A systematic review of the biopsychosocial dimensions affected by chronic pain in children and adolescents: identifying reliable and valid pediatric multidimensional chronic pain assessment tools

Author:

Greenough Megan J.12,Jibb Lindsay34,Lewis Krystina B.1,Bucknall Tracey56,Lamontagne Christine17,Demery Varin Melissa1,Sokalski Ashley2,Squires Janet Elaine89

Affiliation:

1. School of Nursing, University of Ottawa, Ottawa, ON, Canada

2. Chronic Pain Services at The Children's Hospital of Eastern Ontario, Ottawa, ON, Canada

3. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada

4. Pediatric Nursing Research, SickKids Hospital, Toronto, ON, Canada

5. School of Nursing, Deakin University, Burwood Victoria, Melbourne, Australia

6. Centre for Quality and Patient Safety Research, Institute for Health Transformation, Geelong, Australia

7. Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada

8. University Research Chair in Health Evidence Implementation & School of Nursing, University of Ottawa, Ottawa, ON, Canada

9. The Ottawa Hospital Research Institute, Ottawa, ON, Canada

Abstract

Abstract Pediatric chronic pain is a complex experience that is often challenging to describe and measure. Multidimensional tools that evaluate the biopsychosocial impact of chronic pain in pediatric patients can help clinicians to prioritize and tailor interdisciplinary pain care; yet, the psychometric value and clinical utility of such tools has not yet been systematically studied in the literature. The purpose of this review was to identify multidimensional biopsychosocial tools used in pediatric chronic pain, synthesize their reliability and validity evidence, and draw on this evidence to describe the relationships between chronic pain and biopsychosocial domains. The search involved 2 phases to (1) identify eligible tools and (2) conduct a measured forward citation search of tool development articles. Tool eligibility was guided by the Multidimensional Biobehavioral Model of Pediatric Pain and study eligibility was focused on primary chronic pain diagnoses unrelated to disease. Data extraction was focused on reliability and validity evidence of eligible tools, guided by the Standards for Educational and Psychological Testing. Results yielded 6 tools that included 64 eligible studies, highlighting 84 significant relationships between pain and functional interference across 11 biopsychosocial variables. All tools were shown to have good internal consistency and evidence of validity, primarily through relationships to other variables. Of the 6 tools, the most brief and easy to use were the most under studied. Further psychometric research is warranted for these tools to investigate their clinical utility and psychometric properties in guiding and prioritizing pain care for children and adolescents.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Anesthesiology and Pain Medicine

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