{"id":823,"date":"2023-06-28T11:50:12","date_gmt":"2023-06-28T11:50:12","guid":{"rendered":"https:\/\/bcchrmicro.wpengine.com\/?page_id=823"},"modified":"2026-01-19T03:06:19","modified_gmt":"2026-01-19T03:06:19","slug":"get-s-fps","status":"publish","type":"page","link":"https:\/\/www.bcchr.ca\/sfps\/get-s-fps\/","title":{"rendered":"Get the S-FPS"},"content":{"rendered":"<div  class=\"fndry-container fndry-responsive-bg fndry-container--full fndry-pt--md-3 fndry-pr--md-3 fndry-pl--md-3 fndry-pb--md-6 fndry-pr--sm-2 fndry-pl--sm-2 fndry-pb--sm-3\" style=\"--fndry-bg:var(--fndry-color-tertiaryLight)\">\n\t<div  class=\"fndry-container fndry-responsive-bg\">\n\t<div class=\"fndry-row fndry-align--center fndry-justify--sm-center fndry-justify--between\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--6 fndry-col--md-10 fndry-col--sm-12 fndry-pl--2 fndry-pb--5 fndry-pt--5 fndry-pt--md-2 fndry-pb--md-2 fndry-pr--md-0 fndry-pl--md-0\">\n\t<div class=\"breadcrumbs align fndry-pb--2 wp-block-bcn-breadcrumb-trail has-text-color has-background \" vocab=\"https:\/\/schema.org\/\" typeof=\"BreadcrumbList\">\n\t<span><\/span>\n\t<span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to Simplified Faces Pain Scale (S-FPS).\" href=\"https:\/\/www.bcchr.ca\/sfps\" class=\"home\" ><span property=\"name\">Simplified Faces Pain Scale (S-FPS)<\/span><\/a><meta property=\"position\" content=\"1\"><\/span><span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to News &amp; Events.\" href=\"https:\/\/www.bcchr.ca\/sfps\/news-events\/\" class=\"post-root post post-post\" aria-current=\"page\"><span property=\"name\">News &amp; Events<\/span><\/a><meta property=\"position\" content=\"2\"><\/span><\/div>\n<h1 class=\"fndry-post-title\" style=\"color:var(--fndry-color-secondary)\">Get the S-FPS<\/h1><p class=\"fndry-paragraph fndry-text-bannerIntro20\">Here are instructions for accessing and using the Simplified Faces Pain Scale (S-FPS), including how to obtain the image file and citation details.<\/p><\/div>\n<div  class=\"fndry-col fndry-responsive-bg fndry-col--5 fndry-col--md-12\">\n\t<figure  class=\"fndry-image fndry-mb--0\" style=\"--imageWidth:100%;--img-height-all:100%\" aria-labelledby=\"img-2260\">\n\t<img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"750\" src=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/research-S-FPS.jpg\" class=\"fndry-image__img fndry-pb--0\" aria-hidden=\"true\" role=\"presentation\" style=\"--borderRadius:0px;--objectFit:cover;--imagePosX:50%;--imagePosY:50%\" srcset=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/research-S-FPS.jpg 900w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/research-S-FPS-300x250.jpg 300w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/research-S-FPS-768x640.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/>\t\t<\/figure>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div  class=\"fndry-container fndry-responsive-bg fndry-pt--5 fndry-pr--md-3 fndry-pl--md-3 fndry-pr--sm-2 fndry-pl--sm-2\">\n\t<div class=\"fndry-row fndry-align--start fndry-justify--center\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--10 fndry-col--md-10 fndry-col--sm-12 fndry-pb--3\">\n\t<div  class=\"fndry-container fndry-responsive-bg fndry-mb--2\">\n\t<div class=\"fndry-row fndry-row--gutter fndry-justify--center\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--4 fndry-col--sm-12 fndry-col--md-5 fndry-pl--sm-0 fndry-pr--md-0 fndry-pl--md-0\">\n\t<figure  class=\"fndry-image\" style=\"--imageWidth:100%;--img-height-all:100%\" aria-labelledby=\"img-2229\">\n\t<img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"750\" src=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/Panda-S-FPS.jpg\" class=\"fndry-image__img\" aria-hidden=\"true\" role=\"presentation\" style=\"--borderRadius:0px;--objectFit:cover;--imagePosX:50%;--imagePosY:50%\" srcset=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/Panda-S-FPS.jpg 900w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/Panda-S-FPS-300x250.jpg 300w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/Panda-S-FPS-768x640.