This research was aimed at developing a tool for pain assessment specifically for parents to use with children of the Isaan culture of Northeast Thailand. The Khon Kaen University (KKU) Pediatric Pain Assessment Tool was first constructed through the use of a qualitative study and literature reviews. Then, it was modified using the results of a pilot study with 38 stakeholders. Seventeen nurses, 150 postoperative children, and 150 family caregivers participated in a study comparing the tool with the standard Faces Scale and Numeric Rating Scale. Results revealed no difference in children's pain scores, as well as no statistical difference in children's pain score ratings between the three groups, suggesting the new tool is appropriate for Isaan children.
Aradine, C.R., Beyer, J.E., & Tompkin, J.M. (1988). Children's pain perception before and after analgesia: A study of instrument construct validity and related issues. Journal of Pediatric Nursing, 3, 11-23.
2.
Badr, L.K., Puzantian, H., Abboud, M., Abdallah, A., & Shahine, R. (2006). Assessing procedural pain in children with cancer in Beirut, Lebanon. Journal of Pediatric Oncology Nursing , 23, 311-320.
3.
Baker, S. (1995). Family centred care: A theory practice dilemma . Paediatric Nursing, 7, 17-20.
4.
Berg, D.M. (1993). Pain assessment tool preference among adults. Unpublished manuscript. Indianapolis: Indiana University School of Nursing.
5.
Beyer, J.E., McGrath, P.J., & Berde, C.B. (1990). Discordance between self-report and behavioral pain measures in children aged 3-7 years after surgery. Journal of Pain and Symptom Management, 5, 350-356.
6.
Bieri, D., Reeve, R., Champion, G.D., Addicoat, L., & Ziegler, J. (1990).The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: Development, initial validation and preliminary investigation for ratio scale properties. Pain, 41, 139-150.
7.
Bosenberg, A., Thomas, J., Lopez, T., Kokinsky, E., & Larsson, I.E. (2003). Validation of a six-graded faces scale for evaluation of postoperative pain in children. Paediatric Anaesthesia , 13, 708-713.
8.
Bouvette, M., Fothergill-Bourbounnais, F., & Perrault, A. (2002). Implementation of the pain and symptom assessment record (PSAR). Journal of Advanced Nursing, 40, 685-700.
9.
Bruce, L., & Franck, L. (2003). Children's pain assessment: Implementing best nursing practices. London: Great Ormond Street Hospital for Children NHS Trust and Institute of Child Health .
10.
Buarapa, T. (1997). Traditions and rituals for Isaan child rearing [In Thai]. Mahasarakham, Thailand: Mahasarakham University, The Research Institute of Northeastern Art and Culture .
11.
Chambers, C.T., Giesbrecht, K., Craig, K.D., & Bennett, E.H. (1999). A comparison of faces scales for the measurement of pediatric pain: Children's and parents' ratings. Pain, 83, 25-35.
12.
Chambers, C.T., Hardial, J., Craig, K.D., Court, C., & Montgomery, C. (2005). Faces scales for measurement of postoperative pain intensity in children following minor surgery. Clinical Journal of Pain, 21(3), 277-285.
13.
Chambers, C.T., Reid, G.J., McGrath, P.J., & Finley, A. (1996). Development and preliminary validation of a postoperative pain measure for parents. Pain, 68, 307-313.
14.
Chambers, C.T., Reid, G.J., McGrath, P.J., & Finley, G.A. (1997). Self-administration of over-the-counter medication for pain among adolescents. Archives of Pediatrics and Adolescent Medicine, 151, 449-455.
15.
Champion, G.D., Goodenough, B., von Baeyer, C.L., & Thomas, W. (1998). Measurement of pain by self-report. In G. A. Finley & P. J. McGrath (Eds.), Measurement of pain in infants and children (Vol. 10, pp. 123-160). Seattle, WA : IASP Press.
16.
Coffman, S., Alvarez, Y., Pyngolit, M., Petit, R., Hall, C., & Amyth, M. (1997). Nursing assessment and management of pain in critical ill children. Heart & Lung, 26, 221-228.
17.
