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Psychometric Testing of the Turkish Version of the Premature Infant Pain Profile Revised-PIPP-R

Ayşe Şener Taplak1, Meral Bayat2

  • 1Yozgat Bozok University, Faculty of Health Sciences, Department of Pediatric Nursing, Turkey.

Journal of Pediatric Nursing
|June 24, 2019
PubMed

Insights

The Turkish version of the Premature Infant Pain Profile-Revised Form (PIPP-R) is a valid and reliable tool for assessing pain in premature infants. This study confirms its high sensitivity and selectivity for the Turkish population.

Area of Science:

  • Neonatal care
  • Pain assessment
  • Methodological studies

Background:

  • Accurate pain assessment in premature infants is crucial for optimal clinical management.
  • Existing pain assessment tools may require cultural adaptation and validation for specific populations.
  • The Premature Infant Pain Profile-Revised Form (PIPP-R) is a widely used tool for infant pain assessment.

Purpose of the Study:

  • To determine the Turkish validity, reliability, sensitivity, and selectivity of the Premature Infant Pain Profile-Revised Form (PIPP-R).
  • To establish PIPP-R as a suitable instrument for pain assessment in Turkish neonates.

Main Methods:

  • Methodological study involving 200 newborn infants (26-42 weeks gestational age).
  • Assessed language, content, and construct validity (expert opinions, factor analysis).
  • Evaluated reliability (Cronbach's alpha, intra-class correlation) and sensitivity/selectivity (91% sensitivity, 88% selectivity).

Main Results:

  • Content validity index was 0.88; factor analysis confirmed a three-factor structure.
  • High reliability was demonstrated (Cronbach's alpha = 0.840; intra-class correlation = 0.944-1.000).
  • PIPP-R showed high sensitivity (91%) and selectivity (88%) in pain assessment.

Conclusions:

  • The Turkish version of PIPP-R is a valid, reliable, sensitive, and selective tool for pain assessment in the Turkish neonatal population.
  • The findings support the use of PIPP-R for clinical practice and research involving Turkish premature infants.
  • This validated instrument can improve pain management strategies for vulnerable neonates.

Keywords:
PIPP-RSelectivity and sensitivityValidity and reliability

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