Pain assessment tools in paediatric palliative care: A systematic review of psychometric properties and recommendations for clinical practice.
Authors
Chan, Adrienne Yl
Ge, Mengqin
Harrop, Emily
Johnson, Margaret
Oulton, Kate
Wong, Ian Ck
Publication Date
2022-01Journal Title
Palliat Med
ISSN
0269-2163
Publisher
SAGE Publications
Volume
36
Issue
1
Pages
30-43
Language
en
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Chan, A. Y., Ge, M., Harrop, E., Johnson, M., Oulton, K., Skene, S. S., Wong, I. C., et al. (2022). Pain assessment tools in paediatric palliative care: A systematic review of psychometric properties and recommendations for clinical practice.. Palliat Med, 36 (1), 30-43. https://doi.org/10.1177/02692163211049309
Abstract
BACKGROUND: Assessing pain in infants, children and young people with life-limiting conditions remains a challenge due to diverse patient conditions, types of pain and often a reduced ability or inability of patients to communicate verbally. AIM: To systematically identify pain assessment tools that are currently used in paediatric palliative care and examine their psychometric properties and feasibility and make recommendations for clinical practice. DESIGN: A systematic literature review and evaluation of psychometric properties of pain assessment tools of original peer-reviewed research published from inception of data sources to April 2021. DATA SOURCES: PsycINFO via ProQuest, Web of Science Core, Medline via Ovid, EMBASE, BIOSIS and CINAHL were searched from inception to April 2021. Hand searches of reference lists of included studies and relevant reviews were performed. RESULTS: From 1168 articles identified, 201 papers were selected for full-text assessment. Thirty-four articles met the eligibility criteria and we examined the psychometric properties of 22 pain assessment tools. Overall, the Faces Pain Scale-Revised (FPS-R) had high cross-cultural validity, construct validity (hypothesis testing) and responsiveness; while the Faces, Legs, Activity, Cry and Consolability (FLACC) scale and Paediatric Pain Profile (PPP) had high internal consistency, criterion validity, reliability and responsiveness. The number of studies per psychometric property of each pain assessment tool was limited and the methodological quality of included studies was low. CONCLUSION: Balancing aspects of feasibility and psychometric properties, the FPS-R is recommended for self-assessment, and the FLACC scale/FLACC Revised and PPP are the recommended observational tools in their respective age groups.
Keywords
Review Articles, Pain measurement, pain assessment, palliative care, paediatrics
Sponsorship
national institute for health research (Research for Patient Benefit (RfPB) Programme (Gra)
Identifiers
10.1177_02692163211049309
External DOI: https://doi.org/10.1177/02692163211049309
This record's URL: https://www.repository.cam.ac.uk/handle/1810/333356
Rights
Licence:
https://creativecommons.org/licenses/by/4.0/
Statistics
Total file downloads (since January 2020). For more information on metrics see the
IRUS guide.