title: [The Italian version of NOPPAIN Scale: validation during education].
abstract: Pain assessment in elderly people may be complex due to the occurrence of neurodegenerative disorders, which often impair the ability to verbally report pain to hospital staff Several tools have been developed to assess pain behaviors in patients unable to communicate. The Italian version of the Non-Communicative Patient's Pain Assessment Instrument (NOPPAIN) has shown good preliminary qualities in the clinical setting.
  
  
  OBJECTIVE
  Aim of the paper is to analyze the psychometric properties of the Italian version of the NOPPAIN in a training setting.
  
  
  METHODS
  142 hospital staff members of the Medical Department of Vicenza Hospital assessed with NOPPAIN 5 videotapes, portraying different levels of pain intensity. Inter-rater reliability (nonparametric Kendall's W) and construct validity were examined.
  
  
  RESULTS
  A significant inter-rater agreement was found overall (Kendall's W = 0.89, p < 0.01) and for each of the 5 videos; inter-rater agreement was high both in the total score and in the main sections of the tool. NOPPAIN scores correctly discriminated between the different levels of pain intensity.
  
  
  CONCLUSIONS
  The results confirm interrater reliability and construct validity of the Italian version of the NOPPAIN.
authors.affiliation: Ospedale Son Bartolo, ULSS 6 Vicenzo.
authors.forename: Chiara
authors.initials: C
authors.lastname: Novello
authors.forename: Renata
authors.initials: R
authors.lastname: Ferrari
authors.forename: Carolina
authors.initials: C
authors.lastname: Scacco
authors.forename: Marco
authors.initials: M
authors.lastname: Visentin
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007558:Italy; D007802:Language; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011594:Psychometrics; D011795:Surveys and Questionnaires; D055815:Young Adult