<i>Multidimensional Assessment Using the Adolescent Pediatric Pain Tool: A Case Report</i>

Crandall, Margie; Savedra, Marilyn

doi:10.1111/j.1744-6155.2005.00023.x

Cited by 16 publications

(20 citation statements)

References 19 publications

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“…O uso de escalas de intensidade para a avaliação da dor está mundialmente disseminado, contudo, tem sido sublinhada a necessidade de investigar o padrão de localização e qualidade da dor em crianças com cancro (Crandall & Savedra, 2005).…”

Section: Discussionunclassified

Cultural Validation of the Adolescent Pediatric Pain Tool (APPT) in portuguese children with cancer

Fernandes¹,

Batalha²,

Perdigão³

et al. 2015

Rev. Enf. Ref

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Resumenpp.99-105 Palavras-chave: avaliação da dor; criança; adolescente; cancro; enfermagem. Resumo Revista de Enfermagem Referência A R T I G O D E I N V E S T I G A Ç Ã O Validação cultural do Adolescent Pediatric Pain Tool (APPT) em crianças portuguesas com cancroMarco contextual: La evaluación del dolor en niños con enfermedades crónicas requiere la utilización de instrumentos multidimensionales, como el Adolescent Pediatric Pain Tool (APPT), que identifiquen la intensidad, la localización y las características del dolor. Objetivos: Validar la traducción y adaptación cultural del APPT para utilizarlo con niños y adolescentes portugueses con cáncer. Metodología: Para validar la traducción, un grupo de revisores realizó un proceso independiente de traducción y retroversión del instrumento y su análisis hasta obtener el consenso. Los descriptores de las características del dolor fueron sometidos a una validación semántica por niños con cáncer (de 8 a 17 años) a través del método Q-sort. Resultados: Obtuvimos una versión final con equivalencia conceptual, semántica, idiomática y experiencial en relación al instrumento original. Los niños mostraron capacidad discriminatoria en torno a los descriptores, diferenciando las palabras que utilizan para describir el dolor de las palabras que no utilizan. Conclusión: La versión portuguesa del APPT es un instrumento culturalmente adaptado para evaluar la localización, la intensidad y las características del dolor en niños portugueses con cáncer.Palabras clave: evaluación del dolor; niño; adolescente; cáncer; enfermería.Theoretical framework: Pain assessment in children with chronic conditions requires the use of multidimensional tools, such as the Adolescent Pediatric Pain Tool (APPT), which identify the intensity, location and quality of pain. Objectives: To validate the translation and cultural adaptation of the APPT for use in portuguese children and adolescents with cancer. Methodology: The translation was validated through an independent process of translation and back-translation of the tool and its analysis was performed by a panel of reviewers until consensus was reached. The semantic validation of the descriptors of pain quality was performed by children with cancer aged 8-17 years, using the Q-sort method.Results: A final version with conceptual, semantic, idiomatic and experiential equivalence to the original tool was obtained. Children revealed discriminative ability of the descriptors, being able to distinguish the words that they used to describe pain from those that they did not use. Conclusion:The Portuguese version of the APPT is a culturally adapted tool to assess the location, intensity and quality of pain in Portuguese children with cancer.

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Section: Discussionunclassified

Cultural Validation of the Adolescent Pediatric Pain Tool (APPT) in portuguese children with cancer

Fernandes¹,

Batalha²,

Perdigão³

et al. 2015

Rev. Enf. Ref

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“…Therefore, participants aged 12–17 completed both the BPI and the Adolescent Pediatric Pain Tool (APPT). The APPT has been widely used to assess acute and chronic pain in the pediatric population (Crandall, 2005, Tesler, 1991). The APPT assesses pain on three dimensions: location, severity and quality.…”

Section: Methodsmentioning

confidence: 99%

Use of electronic data collection to assess pain in thalassaemia: a feasibility study

