Kontakt 2022, 24(1):98-106 | DOI: 10.32725/kont.2021.048

Assessment of pain in preschoolers (aged 3-7): A scoping review of existing instrumentsSocial Sciences in Health - Review article

Petra Kašparová1, *, Petra Mandysová2
1 Palacký University, Faculty of Health Sciences, The Centre for Science and Research, Olomouc, Czech Republic
2 Palacký University, Faculty of Health Sciences, Department of Nursing, Olomouc, Czech Republic

Aim: The aim of this study is to evaluate the available scientific knowledge on the assessment of pain in preschool children (aged 3-7). The information obtained will provide a basis for further research.

Methods: The data were collected with the help of keywords by PCC and using Boolean operators that were searched for in scientific electronics databases. The data were collected using keywords that were selected based on a research question and targeted at a specific population, concept and context. Four scientific databases were included: PubMed, ProQuest, OVID, EBSCOhost.

Results: A total of 243 articles were identified, plus another 10 records were identified from the reference list of retrieved articles. After analysis, 51 articles were subjected to a critical analysis and 14 studies were selected for final use for the scoping review.

Conclusions: A literature review confirmed that the topic of pain assessment in childhood is becoming increasingly important. All the presented pain assessment tools assess pain in different ways, but always with the same goal: to properly assess a child's pain and then treat it as best as possible. Particularly with young children, it is advisable to include more methods of pain assessment and to assess more aspects of pain to provide them with the right treatment.

Keywords: Assessment tool; Children; Paediatric; Pain; Pain management; Pain scale
Grants and funding:

The publication was created within the IGA UP project with the registration number IGA_ FZV_2021_003.

Conflicts of interest:

The authors have no conflict of interests to declare.

Received: March 23, 2021; Revised: October 7, 2021; Accepted: October 6, 2021; Prepublished online: November 11, 2021; Published: March 15, 2022  Show citation

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Kašparová P, Mandysová P. Assessment of pain in preschoolers (aged 3-7): A scoping review of existing instruments. Kontakt. 2022;24(1):98-106. doi: 10.32725/kont.2021.048.
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    References

