Cultural adaptation and validation of the portuguese version of the Face, Legs, Activity, Cry, Consolability – Revised (FLACC-R) Scale.

Context: Children with multiple disabilities have nonspecific pain behaviors because of their cognitive and neuromuscular limitations. These behaviors are difficult to diagnose and interpret, which has led to under-treatment of pain in these children. Aim: To translate and validate both semantically...

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Publicado en:Revista de Enfermagem Referência no. 11; pp. 7 - 18
Autores principales: Cunha Batalha, Luís Manuel, Pessoa Mendes, Vera Mónica
Formato: research tables/charts Journal Article
Publicado: Escola Superior de Enfermagem de Coimbra dez2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: dez2013
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      pub: Escola Superior de Enfermagem de Coimbra
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        10.12707/RIII12101
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        atl: Cultural adaptation and validation of the portuguese version of the Face, Legs, Activity, Cry, Consolability – Revised (FLACC-R) Scale.
      aug:
        au:
          Cunha Batalha, Luís Manuel
          Pessoa Mendes, Vera Mónica
        affil: Doutorado em Biologia Humana, Mestre em ciências de Enfermagem – Pediatria, Especialista em Enfermagem de Saúde Infantil e Pediatria. Professor adjunto, Escola Superior de Enfermagem de Coimbra, 3046-851, Coimbra, Portugal
      sug:
        subj:
          Children with Disabilities
          Culture
          Instrument Validation
          Pain Measurement Methods
          Psychometrics
          Adolescence
          Child
          Child, Preschool
          Coefficient alpha
          Human
          Internal Consistency
          Intraclass Correlation Coefficient
          Reliability and Validity
          Scales
          Translations
          Adolescent: 13-18 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
      ab: Context: Children with multiple disabilities have nonspecific pain behaviors because of their cognitive and neuromuscular limitations. These behaviors are difficult to diagnose and interpret, which has led to under-treatment of pain in these children. Aim: To translate and validate both semantically and culturally the Face, Legs, Activity, Cry, Consolability – Revised (FLACC-R) Scale into Portuguese and assess its psychometric properties (validity and reliability) in children with multiple disabilities aged between 4 and 18 years. Methodology: Methodological study, including the development of panels, in which the scale was applied simultaneously and independently to 40 children who had been selected using random sampling. Results: The process of cultural validation was straightforward, despite the need to gain consensus on some expressions used in the indicators face, activity and consolability. Internal consistency using Cronbach’s alpha was 0.76. The level of agreement between observers using Kappa values ranged from 0.69 to 0.76. The intraclass correlation coefficient was 0.97. Conclusion: The FLACC-R/PT proved to be a valid and reliable instrument when used with children with multiple disabilities aged 4-18 years who were hospitalized in medical wards. However, recommendations include further studies and the application of the scale by nurses with training in pain assessment.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Portuguese
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