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Can computer-based assessment help us understand children's pain?

Published online by Cambridge University Press:  16 August 2006

R. M. Calam
Affiliation:
School of Psychiatry and Behavioural Sciences, University of Manchester, Research and Teaching Building, Withington Hospital, West Didsbury, Manchester M20 8LR
P. Jimmieson
Affiliation:
Department of Computer Science, University of Liverpool, UK
A. D. Cox
Affiliation:
Department of Child Psychiatry, Guy's and St Thomas' Hospital Trust, London, UK
D. V. Glasgow
Affiliation:
Department of Forensic Clinical Psychology, Calderstones Hospital, Whalley, Lancashire
S. Groth Larsen
Affiliation:
Educational Psychology, Barnardos, Liverpool, UK
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Abstract

Good measures for self-report of pain in children are important, particularly as other informants tend to underestimate children's pain. This paper describes the development of a new computer-assisted approach to assessment of pain in children. The child can represent a range of different types of pains on body maps, and use two scales to indicate the size of the pain and the ‘throb’ or intensity. Facial expressions of associated emotions can also be incorporated into the figure. A series of ‘pain pages’ is included in the program. The pages allow changes in pain to be tracked over time, building up a cumulative record. The child can also report on different experiences and give retrospective accounts. Potential applications are suggested, for example in facilitating communication with children who find it difficult to give a clear verbal account of their pain, due to emotional difficulties, language or disability. Research directions are outlined.

Type
Original Article
Copyright
2000 European Society of Anaesthesiology

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