Carers’ and paediatric dentists’ perceptions of children’s pain during restorative treatment
Purpose Parents/carers’ and dentists’ evaluations are important when assessing young children’s pain. However, there is little evidence on agreement regarding children’s pain according to proxy reports. The aims of this cross-sectional study were to investigate the agreement among paediatric dentists and parents/carers about children’s pain during treatment and the association between the reporting of pain and child behaviour. Methods Participants were 81 parents/carers of uncooperative children undergoing restorative treatment, and five paediatric dentists. Pain during dental treatment was assessed after dental procedures using the Visual Analogue Scale (0–4 mm: no pain; 5–44 mm: mild pain; 45–74 mm: moderate pain; 75–100 mm: severe pain). Child behaviour was assessed by calibrated researchers using the Ohio State University Behavioural Scale. The agreement between respondents about a child’s pain was evaluated using the weighted kappa test. The association between the pain report and child behaviour was verified using the Kruskal–Wallis and Mann–Whitney tests. Results Parents/carers (36, 44.4%) and paediatric dentists (40, 49.4%) reported that children felt mild pain in all sessions. The parents/carers reported that the children experienced higher pain intensities compared to paediatric dentists. The agreement between respondents was slight (weighted Kappa < 0.20). Higher pain intensities were more frequent when the children’s behaviour was uncooperative. Conclusion Parents/carers and paediatric dentists showed slight agreement regarding the pain felt by children in dental treatment. Pain proxy reporting in children is influenced by the children’s behaviour..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:21 |
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| Enthalten in: |
European archives of paediatric dentistry - 21(2019), 2 vom: 17. Okt., Seite 271-276 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Brilhante, V. O. M. [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
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| Anmerkungen: |
© European Academy of Paediatric Dentistry 2019 |
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| doi: |
10.1007/s40368-019-00486-w |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
OLC2072568358 |
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| 500 | |a © European Academy of Paediatric Dentistry 2019 | ||
| 520 | |a Purpose Parents/carers’ and dentists’ evaluations are important when assessing young children’s pain. However, there is little evidence on agreement regarding children’s pain according to proxy reports. The aims of this cross-sectional study were to investigate the agreement among paediatric dentists and parents/carers about children’s pain during treatment and the association between the reporting of pain and child behaviour. Methods Participants were 81 parents/carers of uncooperative children undergoing restorative treatment, and five paediatric dentists. Pain during dental treatment was assessed after dental procedures using the Visual Analogue Scale (0–4 mm: no pain; 5–44 mm: mild pain; 45–74 mm: moderate pain; 75–100 mm: severe pain). Child behaviour was assessed by calibrated researchers using the Ohio State University Behavioural Scale. The agreement between respondents about a child’s pain was evaluated using the weighted kappa test. The association between the pain report and child behaviour was verified using the Kruskal–Wallis and Mann–Whitney tests. Results Parents/carers (36, 44.4%) and paediatric dentists (40, 49.4%) reported that children felt mild pain in all sessions. The parents/carers reported that the children experienced higher pain intensities compared to paediatric dentists. The agreement between respondents was slight (weighted Kappa < 0.20). Higher pain intensities were more frequent when the children’s behaviour was uncooperative. Conclusion Parents/carers and paediatric dentists showed slight agreement regarding the pain felt by children in dental treatment. Pain proxy reporting in children is influenced by the children’s behaviour. | ||
| 650 | 4 | |a Child, preschool | |
| 650 | 4 | |a Parents | |
| 650 | 4 | |a Dentists | |
| 650 | 4 | |a Acute pain | |
| 650 | 4 | |a Pain, procedural | |
| 700 | 1 | |a Corrêa-Faria, P. |0 (orcid)0000-0002-0528-1425 |4 aut | |
| 700 | 1 | |a Machado, G. C. M. |0 (orcid)0000-0002-1734-4059 |4 aut | |
| 700 | 1 | |a Costa, L. R. |0 (orcid)0000-0001-7637-0049 |4 aut | |
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