Background

Pain education resources for children using appropriate language and illustrations remain scarce.

Objectives

We aimed to summarize the development process and testing for face and content validity of a structured comic book about pain education for children.

Methods

A first draft of a comic book was developed (Portuguese and English) based on pain education concepts. Experts in pediatric pain from different countries analyzed content, objectives, language, illustrations, layout, motivation, and cultural adjustment. A third draft developed in Portuguese considering experts’ suggestions was presented to children and parents in Brazil. The total adequacy score was calculated from the sum of the scores obtained in each domain, divided by the maximum total score. Descriptive analysis is presented.

Results

The expert panel was composed of 11 (64.7%) physical therapists, and 6 (35.3%) psychologists. The total adequacy score (0-100%) was 87.74%. The third draft version of the comic book was presented to 28 children and the final version was presented to 16 children with a mean age of 9.6 years. Children were totally satisfied (n=4; 26.7%) or satisfied (n=9; 56.2%) with the story of the comic book. The readability of the comic book was considered suitable for grades 4 to 6 educational level.

Conclusion

The comic book “A Journey to Learn about Pain” was validated for face and content validity by the expert panel and the Brazilian target population. This comic book is available in Portuguese and English and can be a potential useful resource for children.

中文翻译：

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“了解疼痛的旅程”：一本关于儿童疼痛神经科学教育的漫画书的开发和验证

背景

使用适当语言和插图的儿童疼痛教育资源仍然稀缺。

目标

我们旨在总结一本关于儿童疼痛教育的结构化漫画书的开发过程和面部和内容有效性测试。

方法

基于疼痛教育概念开发了漫画书的初稿（葡萄牙语和英语）。来自不同国家的儿科疼痛专家对内容、目标、语言、插图、布局、动机和文化调整进行了分析。考虑到专家的建议，用葡萄牙语编写的第三稿已提交给巴西的儿童和家长。总的充分性分数是根据在每个域中获得的分数的总和除以最大总分来计算的。介绍了描述性分析。

结果

专家小组由 11 名（64.7%）物理治疗师和 6 名（35.3%）心理学家组成。充分性总分 (0-100%) 为 87.74%。漫画书的第三稿呈现给 28 名儿童，最终版本呈现给 16 名平均年龄为 9.6 岁的儿童。儿童对漫画书的故事完全满意（n=4；26.7%）或满意（n=9；56.2%）。漫画书的可读性被认为适合 4 至 6 年级的教育水平。

结论

漫画书“了解疼痛的旅程”经过专家小组和巴西目标人群的面部和内容有效性验证。这本漫画书有葡萄牙语和英语版本，可以成为儿童的潜在有用资源。