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/>\t\t<\/figure>\n<\/div>\n<div  class=\"fndry-col fndry-responsive-bg fndry-col--8 fndry-col--sm-12 fndry-col--md-7 fndry-pl--2 fndry-pt--2\">\n\t<h3 class=\"fndry-heading\" style=\"color:var(--fndry-color-secondary)\">Simplified Faces Pain Scale (S-FPS) image files<\/h3><p class=\"fndry-paragraph\">High-resolution images are available here:<br>EPS (1.42 MB) | TIFF (7.98 MB)<br>The monochrome\/greyscale image may be printed, or used on an electronic device. For example, the S-FPS was implemented on a tablet device for its original evaluation (see\u00a0<a href=\"https:\/\/www.jpain.org\/article\/S1526-5900(16)30374-1\/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">Emmott et al<\/a>.) and has been included in the Panda smartphone application for postoperative pain management in children (described in\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30302882\" target=\"_blank\" rel=\"noreferrer noopener\">Sun et al., 2018<\/a>).<br>The size of the full S-FPS image, displayed in landscape mode, should be 10 cm minimum width (preferably larger).<\/p><a  rel=\"\" id=\"fndry-block-64c7dfddb067a\" class=\"fndry-btn\"><\/a><\/div>\n<\/div><\/div>\n<div  class=\"fndry-container fndry-responsive-bg fndry-mb--2\">\n\t<div class=\"fndry-row fndry-row--gutter fndry-justify--center\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--4 fndry-col--sm-12 fndry-col--md-5 fndry-pl--sm-0 fndry-pr--md-0 fndry-pl--md-0\">\n\t<figure  class=\"fndry-image\" style=\"--imageWidth:100%;--img-height-all:100%\" aria-labelledby=\"img-2234\">\n\t<img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"750\" src=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/creative-commons-S-FPS.jpg\" class=\"fndry-image__img\" aria-hidden=\"true\" role=\"presentation\" style=\"--borderRadius:0px;--objectFit:cover;--imagePosX:50%;--imagePosY:50%\" srcset=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/creative-commons-S-FPS.jpg 900w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/creative-commons-S-FPS-300x250.jpg 300w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/creative-commons-S-FPS-768x640.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/>\t\t<\/figure>\n<\/div>\n<div  class=\"fndry-col fndry-responsive-bg fndry-col--8 fndry-col--sm-12 fndry-col--md-7 fndry-pl--2 fndry-pt--2\">\n\t<h3 class=\"fndry-heading\" style=\"color:var(--fndry-color-secondary)\">Permission for use and reproduction of the S-FPS<\/h3><p class=\"fndry-paragraph\">The Simplified Faces Pain Scale is licensed under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/\" target=\"_blank\" rel=\"noreferrer noopener\">Creative Commons Attribution-NoDerivatives 4.0 International License<\/a>.\u00a0This allows the use and sharing of S-FPS (without further permission needed) in any medium or format, provided credit is given and this license is cited. No alterations may be published without permission. The minimum image caption is as follows:<br>\u00a0 \u00a0 \u00a0Simplified Faces Pain Scale (S-FPS). Source: bcchr.ca\/sfps \u00a0<br>\u00a0 \u00a0 \u00a0Licensed under\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/\" target=\"_blank\" rel=\"noreferrer noopener\">CC BY-ND 4.0<\/a>.<\/p><a  rel=\"\" id=\"fndry-block-64c7dfddb067a\" class=\"fndry-btn\"><\/a><\/div>\n<\/div><\/div>\n<div  class=\"fndry-container fndry-responsive-bg fndry-mb--2\">\n\t<div class=\"fndry-row fndry-row--gutter fndry-justify--center\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--4 fndry-col--sm-12 fndry-col--md-5 fndry-pl--sm-0 fndry-pr--md-0 fndry-pl--md-0\">\n\t<figure  class=\"fndry-image\" style=\"--imageWidth:100%;--img-height-all:100%\" aria-labelledby=\"img-2247\">\n\t<img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"750\" src=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/publications-S-FPS.jpg\" class=\"fndry-image__img\" aria-hidden=\"true\" role=\"presentation\" style=\"--borderRadius:0px;--objectFit:cover;--imagePosX:50%;--imagePosY:50%\" srcset=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/publications-S-FPS.jpg 900w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/publications-S-FPS-300x250.jpg 300w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/publications-S-FPS-768x640.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/>\t\t<\/figure>\n<\/div>\n<div  class=\"fndry-col fndry-responsive-bg fndry-col--8 fndry-col--sm-12 fndry-col--md-7 fndry-pl--2 fndry-pt--2\">\n\t<h3 class=\"fndry-heading\" style=\"color:var(--fndry-color-secondary)\">Citing the S-FPS<\/h3><p class=\"fndry-paragraph\">The primary S-FPS publication, which details the development and testing of the S-FPS\u00a0is:<br>Emmott AS, West N, Zhou G, Dunsmuir D, Montgomery CJ, Lauder GR, von Baeyer CL.