The Concept of Pain Inventory (COPI): Assessing a Child's Concept of Pain.

Pate, JW; Simons, LE; Hancock, MJ; Hush, JM; Noblet, T; Pounder, M; Pacey, V

The Concept of Pain Inventory (COPI): Assessing a Child's Concept of Pain.

Pate, JW Simons, LE Hancock, MJ Hush, JM Noblet, T Pounder, M Pacey, V

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Publisher:: LIPPINCOTT WILLIAMS & WILKINS
Publication Type:: Journal Article
Citation:: The Clinical journal of pain, 2020, 36, (12), pp. 940-949
Issue Date:: 2020-12

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Field	Value	Language
dc.contributor.author	Pate, JW
dc.contributor.author	Simons, LE
dc.contributor.author	Hancock, MJ
dc.contributor.author	Hush, JM
dc.contributor.author	Noblet, T
dc.contributor.author	Pounder, M
dc.contributor.author	Pacey, V
dc.date.accessioned	2021-03-17T03:17:22Z
dc.date.available	2021-03-17T03:17:22Z
dc.date.issued	2020-12
dc.identifier.citation	The Clinical journal of pain, 2020, 36, (12), pp. 940-949
dc.identifier.issn	0749-8047
dc.identifier.issn	1536-5409
dc.identifier.uri	http://hdl.handle.net/10453/147287
dc.description.abstract	OBJECTIVES:Clinical guidelines recommend that health care providers assist children to understand their experience of persistent pain, with pain science education a key component of clinical management in pediatric pain clinics. Currently, no tool exists to assess a child's concept of pain. The aim of this study was to develop such a tool and to evaluate its psychometric properties. METHODS:After a rigorous process to generate items, assess content validity, evaluate readability and understandability, and pretest items, a cohort of 124 children (aged 8 to 12 y) independently completed the measure on 2 occasions, along with additional measures of pain, function, and pain-related distress. RESULTS:The resulting unidimensional 14-item Concept of Pain Inventory (COPI) had acceptable internal consistency (α= 0.78) and moderate test-retest reliability (intraclass correlation coefficient (3,1) = 0.55; 95% CI, 0.37-0.68). Higher COPI scores reflect greater alignment with contemporary pain science. COPI scores were inversely correlated with pain intensity and functional disability, but unrelated to pain catastrophizing and pain-related fear. At 1 to 2 months' follow-up, baseline COPI scores were inversely correlated with clinical variables of functional disability and pain intensity. DISCUSSION:These results support the COPI as a brief, psychometrically sound tool to assess a child's concept of pain. Clinically, this tool may facilitate individualized pain science education to target identified conceptual "gaps" or misconceptions and to evaluate the effectiveness of pain science education in children. Further research examining its efficacy and impact is warranted.
dc.format	Print
dc.language	eng
dc.publisher	LIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartof	The Clinical journal of pain
dc.relation.isbasedon	10.1097/ajp.0000000000000884
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1109 Neurosciences
dc.subject.classification	Anesthesiology
dc.title	The Concept of Pain Inventory (COPI): Assessing a Child's Concept of Pain.
dc.type	Journal Article
utslib.citation.volume	36
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1109 Neurosciences
utslib.for	1103 Clinical Sciences
utslib.for	1109 Neurosciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Physiotherapy
utslib.copyright.status	closed_access	*
dc.date.updated	2021-03-17T03:17:21Z
pubs.issue	12
pubs.publication-status	Accepted
pubs.volume	36
utslib.citation.issue	12

Abstract:

OBJECTIVES:Clinical guidelines recommend that health care providers assist children to understand their experience of persistent pain, with pain science education a key component of clinical management in pediatric pain clinics. Currently, no tool exists to assess a child's concept of pain. The aim of this study was to develop such a tool and to evaluate its psychometric properties. METHODS:After a rigorous process to generate items, assess content validity, evaluate readability and understandability, and pretest items, a cohort of 124 children (aged 8 to 12 y) independently completed the measure on 2 occasions, along with additional measures of pain, function, and pain-related distress. RESULTS:The resulting unidimensional 14-item Concept of Pain Inventory (COPI) had acceptable internal consistency (α= 0.78) and moderate test-retest reliability (intraclass correlation coefficient (3,1) = 0.55; 95% CI, 0.37-0.68). Higher COPI scores reflect greater alignment with contemporary pain science. COPI scores were inversely correlated with pain intensity and functional disability, but unrelated to pain catastrophizing and pain-related fear. At 1 to 2 months' follow-up, baseline COPI scores were inversely correlated with clinical variables of functional disability and pain intensity. DISCUSSION:These results support the COPI as a brief, psychometrically sound tool to assess a child's concept of pain. Clinically, this tool may facilitate individualized pain science education to target identified conceptual "gaps" or misconceptions and to evaluate the effectiveness of pain science education in children. Further research examining its efficacy and impact is warranted.

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http://hdl.handle.net/10453/147287