Pain
Conditions
Keywords
Pediatrics, Pain Scale, Faces Pain Scale - Revised, Cameroon
Brief summary
This study evaluates the face validity and cultural acceptability of the Faces Pain Scale - Revised in pediatric patients treated at Mbingo Baptist Hospital, Northwest Province, Cameroon. Participants from the four major language/cultural groups evaluated at the hospital with a complaint of pain will trial the Faces Pain Scale - Revised and then undergo cognitive interviewing to assess comprehension and clinical accuracy.
Detailed description
Twelve to fifteen pediatric patients complaining of pain from each of the four primary language groups treated at Mbingo Baptist Hospital (Grammar English, Pidgin English, French, and Fulfulde) will be enrolled in the study. Each patient enrolled will trial the Faces Pain Scale - Revised (FPS-R) in his or her native tongue, before receiving standard analgesic treatment as ordered by the provider caring for the patient. One to two hours post analgesia, the patient will be reassessed and the FPS-R will be repeated. After completion of the second FPS-R, an audio-recorded cognitive interview will be performed by trained study personnel. These recordings will be transcribed into English and analyzed on a question-by-question basis to evaluate for themes pertaining to comprehension and understanding, ease of use, and reliability, within the different language groups. Enrollment in the study does not alter the routine pain management offered or received by patients. Rather, the FPS-R will be utilized on patients who are complaining of pain and who will be allocated to receive analgesia regardless of study enrollment.
Interventions
Patients will be asked to answer the Faces Pain Scale - Revised as an assessment of pain prior to standard analgesia dosing.
Patients will be asked to answer the Faces Pain Scale - Revised 1-2 hours after receiving standard analgesia as an assessment of pain.
Patients will answer a series of questions pertaining to the pain scale's ease of use, intuitive nature, and cultural appropriateness.
Sponsors
Study design
Eligibility
Inclusion criteria
* Admitted to Children's Ward * Complaint of pain
Exclusion criteria
* Coma * Traumatic brain injury * Glasgow Coma Scale (GCS) \< 13 * Cognitive delay * Narcotic/opioid dependency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Face validity of pain scale as assessed by cognitive interview probes | Through study completion, an average of 3 months | Detailed qualitative review of cognitive interview probes with question-by-question analysis of transcribed cognitive interviews to assess for basic comprehension and appropriate use of the FPS-R. |
| Face validity of pain scale as assessed by FPS-R results | Through study completion, an average of 3 months | Detailed review of the FPS-R answers provided by patients in the context of their illness/injury. |
| Cultural acceptability of pain scale as assessed by cognitive interview probes | Through study completion, an average of 3 months | Question-by-question analysis and review of transcribed cognitive interviews to search for thematic responses that correspond to cultural understanding and ease of use. |
Countries
Cameroon