Next, the researcher will review with the family the pain flow chart, how to complete the Daily Pain and Activity Diary (DPAD), and use the PDA and Pain Management software. Participants and their parents will be provided with detailed instructions regarding care of PDA, who to contact if device is broken or lost, policy on continued participation if device is lost, and a padded addressed stamped envelope to return the PDA should it require attention. Three days after the initial visit families will be contacted to answer questions and ensure implementation of skills.