Faces of pain during dental procedures: reliability of scoring facial expressions in print art

  • Background: Observational tools have been developed to assess pain in cognitively impaired individuals. It is not known, however, whether these tools are universal enough so that even pain depicted in print art can be assessed reliably. Therefore, the aim of this study was to assess the reliability in scoring facial expressions of pain in dental print art from the 17th, 18th, and 19th century, using a Short Form of the 15-item Pain Assessment in Impaired Cognition (PAIC15-SF) tool. Methods: Seventeen prints of patients undergoing dental procedures were scored twice by two inexperienced observers and an expert and once by a Gold Standard observer. Results: All observers achieved high intra-observer reliability for all four items of the category “facial expressions” and for three items of the category “body movements” (ICC: 0.748–0.991). The remaining two items of the category “body movements”, viz., “rubbing” and “restlessness”, were excluded from further research because it was notBackground: Observational tools have been developed to assess pain in cognitively impaired individuals. It is not known, however, whether these tools are universal enough so that even pain depicted in print art can be assessed reliably. Therefore, the aim of this study was to assess the reliability in scoring facial expressions of pain in dental print art from the 17th, 18th, and 19th century, using a Short Form of the 15-item Pain Assessment in Impaired Cognition (PAIC15-SF) tool. Methods: Seventeen prints of patients undergoing dental procedures were scored twice by two inexperienced observers and an expert and once by a Gold Standard observer. Results: All observers achieved high intra-observer reliability for all four items of the category “facial expressions” and for three items of the category “body movements” (ICC: 0.748–0.991). The remaining two items of the category “body movements”, viz., “rubbing” and “restlessness”, were excluded from further research because it was not possible to calculate a reliable ICC. Overall, the intra-observer reliability of the expert was higher than that of the inexperienced observers. The inter-observer reliability scores varied from poor to excellent (ICC: 0.000–0.970). In comparison to the Gold Standard, the inter-observer reliability of the expert was higher than that of the inexperienced observers. Conclusion: The PAIC15-SF tool is universal enough even to allow reliable assessment of facial expressions of pain depicted in dental print art.show moreshow less

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Metadaten
Author:Frank Lobbezoo, Xuan Mai Lam, Savannah de la Mar, Liza J. M. van de Rijt, Miriam Kunz, Maurits K. A. van Selms
URN:urn:nbn:de:bvb:384-opus4-896621
Frontdoor URLhttps://opus.bibliothek.uni-augsburg.de/opus4/89662
ISSN:2076-3425OPAC
Parent Title (English):Brain Sciences
Publisher:MDPI
Type:Article
Language:English
Date of first Publication:2021/09/14
Publishing Institution:Universität Augsburg
Release Date:2021/10/04
Tag:orofacial pain; non-verbal pain expressions; dental print art; reliability
Volume:11
Issue:9
First Page:1207
DOI:https://doi.org/10.3390/brainsci11091207
Institutes:Medizinische Fakultät
Medizinische Fakultät / Lehrstuhl für Medizinische Psychologie und Soziologie
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):CC-BY 4.0: Creative Commons: Namensnennung (mit Print on Demand)