Establishing the psychometric properties and preferences for the Northern Pain Scale

Article English OPEN
Ellis, Jacqueline A. ; Ootoova, Abigail ; Blouin, Renee ; Rowley, Betty ; Taylor, Maurice ; DeCourtney, Christine ; Joyce, Margaret ; Greenley, Wilma ; Gaboury, Isabelle (2012)
  • Publisher: Co-Action Publishing
  • Journal: International Journal of Circumpolar Health (issn: 1797-237X, eissn: 1239-9736)
  • Related identifiers: doi: 10.3402/ijch.v70i3.17823
  • Subject: pain assessment, pain scale psychometrics, Inuktitut pain scale, Northern Pain Scale

Objectives. A culturally relevant, evidence-based pain assessment scale in Inuktitut is needed. Psychometric properties and preferences for the Northern Pain Scale (NorthPS), a revised version of the Wong- Baker FACES scale, were examined. Study design. This repeated-measures, within-subjects study involved 2 face-to-face interviews held 2 weeks apart. Methods. Participants were recruited from 2 schools and a community centre in Pangnirtung, Nunavut, Canada. Three pain scales (NorthPS, FACES and a numerical rating scale) were used to rate the pain portrayed in an adapted version of the Charleston Pediatric Pain Pictures (NorthCPPP, a series of 17 cartoon vignettes). Results. The study involved 188 participants ranging in age from 5 to 83 years. Compared with the established FACES and numerical scales, the concurrent validity of the NorthPS was acceptable, with all 3 pain scales producing similar scores for the North CPPP vignettes. The youngest children were slightly more accurate during the second interview; otherwise, scoring accuracy was similar during both interviews. Accuracy was also similar across pain scales. Spearman correlations between NorthPS and other scales were lowest for the “No” pain vignettes, and for the youngest children. Internal consistency was acceptable for the NorthPS when compared with FACES and numerical scales. FACES was preferred by the majority of children and NorthPS was preferred by the majority of adults. Conclusions. NorthPS, a pain scale adapted to Inuit language and culture, was validated using the NorthCPPP with children and adults. The NorthPS is a well-understood, culturally and linguistically adapted option for the assessment of pain for Inuktitut-speaking children and adults.(Int J Circumpolar Health 2011; 70(3):274–285)Keywords: pain assessment, pain scale psychometrics, Inuktitut pain scale, Northern Pain Scale
  • References (37)
    37 references, page 1 of 4

    1.  Inuit  Circumpolar  Council  (ICC).  Inuit  Circumpolar  Council  (ICC). Ottawa:   Inuit  Circumpolar  Council  (ICC);  2007  [cited  2010  Feb  1].  Available  from:  http:// inuitcircumpolar.com/index.php?auto_slide=&ID=16& Lang=En&Parent_ID=&current_slide_num=.

    2.  Health  Canada.  Closing  the  gaps  in  Aboriginal  health.  Ottawa:  Health  Canada;  2005  [cited  2010  Feb  1].  Available  from:  http://www.hc-sc.gc.ca/sr-sr/pubs/hpr-rpms/ bull/2003-5-aboriginal-autochtone/intro-eng.php.

    3.  Martin  BD,  Macdonald  SM.  The  management  of  ear  disease:  guidelines  for  Aboriginal  health  care  programs.  Int J Circumpolar Health 1998;57(Suppl 1):268-275.

    4.  Innis  J,  Bikaunieks  N,  Petryshen  P,  Zellermeyer  V,  Ciccarelli  L.  Patient  satisfaction  and  pain  management:  an  educational  approach.  J  Nurs  Care  Qual  2004  Oct;19(4):  322-327.

    5.  Ersek  M,  Poe  CM.  Pain.  In:  Lewis  S,  Heitkemper  M,  Dirksen  SR,  editors.  Medical-surgical  nursing-assessment  and  management  of  clinical  problems.  St.  Louis:  Mosby; 2004.  p.  131-159.

    6.  Middleton  C.  Understanding  the  physiological  effects  of unrelieved pain.  Nurs  Times 2003;99(37):28-31.

    7.  Stinson  JN,  Kavanagh  T,  Yamada  J,  Gill  N,  Stevens  B.  Systematic  review  of  the  psychometric  properties,  interpretability  and  feasibility  of  self-report  pain  intensity  measures  for  use  in  clinical  trials  in  children  and  adolescents. Pain 2006;125(1-2):143-157.

    8.  Wong  DL,  Baker  CM.  Pain  in  children:  comparison  of  assessment scales.  Pediatr Nurs 1988;14(1):9-17.

    9.  Luffy  R,  Grove  SK.  Examining  the  validity,  reliability,  and  preference  of  three  pediatric  pain  measurement  tools  in  African-American  children.  Pediatr  Nurs  2003;29(1):  54-59.

    10.  Newman  CJ,  Lolekha  R,  Limkittikul  K,  Luangxay  K,  Chotpitayasunondh  T,  Chanthavanich  P.  A  comparison  of  pain  scales  in  Thai  children.  Arch  Dis  Child  2005;90  (3):269-270.

  • Metrics
    No metrics available
Share - Bookmark