Content validation of a Critical Appraisal Tool for Reviewing Analgesia Studies (CATRAS) involving subjects incapable of self-reporting pain

Leon N Warne, Stephan A Schug, Thierry Beths, Juliana T Brondani, Jennifer E Carter, B Duncan X Lascelles, Anthea L Raisis, Sheilah A Robertson, Paulo V M Steagall, Polly M Taylor, Ted Whittem, Sébastien H Bauquier

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Abstract

Introduction: This article reports the content validation of a Critical Appraisal Tool designed to Review the quality of Analgesia Studies (CATRAS) involving subjects incapable of self-reporting pain and provide guidance as to the strengths and weakness of findings. The CATRAS quality items encompass 3 domains: level of evidence, methodological soundness, and grading of the pain assessment tool.

Objectives: To validate a critical appraisal tool for reviewing analgesia studies involving subjects incapable of self-reporting pain.

Methods: Content validation was achieved using Delphi methodology through panel consensus. A panel of 6 experts reviewed the CATRAS in 3 rounds and quantitatively rated the relevance of the instrument and each of its quality items to their respective domains.

Results: Content validation was achieved for each item of the CATRAS and the tool as a whole. Item-level content validity index and kappa coefficient were at least greater than 0.83 and 0.81, respectively, for all items except for one item in domain 2 that was later removed. Scale-level content validity index was 97% (excellent content validity).

Conclusions: This 67-item critical appraisal tool may enable critical and quantitative assessment of the quality of individual analgesia trials involving subjects incapable of self-reporting pain for use in systematic reviews and meta-analysis studies.

Original languageEnglish
Article numbere670
JournalPain Reports
Volume3
Issue number4
DOIs
Publication statusPublished - 21 Aug 2018

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    Warne, L. N., Schug, S. A., Beths, T., Brondani, J. T., Carter, J. E., Lascelles, B. D. X., Raisis, A. L., Robertson, S. A., Steagall, P. V. M., Taylor, P. M., Whittem, T., & Bauquier, S. H. (2018). Content validation of a Critical Appraisal Tool for Reviewing Analgesia Studies (CATRAS) involving subjects incapable of self-reporting pain. Pain Reports, 3(4), [e670]. https://doi.org/10.1097/PR9.0000000000000670