    1. Ambuel B, Hamlett KW, Marx CM, Blumer JL (1992). Assessing distress in pediatric intensive care environments: the COMFORT scale. J Pediatr Psychol 17(1): 95-109. DOI: 10.1093/jpepsy/17.1.95. Go to original source... Go to PubMed...
    2. Besenski LJ, Forsyth SJ, von Baeyer CL (2007). Screening young children for their ability to use self-report pain scales. Pediatric Pain Letter 9(1): 1-6.
    3. Beyer JE, McGrath PJ, Berde CB (1990). Discordance between self-report and behavioral pain measures in children aged 3-7 years after surgery. J Pain Symptom Manage 5(6): 350-356. DOI: 10.1016/0885-3924(90)90029-j. Go to original source... Go to PubMed...
    4. Brand K, Al-Rais A (2019). Pain assessment in children. Anaesth Intensive Care Med 20(6): 314-317. DOI: 10.1016/j.mpaic.2019.03.003. Go to original source...
    5. Breau LM, McGrath PJ, Craig KD, Santor D, Cassidy KL, Reid GJ (2001). Facial expression of children receiving immunizations: a principal components analysis of the child facial coding system. Clin J Pain 17(2): 178-186. DOI: 10.1097/00002508-200106000-00011. Go to original source... Go to PubMed...
    6. Chan JY, von Baeyer CL (2016). Cognitive developmental influences on the ability of preschool-aged children to self-report their pain intensity. Pain 157(5): 997-1001. DOI: 10.1097/j.pain.0000000000000476. Go to original source... Go to PubMed...
    7. Chang J, Versloot J, Fashler SR, McCrystal KN, Craig KD (2015). Pain assessment in children: validity of facial expression items in observational pain scales. Clin J Pain 31(3): 189-197. DOI: 10.1097/AJP.0000000000000103. Go to original source... Go to PubMed...
    8. Emmott AS, West N, Zhou G, Dunsmuir D, Montgomery CJ, von Baeyer CL, et al. (2017). Validity of Simplified Versus Standard Self-Report Measures of Pain Intensity in Preschool-Aged Children Undergoing Venipuncture. J Pain 18(5): 564-573. DOI: 10.1016/j.jpain.2016.12.015. Go to original source... Go to PubMed...
    9. Goodenough B, Addicoat L, Champion GD, McInerney M, Young B, Juniper K, Ziegler JB (1997). Pain in 4- to 6-year-old children receiving intramuscular injections: a comparison of the Faces Pain Scale with other self-report and behavioral measures. Clin J Pain 13(1): 60-73. DOI: 10.1097/00002508-199703000-00009. Go to original source... Go to PubMed...
    10. Hesselgard K, Larsson S, Romner B, Strömblad LG, Reinstrup P (2007). Validity and reliability of the Behavioural ObservationalPain Scale for postoperative pain measurement in children 1-7 years of age. Pediatr Crit Care Med 8(2): 102-108. DOI: 10.1097/01.PCC.0000257098.32268.AA. Go to original source... Go to PubMed...
    11. Hunter M, McDowell L, Hennessy R, Cassey J (2000). An evaluation of the Faces Pain Scale with young children. J Pain Symptom Manage 20(2): 122-129. DOI: 10.1016/s0885-3924(00)00171-8. Go to original source... Go to PubMed...
    12. International Association for the Study of Pain (IASP) (2021). Terminology. [online] [cit. 2021-03-29]. Available from: https://www.iasp-pain.org/terminology?navItemNumber=576
    13. Jung JH, Lee JH, Kim DK, Jung JY, Chang I, Kwon H, et al. (2018). Validation of the "Pain Block" concrete ordinal scale for children aged 4 to 7 years. Pain 59(4): 656-662. DOI: 10.1097/j.pain.0000000000001131. Go to original source... Go to PubMed...
    14. McGrath PJ, McAlpine L (1993). Psychologic perspectives on pediatric pain. J Pediatr 122(5): S2-S8. DOI: 10.1016/S0022-3476(11)80002-8. Go to original source... Go to PubMed...
    15. McGrath P, Goodman JT, Johnson G, Schillinger J, Dunn J, Chapman JA (1985). CHEOPS: a behavioral scale for rating postoperative pain in children. Adv Pain Res Ther 9: 395-402.
    16. Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S (1997). The FLACC: a behavioral scale for scoring postoperative pain in young children. J Pediatr Nurs 23(3): 293-297. Go to PubMed...
    17. Moher D, Liberati A, Tetzlaff J, Altman DG (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339: b2535-b2535. DOI: 10.1136/bmj.b2535. Go to original source... Go to PubMed...
    18. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H (2020). Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z (Eds). JBI Manual for Evidence Synthesis, JBI, 2020. DOI: 10.46658/JBIMES-20-12. Go to original source...
    19. Plevová I, Slowik R, Kulhánková J, Buchwaldková D, Tydlačková R (2012). Hodnocení bolesti u dětí. Využití měřicích nástrojů v ošetřovatelské praxi. Pediatr praxi 13(3): 193-197.
    20. Sedlářová P (2008). Základní ošetřovatelská péče v pediatrii. Praha: Grada, 248 p.
    21. Singer AJ, Gulla J, Thode HC, Jr. (2002). Parents and practitioners are poor judges of young children's pain severity. Acad Emerg Med 9(6): 609-12. DOI: 10.1111/j.1553-2712.2002.tb02298.x. Go to original source... Go to PubMed...
    22. Stanley M, Pollard D (2013). Relationship between knowledge, attitudes, and self-efficacy of nurses in the management of pediatric pain. Pediatr Nurs 39(4): 165-171. Go to PubMed...
    23. Tarbell SE, Cohen TI, Marsh JL (1992). The Toddler-Preschooler Postoperative Pain Scale: an observational scale for measuring postoperative pain in children aged 1-5. Pain 50(3): 273-280. DOI: 10.1016/0304-3959(92)90031-6. Go to original source... Go to PubMed...
    24. Thirion J, O'Riordan MA, Stormorken A (2015). Revisiting the Pieces of Hurt pain assessment tool - do the pieces matter? Pediatric Pain Letter 17(1): 1-4.
    25. von Baeyer CL (2009). Children's self-report of pain intensity: what we know, where we are headed. Pain Res Manag 14(1): 39-45. DOI: 10.1155/2009/259759. Go to original source... Go to PubMed...
    26. von Baeyer CL, Uman LS, Chambers CT, Gouthro A (2011). Can we screen young children for their ability to provide accurate self-reports of pain? Pain 152(6): 1327-1333. DOI: 10.1016/j.pain.2011.02.013. Go to original source... Go to PubMed...
    27. Willis MHW, Merkel SI, Voepel-Lewis T, Malviya S (2003). FLACC Behavioral Pain Assessment Scale: a comparison with the child's self-report. Pediatr Nurs 29(3): 195-198. Go to PubMed...

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