The evaluation of prolonged pain in the newborn: adaptation of the EDIN scale for the brazilian culture

Abstract

This study aims to undertake the translation and cultural adaptation of the Échelle Douleur Inconfort Nouveau-Né scale into Brazilian Portuguese, following the steps recommended internationally: a) dual translation into Brazilian Portuguese; b) a synthesis of the translations; c) back translation into the original language; d) evaluation by a panel of judges; and e) pre-testing. All internationally recommended steps were performed satisfactorily. The panel of judges made alterations in most parts of the instrument, in order to keep the semantic, idiomatic, conceptual and cultural equivalences between the original and the translated versions. Pre-testing revealed the translated version is easy to understand and to fill out, and rapid to use. The translation and cultural adaption of the EDIN into Brazilian Portuguese were successfully completed.

Neonatal Infant Pain Scale: Cross-Cultural Adaptation and Validation in Brazil

“…17e19 In the last few years, two newborn pain assessment scales were translated and adapted for the Brazilian culture, but they are not yet validated. 20,21 Both studies adopted the same process outlined by Beaton et al 7 and undertaken in the present study.…”

Validação da Échelle Douleur Inconfort Nouveau-Né para a cultura brasileira

“…The EDIN was adapted to the Brazilian culture (7) and it consists of five indicators that evaluate a neonate's facial activity, body movements, quality of sleep, quality of contact and consolability. Each indicator is rated by a fourpoint Likert scale ranging from 0 to 3.…”

“…Despite the lack of consensus, there is no doubt that the suffering of neonates admitted to NICU goes beyond acute pain (6) . The EDIN was developed based on studies with expert panels that grouped the signals expressed by neonates into different indicators after 2 consecutive years of observing them in potentially painful situations: Facial activity, Body movements, Quality of sleep, Quality of contact and Consolability (5,7) . These exclusively behavioral parameters have been described considering that they are more sensitive and specific for measuring prolonged pain, since physiological alterations may not be present in this type of pain since they are not maintained for long periods (6) .…”

“…Considering the following: a) the routine use of instruments that evaluate prolonged pain can reveal suffering that often goes unnoticed in the eyes of professionals, and thus promote better treatment as a way to qualify care to neonates; b) a lack of validated instruments in Brazilian culture that measure prolonged pain in neonates; c) that the development of a new instrument for evaluating a particular construct is generally a complex and time-consuming process, and for this reason the adaptation and validation of an instrument with consistent psychometric properties (5) for a new culture is much more advantageous; and finally, d) that EDIN has already been adapted for Brazilian culture (7) , thus the objective of the present study was to validate the Brazilian version of the Échelle Douleur Inconfort Nouveau-Né.…”

Translation, adaptation and validation the contents of the Diabetes Medical Management Plan for the Brazilian context

“…The Content Validity Index (CVI), defined by the sum of the relative frequencies of the three- and four-star responses was calculated to verify the level of concordance of the judges in relation to the adequacy of the items evaluated. A CVI greater than or equal to 0.78 was considered indicative of adequacy to the original text, for both the evaluation of each item and for the general evaluation of the instrument 13 . With higher CVIs indicating fewer changes needed to improve the text style.…”