\u00a0<strong>Validity of Simplified Versus Standard Self-Report Measures of Pain Intensity in Preschool-Aged Children Undergoing Venipuncture.<\/strong>\u00a0J Pain. 2017;18(5):564-573. [<a href=\"https:\/\/www.jpain.org\/article\/S1526-5900(16)30374-1\/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">Abstract<\/a>]<br>If you also wish to include the S-FPS image, please cite this web page (bcchr.ca\/sfps) and license details as above.<\/p><a  rel=\"\" id=\"fndry-block-64c7dfddb067a\" class=\"fndry-btn\"><\/a><\/div>\n<\/div><\/div>\n<div  class=\"fndry-container fndry-responsive-bg fndry-mb--2\">\n\t<div class=\"fndry-row fndry-row--gutter fndry-justify--center\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--4 fndry-col--sm-12 fndry-col--md-5 fndry-pl--sm-0 fndry-pr--md-0 fndry-pl--md-0\">\n\t<figure  class=\"fndry-image\" style=\"--imageWidth:100%;--img-height-all:100%\" aria-labelledby=\"img-2132\">\n\t<img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"750\" src=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/simplified-faces-pain-scale.jpg\" class=\"fndry-image__img\" aria-hidden=\"true\" role=\"presentation\" style=\"--borderRadius:0px;--objectFit:cover;--imagePosX:50%;--imagePosY:50%\" srcset=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/simplified-faces-pain-scale.jpg 900w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/simplified-faces-pain-scale-300x250.jpg 300w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/simplified-faces-pain-scale-768x640.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/>\t\t<\/figure>\n<\/div>\n<div  class=\"fndry-col fndry-responsive-bg fndry-col--8 fndry-col--sm-12 fndry-col--md-7 fndry-pl--2 fndry-pt--2\">\n\t<h3 class=\"fndry-heading\" style=\"color:var(--fndry-color-secondary)\">Instructions for use of the S-FPS<\/h3><p class=\"fndry-paragraph\">Ask whether he\/she is in any pain, using terms that are age- and context-appropriate (e.g., &#8220;hurt,&#8221; &#8220;ouch,&#8221; etc.).\u00a0The answer &#8220;no&#8221; can be scored as 0 on a 0-10 scale and the accompanying faces scale is not used. Only if the answer is &#8220;yes,&#8221; the child is presented with the S-FPS and asked to rate the intensity of their pain using the following language:<em> &#8220;These faces show how much something can hurt. This face [point to left-most face] shows a little bit of hurt. This face [point to middle face] shows a medium amount of hurt. And this face [point to right-most face] shows very much hurt. Touch the face that shows how much you hurt right now.&#8221;<\/em><br>The three faces can be scored as three, seven, and 10 on a 0-10 scale.<\/p><a  rel=\"\" id=\"fndry-block-64c7dfddb067a\" class=\"fndry-btn\"><\/a><\/div>\n<\/div><\/div>\n<div  class=\"fndry-container fndry-responsive-bg fndry-mb--2\">\n\t<div class=\"fndry-row fndry-row--gutter fndry-justify--center\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--4 fndry-col--sm-12 fndry-col--md-5 fndry-pl--sm-0 fndry-pr--md-0 fndry-pl--md-0\">\n\t<figure  class=\"fndry-image\" style=\"--imageWidth:100%;--img-height-all:100%\" aria-labelledby=\"img-2260\">\n\t<img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"750\" src=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/research-S-FPS.jpg\" class=\"fndry-image__img\" aria-hidden=\"true\" role=\"presentation\" style=\"--borderRadius:0px;--objectFit:cover;--imagePosX:50%;--imagePosY:50%\" srcset=\"https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/research-S-FPS.jpg 900w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/research-S-FPS-300x250.jpg 300w, https:\/\/www.bcchr.ca\/sfps\/files\/2026\/01\/research-S-FPS-768x640.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/>\t\t<\/figure>\n<\/div>\n<div  class=\"fndry-col fndry-responsive-bg fndry-col--8 fndry-col--sm-12 fndry-col--md-7 fndry-pl--2 fndry-pt--2\">\n\t<h3 class=\"fndry-heading\" style=\"color:var(--fndry-color-secondary)\">Research with the S-FPS<\/h3><p class=\"fndry-paragraph\">We encourage use of the S-FPS in any research studies. Consider the following when designing your study and reporting your results:<br>&#8211; Report results separately by year of age (see\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28347796\" target=\"_blank\" rel=\"noreferrer noopener\">von Baeyer et al., 2017<\/a>).