Trachtenberg

Martin²,

Green

et al. 2012

Int J Palliat Nurs

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Aim To assess the feasibility of collecting electronic pain data in thalassemia patients, based on acceptability and convenience to participants and the study team. Methods Participants in the Thalassemia Clinical Research Network Assessment of Pain Study completed the Brief Pain Inventory (BPI) quarterly by paper or phone interview. Participants in a substudy completed the BPI-Short Form daily over three non-consecutive transfusion cycles through an automated telephone system. Results The consent rate for the main study was 93%, with 93% retention. The substudy had 75% retention, with more than 75% of scheduled calls completed. Regular monitoring of enrollment, missed calls, data quality, and the performance of the subcontractor for the automated system was crucial to fulfillment of study goals. Conclusions Use of electronic data collection for patient-reported outcomes was convenient for both patients and study personnel, but required human interactions beyond the automated system to maximize data quantity and optimize quality.

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“…Several investigators used the APPT in studies of children and adolescents with sickle cell disease (Crandall & Savedra, 2005; Dampier, Ely, Brodecki, & O’Neal, 2002; Franck, Treadwell, Jacob, & Vichinsky, 2002; Jacob, Hockenberry, & Mueller, 2008; Jacob et al, 2003; Jacob & Mueller, 2008). In Pennsylvania, Dampier and colleagues (2002) adapted the features of the APPT in a diary that was completed twice daily by 37 children and adolescents (mean age 10.9, SD = 3.6 years).…”

Section: Utility Of the Appt In Different Pain Conditionsmentioning

confidence: 99%

“…Crandall and Savedra (2005) reported their experience using the APPT in an 11-year-old patient with SCD in California. The patient often had a change in health care providers and was experiencing inadequate pain management.…”

Section: Utility Of the Appt In Different Pain Conditionsmentioning

confidence: 99%

Adolescent Pediatric Pain Tool for Multidimensional Measurement of Pain in Children and Adolescents

Jacob

Mack

Savedra

et al. 2014

Pain Management Nursing

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Very few multidimensional tools are available for measurement of pain in children and adolescents. We critically reviewed the scientific literature to examine the psychometrics and utility of the Adolescent Pediatric Pain Tool (APPT), a multidimensional self-report tool that evaluates the intensity, location, and quality (including affective, evaluative, sensory, and temporal) dimensions of pain. The APPT is available in English and Spanish for children and adolescents, and was modeled after the McGill Pain Questionnaire in adults. We found good evidence for construct validity, reliability, and sensitivity of the APPT for the measurement of pediatric pain. The APPT was used to measure pain in children with different conditions, such as cancer, sickle cell disease, orthopedic, traumatic injuries, and allergy testing. Although the APPT was designed to assess the multiple dimensions of pain, the majority of the reports included results only for the intensity ratings. Unlike the numerical and pediatric faces rating scales, which are widely used in clinical practice and research, the APPT is not limited to the single dimension of pain intensity. It measures multiple dimensions, and may be able to discriminate between nociceptive and neuropathic pain. The APPT is one of a few multidimensional pain measures that can help to advance the science of pediatric pain and its management. When the APPT is used in practice or research, the multiple dimensions of pain may be characterized and compared in different painful conditions. It may guide the use of multimodal interventions in children and adolescents with a variety of pain conditions.

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Multidimensional Assessment Using the Adolescent Pediatric Pain Tool: A Case Report

Abstract: The APPT is particularly valuable when clinicians encounter children and adolescents experiencing complex, difficult to manage pain.

Cited by 16 publications

References 19 publications

Cultural Validation of the Adolescent Pediatric Pain Tool (APPT) in portuguese children with cancer

Cultural Validation of the Adolescent Pediatric Pain Tool (APPT) in portuguese children with cancer

Use of electronic data collection to assess pain in thalassaemia: a feasibility study

Adolescent Pediatric Pain Tool for Multidimensional Measurement of Pain in Children and Adolescents

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