Colwel, C., Clark, L., & Perkins, R. (1996). Postoperative use of pediatric pain scales: Children's self-report versus nurse assessment of pain intensity and affect. Journal of Pediatric Nursing, 11, 375-382.
18.
Crichton, N. (2000). Wilcoxon Signed Rank Test. Journal of Clinical Nursing, 9, 584.
19.
Cummings, J. (1997). Thailand: A lonely planet survival kit. Melbourne, Australia: Lonely Planet.
20.
Drendel, A.L., Brousseau, D.C., & Gorelick, M.H. (2006). Pain assessment for pediatric patients in the emergency department. Pediatrics, 117, 1511-1518.
21.
Finley, G.A., McGrath, P.J., Forward, S.P., McNeill, G., & Fitzgerald, P. (1996). Parents' management of children's pain following "minor" surgery. Pain, 64, 83-87.
22.
Fradet, C., McGrath, P.J., Kay, J., Adams, S., & Like, B. (1990). A prospective survey of reactions to blood tests by children and adolescents. Pain, 40, 53-60.
23.
Gharaibeh, M., & Abu-Saad, H. (2002). Cultural validation of pediatric pain assessment tools: Jordanian perspective. Journal of Transcultural Nursing , 13, 12-18.
24.
Harbeck, C., & Peterson, L. (1992). Elephants dancing in my head: A developmental approach to children's concepts of specific pain. Children Development, 63, 138-149.
25.
Harris, M.R., & Warren, I. (1995). Patient outcomes: Assessment issues for the CNS . Clinical Nurse Specialist, 9, 82-86.
26.
Harrison, A. (1993). Comparing nurses' and patients' pain evaluations: A study of hospitalized patients in Kuwait. Social Science & Medicine, 36(5), 683-692.
27.
He, H., Pölkki, T., Pietilä, A., & Vehvilainen-Julkunen, K. (2005). A survey of Chinese nurses' guidance to parents in children's postoperative pain relief. Journal of Clinical Nursing, 14, 1075-1082.
28.
Hicks, C.L., von Baeyer, C.L., Spafford, P., von Spafford, P.A., von Korlaar, I., & Goodenough, B. (2001). The Faces Pain Scale-Revised: Toward a common metric in pediatric pain measurement. Pain , 93, 173-183.
29.
Hinojosa, R.J. (1997). Comparisons of pain rating from postoperative children, their mother, and their nurses: A research critique. Plastic Surgical Nursing, 17, 33-36.
30.
Hutchfield, K. (1999). Family-centred care: A concept analysis. Journal of Advanced Nursing, 29, 1178-1187.
31.
Jongudomkarn, D. (2003). Pain in children & adolescents: Holistic family-centred nursing approach [In Thai]. Khon Kaen, Thailand: Siripan Offset.
32.
Jongudomkarn, D., Aungsupakorn, N., & Camfield, L. (2006). The meanings of pain: A qualitative study of the perspectives of children living with pain in northeastern Thailand. Nursing and Health Sciences, 8, 156-163.
33.
Jongudomkarn, D., Aungsupakorn, N., Praekao, P., & Krichkhaluehas, W. (2004). Families living with pain: Being in pain as a child is [In Thai]. Journal of Scientific Technology of Mahasarakham University, 24(2), 69-79.
34.
Lasch, K.E. (2000). Culture, pain, and culturally sensitive pain care . Pain Management Nursing, 1(3, Part 2), 16-22.
35.
McCaffery, M. (1977). Pain relief for the child. Pediatric Nursing, 7, 11-16.
36.
McGrath, P.A. (1990). Pain in children: Nature, assessment, and treatment . New York: Guilford.
37.
McGrath, P.J. (1998). Behavioral measures of pain. In G. A. Finley & P. J. McGrath (Eds.), Measurement of pain in infants and children: Progress in pain research and management (Vol. 10, pp. 83-102). Seattle, WA: IASP Press.
38.
McGrath, P.J., & Unruh, A.M. (1987). Pain in children and adolescents. Amsterdam: Elsevier.
39.
Miller, D. (1996). Comparison of pain ratings from postoperative children, their mothers, and their nurses. Pediatric Nursing , 22, 145-149.
40.