\u00a0\u00a0<br>&#8211; If multiple self-report scales are used, report the order in which they were administered.<br>&#8211; Report the number and type of difficulties encountered by children in using the scale.<br>&#8211; If the wording of instructions is adapted or altered, specify how.<\/p><a  rel=\"\" id=\"fndry-block-64c7dfddb067a\" class=\"fndry-btn\"><\/a><\/div>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n\n<div  class=\"fndry-container fndry-responsive-bg fndry-pt--5 fndry-pb--5 fndry-pr--md-1 fndry-pl--md-1 fndry-pt--md-3 fndry-pb--md-3 fndry-pt--sm-0 fndry-pb--sm-0 fndry-mt--sm-3 fndry-mb--sm-3\">\n\t<div class=\"fndry-row fndry-justify--center\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--10 fndry-col--sm-12 fndry-col--md-12 fndry-pr--sm-2 fndry-pl--sm-2 fndry-pt--md-4 fndry-pb--md-4 fndry-pr--md-3 fndry-pl--md-3 fndry-d--flex fndry-flex--col fndry-align--start fndry-justify--center\">\n\t<h3 class=\"fndry-heading\">Translate to other languages<\/h3><p class=\"fndry-paragraph\">This should be based on the method of translation, back-translation, and verification (see <a href=\"https:\/\/www.bcchr.ca\/sfps\/publications\/\" data-type=\"page\" data-id=\"1215\">Publications<\/a>):<\/p><p class=\"fndry-paragraph\"><strong>Translate.&nbsp;<\/strong>Start with the English version given above, which has been evaluated in a clinical setting. Translate the instructions into the new language.<\/p><p class=\"fndry-paragraph\"><strong>Read.<\/strong>&nbsp;Have the new version read by several people who are familiar with young children\u2019s use of language (e.g., teachers, nurses). It should be suitable for children 3-5 years of age.<\/p><p class=\"fndry-paragraph\"><strong>Back-translate.&nbsp;<\/strong>Have the new version back-translated into English by a bilingual person who does not know anything about the S-FPS and has not seen the original version. Compare the original with the back-translation and make any needed adjustments in the translation.<\/p><p class=\"fndry-paragraph\"><strong>Pilot.&nbsp;<\/strong>Test the scale with several young children, noting any difficulties they have in understanding the instructions and again make any needed adjustments in the translation.<\/p><p class=\"fndry-paragraph\"><strong>Disseminate.<\/strong>\u00a0Decide how you will distribute the S-FPS image and the new version of the instructions to users and how they will be trained to administer the scale.<\/p><p class=\"fndry-paragraph\">Once you have an established version, you may:<\/p><p class=\"fndry-paragraph\"><strong>Collect data.<\/strong>\u00a0It will be valuable to compare data using the S-FPS in different cultures and language groups. Gather data on pain scores from various groups, especially noting age, sex, and source of pain. As examples,\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15327809\" target=\"_blank\" rel=\"noreferrer noopener\">Mir\u00f3 &#038; Huguet (2004)<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15723913\" target=\"_blank\" rel=\"noreferrer noopener\">Newman et al. (2005)<\/a>\u00a0have done this with the Faces Pain Scale \u2013 Revised (FPS\u2013R) in Spain and Thailand, respectively.\u00a0<\/p><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","inline_featured_image":false,"footnotes":"","fndry_alternate_title":""},"class_list":["post-823","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.bcchr.ca\/sfps\/wp-json\/wp\/v2\/pages\/823","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bcchr.ca\/sfps\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bcchr.ca\/sfps\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bcchr.ca\/sfps\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bcchr.ca\/sfps\/wp-json\/wp\/v2\/comments?post=823"}],"version-history":[{"count":19,"href":"https:\/\/www.bcchr.ca\/sfps\/wp-json\/wp\/v2\/pages\/823\/revisions"}],"predecessor-version":[{"id":2263,"href":"https:\/\/www.bcchr.ca\/sfps\/wp-json\/wp\/v2\/pages\/823\/revisions\/2263"}],"wp:attachment":[{"href":"https:\/\/www.bcchr.ca\/sfps\/wp-json\/wp\/v2\/media?parent=823"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}