School of Allied Health Science and Practice, University of Adelaide, Adelaide, Australia.
College of Medicine and Public Health, Flinders University, Adelaide, Australia.
Dev Med Child Neurol. 2023 Aug;65(8):1029-1042. doi: 10.1111/dmcn.15535. Epub 2023 Feb 5.
To identify and evaluate psychometric properties of assessment tools for assessing pain interference in children, adolescents, and adults with chronic pain and the inability to self-report.
The protocol was registered with PROSPERO (CRD42022310102). A search was run in MEDLINE, Embase, and PsycInfo (29th March 2022) to identify articles reporting psychometric properties of pain interference assessment tools for children, adolescents, and adults with chronic pain and the inability to objectively self-report pain. Retrieved studies were reviewed by two authors (MGS, LCF) and study quality was assessed using COSMIN.
Psychometric properties of 10 pain interference tools were assessed from 33 studies. The Paediatric Pain Profile (PPP) had low-quality evidence for content validity and internal consistency with children and adolescents who are unable to self-report. No tools for adults had evidence for content validity and internal consistency. No tool had evidence for all nine psychometric properties.
The PPP is recommended for pain interference assessment in children and adolescents with chronic pain and the inability to self-report. Few tools are available for adults. Three tools for children (Patient-Reported Outcome Measurement Information System Pediatric Proxy Pain Interference Scale; Bath Adolescent Pain Questionnaire for Parents; modified Brief Pain Inventory-Proxy [mBPI]) and three tools for adults (Doloplus-2; Patient-Reported Outcome Measurement Information System Pain Interference Scale-proxy; Brief Pain Inventory-proxy) are promising but require further investigation.
确定和评估用于评估慢性疼痛和无法自我报告的儿童、青少年和成人疼痛干扰的评估工具的心理计量学特性。
该方案在 PROSPERO（CRD42022310102）中进行了注册。在 MEDLINE、Embase 和 PsycInfo 中进行了搜索（2022 年 3 月 29 日），以确定报告用于慢性疼痛和无法客观自我报告疼痛的儿童、青少年和成人疼痛干扰评估工具的心理计量学特性的文章。两名作者（MGS、LCF）对检索到的研究进行了审查，并使用 COSMIN 评估了研究质量。
从 33 项研究中评估了 10 种疼痛干扰工具的心理计量学特性。对于无法自我报告的儿童和青少年，儿科疼痛概况（PPP）在内容效度和内部一致性方面具有低质量证据。没有用于成人的工具具有内容效度和内部一致性的证据。没有一种工具具有所有 9 种心理计量学特性的证据。
PPP 推荐用于无法自我报告的慢性疼痛和疼痛干扰的儿童和青少年的评估。对于成年人，几乎没有可用的工具。对于儿童有三种工具（患者报告的结果测量信息系统儿童代理疼痛干扰量表；巴斯青少年疼痛问卷父母版；改良简明疼痛量表-代理版[mBPI]）和三种工具对于成年人（Doloplus-2；患者报告的结果测量信息系统疼痛干扰量表代理版；简明疼痛量表代理版）有前途，但需要进一步研究。
