Psychometric Testing and Validation of the Italian Version of the Helsinki Chronic Pain Index (I-HCPI) in Dogs with Pain Related to Osteoarthritis

Pain assessment is of paramount importance for properly managing dogs with osteoarthritis (OA) pain. The aim of the present study was to develop and psychometrically validate the Italian version of the Helsinki Chronic Pain Index (I-HCPI). Owners of OA painful (<i>n</i> = 87) and healthy...

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Main Authors: Giorgia della Rocca, Carlo Schievano, Alessandra Di Salvo, Anna K. Hielm-Björkman, Maria Federica della Valle
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/14/1/83
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author Giorgia della Rocca
Carlo Schievano
Alessandra Di Salvo
Anna K. Hielm-Björkman
Maria Federica della Valle
author_facet Giorgia della Rocca
Carlo Schievano
Alessandra Di Salvo
Anna K. Hielm-Björkman
Maria Federica della Valle
author_sort Giorgia della Rocca
collection DOAJ
description Pain assessment is of paramount importance for properly managing dogs with osteoarthritis (OA) pain. The aim of the present study was to develop and psychometrically validate the Italian version of the Helsinki Chronic Pain Index (I-HCPI). Owners of OA painful (<i>n</i> = 87) and healthy dogs (<i>n</i> = 40) were administered the I-HCPI once or twice after an eight-week meloxicam treatment. Sixty-nine owners of healthy and OA dogs also completed the Italian version of the Canine Brief Pain Inventory (I-CBPI). Pain on palpation on a 0–4 scale was assessed on all recruited dogs. Construct validity was tested both with hypothesis testing and principal component analysis, confirming the I-HCPI accurately measured chronic pain. Good convergent and criterion validity were shown through correlations with I-CBPI subscores and distribution among pain on palpation scores (<i>p</i> < 0.0001). The significant difference between the pre- and post-treatment I-HCPI scores (<i>p</i> < 0.0001) and Cohen’s effect size (2.27) indicated excellent responsiveness. The I-HCPI was shown to be reliable through communalities (range 0.47–0.90) and Cronbach α (≥0.95). Discriminative ability and cut-off point, as tested through Receiver Operating Characteristic analysis, showed excellent diagnostic accuracy with a threshold value of 11 (specificity 0.98 and sensitivity 0.94). The I-HCPI was confirmed to be a valid, sensitive, reliable, and accurate tool to discriminate between dogs with and without pain.
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spelling doaj.art-08e09cb6d5b54038a0e1c9964aff6e412024-01-10T14:50:15ZengMDPI AGAnimals2076-26152023-12-011418310.3390/ani14010083Psychometric Testing and Validation of the Italian Version of the Helsinki Chronic Pain Index (I-HCPI) in Dogs with Pain Related to OsteoarthritisGiorgia della Rocca0Carlo Schievano1Alessandra Di Salvo2Anna K. Hielm-Björkman3Maria Federica della Valle4Research Center on Animal Pain, Department of Veterinary Medicine, University of Perugia, 06126 Perugia, ItalyInnovative Statistical Research SRL, 35123 Padova, ItalyResearch Center on Animal Pain, Department of Veterinary Medicine, University of Perugia, 06126 Perugia, ItalyDepartment of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, P.O. Box 66, 00014 Helsinki, FinlandCeDIS (Centro di Documentazione e Informazione Scientifica), Innovet Italia SRL, 35030 Saccolongo, ItalyPain assessment is of paramount importance for properly managing dogs with osteoarthritis (OA) pain. The aim of the present study was to develop and psychometrically validate the Italian version of the Helsinki Chronic Pain Index (I-HCPI). Owners of OA painful (<i>n</i> = 87) and healthy dogs (<i>n</i> = 40) were administered the I-HCPI once or twice after an eight-week meloxicam treatment. Sixty-nine owners of healthy and OA dogs also completed the Italian version of the Canine Brief Pain Inventory (I-CBPI). Pain on palpation on a 0–4 scale was assessed on all recruited dogs. Construct validity was tested both with hypothesis testing and principal component analysis, confirming the I-HCPI accurately measured chronic pain. Good convergent and criterion validity were shown through correlations with I-CBPI subscores and distribution among pain on palpation scores (<i>p</i> < 0.0001). The significant difference between the pre- and post-treatment I-HCPI scores (<i>p</i> < 0.0001) and Cohen’s effect size (2.27) indicated excellent responsiveness. The I-HCPI was shown to be reliable through communalities (range 0.47–0.90) and Cronbach α (≥0.95). Discriminative ability and cut-off point, as tested through Receiver Operating Characteristic analysis, showed excellent diagnostic accuracy with a threshold value of 11 (specificity 0.98 and sensitivity 0.94). The I-HCPI was confirmed to be a valid, sensitive, reliable, and accurate tool to discriminate between dogs with and without pain.https://www.mdpi.com/2076-2615/14/1/83Helsinki Chronic Pain Indexchronic paindogosteoarthritisItalian validation
spellingShingle Giorgia della Rocca
Carlo Schievano
Alessandra Di Salvo
Anna K. Hielm-Björkman
Maria Federica della Valle
Psychometric Testing and Validation of the Italian Version of the Helsinki Chronic Pain Index (I-HCPI) in Dogs with Pain Related to Osteoarthritis
Animals
Helsinki Chronic Pain Index
chronic pain
dog
osteoarthritis
Italian validation
title Psychometric Testing and Validation of the Italian Version of the Helsinki Chronic Pain Index (I-HCPI) in Dogs with Pain Related to Osteoarthritis
title_full Psychometric Testing and Validation of the Italian Version of the Helsinki Chronic Pain Index (I-HCPI) in Dogs with Pain Related to Osteoarthritis
title_fullStr Psychometric Testing and Validation of the Italian Version of the Helsinki Chronic Pain Index (I-HCPI) in Dogs with Pain Related to Osteoarthritis
title_full_unstemmed Psychometric Testing and Validation of the Italian Version of the Helsinki Chronic Pain Index (I-HCPI) in Dogs with Pain Related to Osteoarthritis
title_short Psychometric Testing and Validation of the Italian Version of the Helsinki Chronic Pain Index (I-HCPI) in Dogs with Pain Related to Osteoarthritis
title_sort psychometric testing and validation of the italian version of the helsinki chronic pain index i hcpi in dogs with pain related to osteoarthritis
topic Helsinki Chronic Pain Index
chronic pain
dog
osteoarthritis
Italian validation
url https://www.mdpi.com/2076-2615/14/1/83
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