Evaluation of the Reliability and Validity of the Behavioral Indicators of Infant Pain Scale in Chinese Neonates |
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| Institution: | 1. Medical College, Hangzhou Normal University, Hangzhou, China;2. Leshan Vocational and Technical College, Leshan, China;3. People''s Hospital of Hangzhou Medical College, Hangzhou, China;4. Faculty of Medicine and Health, Lishui University, Lishui, China;1. University Health Network, Bariatric Surgery Program, Toronto Western Hospital, Toronto, Canada;2. Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada;3. University Health Network, Acute Pain Service, Toronto Western Hospital, Toronto, Canada;4. Faculty of Applied Science and Engineering, University of Toronto, Toronto, Canada;1. College of Nursing, All India Institute of Medical Sciences (AIIMS), New Delhi, India;2. College of Nursing, Sri Ramaswami Memorial (SRM) University, Chennai, India;3. Mednakshi Ammal Dental College, Meenakshi University, Chennai, India;4. Neurology Department, All India Institute of Medical Sciences (AIIMS), New Delhi, India;6. Obstetrics and Gynecology (OBG) Department, All India Institute of Medical Sciences (AIIMS), New Delhi, India;5. National Institute of Nursing Education (NINE), Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India;1. Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China;2. Zhejiang Provincial People''s Hospital, People''s Hospital of Hangzhou Medical College, Hangzhou, China;3. Hangzhou Normal University, Hangzhou, China;1. Department of Nursing, Suncheon National University, Suncheon-si, Jollanamdo, Republic of Korea;2. College of Nursing, Chung-Ang University, Seoul, Republic of Korea |
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| Abstract: | BackgroundBehavioral Indicators of Infant Pain scale (BIIP) has been shown to be a good tool to assess pain in infants.AimsThis paper aimed to translate BIIP into Chinese and evaluate its reliability and validity for neonates in China.DesignA prospective observational study.Setting and ParticipantsA convenience sample of 396 neonates (preterm and term infants) were recruited from neonatal intensive care units in China from July to October 2016.MethodsThe BIIP was translated and adjusted for semantic adaption.396 neonates were assessed during 3 phases of blood collection from an artery/vein. A video camera was positioned for a close-up view of the face and body. The neonates’ pain was rated independently by 2 nurses who were trained and familiar with the Chinese version of BIIP (C-BIIP)and FLACC (Facial expression, Legs, Activity, Crying and Consolability).ResultsThe internal consistency were 0.904 (preterm) and 0.895 (term). The test-retest reliability were 0.947 (preterm) and 0.938 (term) and the interclass correlation coefficients were 0.921 to 0.959 (preterm) and 0.921 to 0.959 (term). The correlations between the C-BIIP and FLACC were high (preterm: r = 0.948, term: r = 0.896). Using the C-BIIP, the 3 phases of blood collection were found to be statistically different (preterm: F = 635.76, term: F = 675.54; P < 0.001), which showed that the construct validity of C-BIIP was good.ConclusionThe BIIP is a reliable and valid tool to assess pain in term and preterm neonates in China. |
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