Tradução e adaptação transcultural de duas escalas para avaliação da dor em crianças e adolescentes

Abstract

Objective: To translate, back-translate and cross-culturally adapt the content of the FLACC (Face, Legs, Activity, Cry, Consolability) and Faces Pain Scale-Revised (FPS-R) scales for the evaluation of pain in Brazilian young students and adolescents. Methods:The original scales in English were translated into Brazilian Portuguese. Scales thus obtained were back translated and reviewed. Cross-cultural adaptation included the submission of the reviewed version of the scales to 12 experts to obtain data on comprehensibility, appropriateness and acceptability. A pretest was carried out in a convenience sample (20 patients and 22 health care professionals) to assess the content of the scales. The cancer patients, 7-17 years of age, were receiving care at the outpatient department or in the pediatric ward of the National Cancer Institute.Results: After inclusion of the recommendations made by the different professionals who participated in the processes of translation, back-translation and content evaluation of the scales, pretesting showed that 90% and 100% of participants, respectively, understood the content of the scales; the mean score for comprehension ranged from 8.8 to 10.0 in a scale ranging from 1 to 10, with higher scores indicating better understanding. Conclusions:Both scales were found to be easily comprehensible for the evaluation of pain in Brazilian children and adolescents with cancer.J Pediatr (Rio J). 2008;84(4):344-349: Pain assessment, pain measurement, children, adolescents, cancer, Brazilians.

Semantic validation of subtitles and analysis of understanding of pictograms taken from the United States Pharmacopeia Dispensing Information (USP-DI)

“…Silva and Thuler (2008) stress that it is important for translation to be performed by professionals whose mother tongue and culture are the same as those of the target audience. In addition, literal equivalence in translation may be insufficient to maintain the intention of an item between different cultures (Malloy-Diniz et al, 2010).…”

Dor pós-operatória em crianças: uma abordagem de gênero

“…According to the scales used for pain measurement in children, although most girls and boys chose the CMFS, behaviors in terms of other choices was very different, according to the preference distribution for the other face scales. Studies have affirmed that face scales seem to be the best option for pain measurement in children over five years old (3,(21)(22) . Regarding the scale the children declared they liked most, it should be questioned whether this preference does not derive from the fact that the CMFS is the only scale that permits sexual distinction through the female (Mônica) and male (Cebolinha) characters, enhancing gender identification.…”

“…intRodUction Postoperative pain represents an obstacle for quality of life in pediatrics and adequate management of this experience represents a challenge to be solved in the surgical context. It is undeniable that, in many children, pain is still insufficiently assessed and treated, despite the advances achieved in the study of the pain phenomenon (1)(2)(3) .…”

Treatment time, pain experience and acceptability of the technique for caries removal in primary teeth using the ART approach with or without Brix3000™ papain gel: a preliminary randomised controlled clinical trial

“…Pain experience was assessed at the same three moments (start of prophylaxis, caries removal and dental restoration), by the same examiners who measured the time (KMS, MAW and AOS). The Face, Legs, Activity, Cry, Consolability-revised scale (FLACC-r) developed to assess postoperative pain (Bussotti et al 2015 ; Silva and Thuller 2008 ; Malviya et al 2006 ) was used for evaluation: evaluators scored the child’s body expressions—via (F) face; (L) legs; (A) activity; (C) crying; and (C) consolability—from 0 to 2, summing to a total score from 0 and 10. A total of 0–3 was classified as mild pain, 4–6 as moderate pain, and 7–10 as severe pain (Table 1 ).…”