Development and preliminary testing of a culturally-friendly pain assessment tool for children (crying faces pain scale)

Background and aims: Having a universal tool for assessing pain in children is hamstrung by cultural sensitivity. This study aimed to develop and validate a culturally-friendly pain assessment tool (i.e. Crying Faces Pain Scale (CFPS)) among Nigerian Children. Material and methods: This study employed criterion-standard design. The study was in three phases, namely: (1) development of CFPS, (2) cross-validity and (3) validation of the CFPS. 70 children (39 (55.7%) males and 31 (44.3%) females) within the age range of 4-13 years who had post-surgical pain, orthopaedic pain, stomach pain or headache were involved in the validation phase. Psychometric properties and preferences for the CFPS compared with the Wong-Baker FACES Pain Rating Scale (FACES) were examined. Descriptive and inferential statistics were used to analyze the data. Alpha level was set at p<0.05. Results: The median score of the CFPS was 4.60 compared to FACES median score of 4.49. There was weak correlation between FACES and CFPS (r=0.325; p=0.006). Preference score as a culturally friendly tool for CFPS and FACES was 6.07±1.23 and 3.67 ±1.09 respectively, based on a modified 0-10 numerical pain scale. Conclusions: The crying faces pain scale has fair psychometric properties for assessing pain in children. However, CFPS was preferred to FACES as a culturally friendly tool for assessing pain among Nigerian children. Implications: The CFPS is more culturally friendly and so might be better suited as a pain scale in Africa. However, due to its fair psychometric properties, further studies may be needed to improve upon this scale

Oral health status and treatment needs of elderly people in Ile-ife, Nigeria

Background: Oral health is an important and often neglected component of an older person’s general health and well- being.Objectives: To determine the oral health status of elderly persons in Ile-Ife, Nigeria.Methods: The oral health status of 95 elderly patients who presented at the General outpatient clinic of the Obafemi Awolowo University Teaching Hospitals, Complex was investigated.Results: The mean age was 68.6 + 7.8 years. Seventy two percent had never been to the dentist while 69% had poor oral hygiene habit. Seventy percent had mobile teeth, 58.9% had missing teeth, and 30.5% had caries affecting the crown while 15.8% had root caries. Twenty two percent had retained roots while 10.5% had fillings and none of the patients wear dentures.Conclusions: There is a general neglect of oral health care and very low utilization of oral health care facilities among this group of patients

Family Structure and Oral Habits among Children Age 1 to 12 Years resident in Ile-Ife, Nigeria

bits are repetitive actions that are done automatically. These behaviours are started and stopped spontaneously with or without deleterious effect on the developing occlusion. Aim: To explore the family related factors associated with oral habits in children resident in sub-urban Nigeria. Methods: A cross sectional study utilizing a household survey to recruit 992 1year to 12-year-olds. Information collected using a structured questionnaire included gender, family structure (parenting structure, birth rank, number of siblings, socioeconomic status) and types of non-nutritive habits. The association between family structures related variables and presence of non-nutritive oral habits was determined using Chi square. Logistic regression was used to determine the predictors of presence of oral habits. Results: There was no significant association between the prevalence of oral habits and parenting structure (p=0.52), birth rank (p=0.50) and socioeconomic status (p=0.14). However, the association between oral habits prevalence and number of siblings the child had was significant (p=0.03). The odds of having a non-nutritive oral habit reduced insignificantly for those from middle (AOR: 0.67; 95% CI: 0.42-1.08) and low (AOR: 0.96; 95% CI: 0.59-1.55) socioeconomic class when compared with those with high socioeconomic status; and for last born and only children (AOR: 0.94; 95% CI: 0.56-1.60) and children with 2-4 siblings (AOR: 0.62; 95% CI: 0.36-1.09) when compared with those that have more than 4 siblings. The odds were higher for children who were living with single parents or guardians (AOR: 1.41; 95% CI: 0.76-2.59; p=0.27) and for males (AOR: 1.21; 95% CI: 0.82-1.78). Conclusion: The study was unable to identify a significant family related predictor of presence of non-nutritive oral habits in the study population though a number of these factors increased the odds of having the habits. There is need to explore if specific family factors are associated with the presence of specific non-nutritive habits in this group of children