andrea; Torquati, Andrea; Leuzzi, Vincenzo; Santilli, Valter. - In: EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE. - ISSN 1973-9095. - ELETTRONICO. - 55:1(2019), pp. 89-94. [10.23736/S1973-9087.18.05314-5]
File allegati a questo prodotto
File Dimensione Formato  
Murgia_Pre print_Validity and reliability_2019.pdf

solo gestori archivio

Tipologia: Documento in Pre-print (manoscritto inviato all'editore, precedente alla peer review)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 1.34 MB
Formato Adobe PDF
1.34 MB Adobe PDF   Contatta l'autore
Murgia_Validity and reliability_2019.pdf

solo gestori archivio

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 447.34 kB
Formato Adobe PDF
447.34 kB Adobe PDF   Contatta l'autore

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1146393
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 6
  • ???jsp.display-item.citation.isi??? 5
social impact