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Pain Management 2019 & Internal Medicine 2019
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 84
JOINT EVENT
7
th
Edition of International Conference on
Pain Management
8
th
Edition of International Conference on
Internal Medicine &
Patient Care
&
March 25-26, 2019
Rome, Italy
Int J Anesth Pain Med 2019, Volume 5
DOI: 10.21767/2471-982X-C1-006
Validity and reliability of Arabic version of
the ID pain screening questionnaire in the
assessment of neuropathic pain
Amani Abu-Shaheen
1
, Humariya Heena
1
, Shehu Yousef
1
, Sarfaraz Khan
1
,
Muhammad Riaz
2
and
Abdullah Nofal
3
1
King Fahad Medical City, Saudi Arabia
2
University of Leicester, United Kingdom
3
King Saud University Medical City, Saudi Arabia
Introduction:
Diagnosis of neuropathic pain (NP) can be
challenging. The ID Pain (ID-P) questionnaire, a screening
tool for NP, has been translated in several languages and
is widely used. However, ID-P validation process has not
been done in the Arab population. The ID-P tool appears
to accurately indicate the presence of neuropathic
component of pain. This simple tool, which can be self-
administered, could be of immense use in primary care
settings. Thus, the aim of this study was to develop an
Arabic version of ID-Pand assess its validity and reliability
in detecting neuropathic pain.
Methods:
The original ID-P was translated in Arabic
language and administered to the study population.
The adaptation procedure was monitored by a seven-
member expert panel including two specialists in pain
management, an expert in methodology, an expert in
clinical research, and an expert in linguistics. Patients
were divided into two groups. First group included
patients diagnosed with NP by a pain specialist in pain
clinics as per the guidelines established by the IASP,
whereas the second study group included patients with
nociceptive pain (NocP). The Arabic version of the ID-
Pain was administered twice to the study population, by
the same investigator. Reliability of the Arabic version
was evaluated by percentage observed agreement, and
Cohen’s kappa; and validity by sensitivity, specificity,
correctly classified, and receiver operating characteristic
(ROC) curve. Physician diagnosis was considered as the
gold standard for comparing the diagnostic accuracy.
Results:
The study included 375 adult patients (153
[40.8%] with NP; 222 [59.2%] with nociceptive pain).
Overall observed percentage agreement and Cohen’s
kappa were >90% and >0.80, respectively. Median (range)
score of ID-P scale was 3 (2±4) and 1 (0± 2) in the NP
groupandNocPgroup, respectively (p<0.001). Areaunder
the ROC curve was 0.808 (95% CI, 0.764±0.851). For the
cut-off value of _2, sensitivity was 84.3%, specificity was
66.7%, and correct classification was 73.9%. Thus, the
Arabic version of ID-P showed moderate reliability and
validity as a pain assessment tool.
Conclusions:
This article presents the psychometric
properties of the Arabic version of ID Pain questionnaire.
This Arabic version may serve as a simple yet important
screening tool, and help in appropriate management of
neuropathic pain, specifically in primary care centers.
aabushaheen@kfmc.med.sa