Newman, J., Lolekha, R., Limkittikul, K., Luangxay, K., Chotpitayasunodh, T., & Chanthavanich, P.A. (2005). Comparison of pain score scales in Thai children. Archives of Disease in Childhood , 90, 269-270.
41.
Patamasiriwattana, A., Chansom, N., Siriprachai, S., Siriprapa, J., Chaisrisawat, S., & Saentaweesuk, K. (2004). The development of an administrative quality indicator for the local government officers [In Thai] . Bangkok: NIDA.
42.
Pedhasur, E.J., & Schmelkin, L.P. (1991). Measurement, design, and analysis: An integrated approach. Hillsdale, NJ: Lawrence Erlbaum.
43.
Piaget, J., & Inhelder, B. (1969). Psychology of the child. New York: Basic Books.
44.
Price, D.D., Bush, F.M., Long, S., & Harkinsc, S.W. (1994). A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales. Pain, 56, 217-226.
45.
Redden, G. (2005). The family culture of pain. The National Violence Prevention Project. St Louis, Missouri. Retrieved May 5, 2005, from http://fostersurvivor.netfirms.com/excerpt.shtml
46.
Reid, G.J., Hebb, J.P.O., McGrath, P.J., Finley, G.A., & Forward, S.P. (1995). Cues parents use to assess postoperative pain in their children. Clinical Journal of Pain, 11, 229-235.
47.
Schafheutle, E.I., Cantrill, J.A., & Noyce, P.R. (2004). The nature of informal pain questioning by nurses-A barrier to post-operative pain management? Pharmacy World Science, 26, 12-17.
48.
Simons, J.M., & Macdonald, L.M. (2004). Pain assessment tools: Children's nurses' views. Journal of Child Health Care, 8, 264-278.
49.
Stein, P. (1995). Indices of pain intensity: Construct validity among preschoolers. Paediatric Nursing, 21, 119-123.
50.
Stevens, B. (1990). Development and testing of a pediatric pain management sheet. Pediatric Nursing, 16, 543-548.
51.
Suraseranivongse, S., Kaosaard, R., Intakong, P., Pornsiriprasert, S., Karnchana, Y., Kaopinpruk, J., et al. (2005). A comparison of postoperative pain scales in neonates. British Journal of Anaesthesia, 97, 540-544.
52.
Thammawat, J. (1997). Isan health visiting pattern [In Thai]. Mahasarakham, Thailand: Mahasarakham University Press .
53.
Treadwell, M.J., Franck, L.S., & Vichinsky, E. (2002). Using quality improvement strategies to enhance pediatric pain assessment. International Journal for Quality in Health Care, 14, 39-47.
54.
Vanichbuncha, K. (2003). SPDD for Windows: Principles for analysis (6th ed.) [In Thai]. Bangkok: Thammasarn .
55.
Vetter, T.R., & Heiner, E.J. (1996). Discordance between patient self-reported visual analog scale pain scores and observed pain-related behaviour in older children after surgery. Journal of Clinical Anesthesia, 8, 371-375.
56.
Watt-Watson, J.H., Evernden, C., & Lawson, C. (1990). Parents' perceptions of their child's acute pain experience. Journal of Pediatric Nursing, 5, 344-349.
57.
Wilson, G.A.M., & Doyle, E. (1996). Validation of three paediatric pain scores for use by parents. Anaesthesia, 51, 1005-1007.
58.
Wiroonpanich, W., & Strickland, J.C. (2004). Normalizing: Postoperative acute abdominal surgical pain in Thai children. Journal of Pediatric Nursing, 19, 104-112.
59.
Wong, D.L., & Baker, C.M. (1988). Pain in children: Comparison of assessment scales . Pediatric Nursing, 14, 9-17.
60.
Wong, D.L., & Baker, C.M. (2002). FACES Pain Rating Scale. Wong on Web. Retrieved May 26, 2005, from http://www.3.us.elsevierhealth.com/WOW
61.
Wong, D.L., & DiVito-Thomas, P. (2005). The validity, reliability, and preference of the Wong-Baker FACES Pain Rating Scale among Chinese, Japanese, and Thai children. Wong on Web. Retrieved November 17, 2006, from http://www.mosbysdrugconsult.com/WOW/op080.html
