DOI QR코드

DOI QR Code

Validity and Reliability of the Korean Version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate

치매노인의 통증사정을 위한 한국어판 PACSLAC의 신뢰도, 타당도 및 유용성 평가

  • Received : 2014.05.02
  • Accepted : 2014.07.02
  • Published : 2014.08.29

Abstract

Purpose: This study was done to develop and test the validity and reliability of the Korean version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-K) in assessing pain of elders with dementia living in long-term care facilities. Methods: The PACSLAC-K was developed through forward-backward translation techniques. Survey data were collected from 307 elders with dementia living in 5 long-term care facilities in Korea. Data were analyzed using descriptive statistics, Pearson correlation, Spearman's rho, paired t-test, ROC (receiver operation characteristic) curve with the SPSS/WIN (20.0) program. Results: The PACSLAC-K showed high internal consistency (.90), interrater reliability (.86), intrarater reliability (.93), and high concurrent validity (.74) in paired t-test with PAINAD. Discriminant validity also showed a significant difference compared with no pain. The PACSLAC-K showed a sensitivity of .93, specificity of .88, and Area Under the Curve of .95 in the ROC curve. Conclusion: The findings of this study demonstrate that PACSLAC-K is useful in assessing pain for elders with dementia living in long-term care facilities.

Keywords

References

  1. Kaasalainen S. Pain assessment in older adults with dementia: Using behavioral observation methods in clinical practice. Journal of Gerontological Nursing. 2007;33(6):6-10.
  2. Wang JJ, Hsieh PF, Wang CJ. Long-term care nurses' communication difficulties with people living with dementia in Taiwan. Asian Nursing Research. 2013;7(3):99-103. http://dx.doi.org/10.1016/j.anr.2013.06.001
  3. Horgas AL, Nichols AL, Schapson CA, Vietes K. Assessing pain in persons with dementia: Relationships among the non-communicative patient's pain assessment instrument, self-report, and behavioral observations. Pain Management Nursing. 2007;8(2):77-85. http://dx.doi.org/10.1016/j.pmn.2007.03.003
  4. Zwakhalen SM, Hamers JP, Abu-Saad HH, Berger MP. Pain in elderly people with severe dementia: A systematic review of behavioural pain assessment tools. BMC Geriatrics. 2006;6:3. http://dx.doi.org/10.1186/1471-2318-6-3
  5. Cohen-Mansfield J, Creedon M. Nursing staff members' perceptions of pain indicators in persons with severe dementia. The Clinical Journal of Pain. 2002;18(1):64-73. https://doi.org/10.1097/00002508-200201000-00010
  6. AGS Panel on Persistent Pain in Older Persons. The management of persistent pain in older persons. Journal of the American Geriatrics Society. 2002;50(6 Suppl):S205-S224. https://doi.org/10.1046/j.1532-5415.50.6s.1.x
  7. Reid MC, Guo Z, Jenq GY, Gill TM. Factors associated with pain-related disability among community-dwelling older persons with chronic pain. Journal of the American Geriatrics Society. 2003;51(Suppl S4):S204.
  8. Ryoo EN, Park KS. Validity, reliability and efficiency of pain self-report scale in elderly with dementia. Korean Journal of Adult Nursing. 2011;23(2):111-122.
  9. Pautex S, Herrmann F, Le Lous P, Fabjan M, Michel JP, Gold G. Feasibility and reliability of four pain self-assessment scales and correlation with an observational rating scale in hospitalized elderly demented patients. The Journals of Gerontology Series A, Biological Sciences and Medical Sciences. 2005;60(4):524-529. https://doi.org/10.1093/gerona/60.4.524
  10. Kim SJ, Ryoo EN, Park KS. A study on pain, physical function, cognitive function, depression and agitation in elderly women with dementia. Journal of Korean Academy of Adult Nursing. 2007;19(3):401-412.
  11. Herr KA, Spratt K, Mobily PR, Richardson G. Pain intensity assessment in older adults: Use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults. The Clinical Journal of Pain. 2004;20(4):207-219. https://doi.org/10.1097/00002508-200407000-00002
  12. Schmader KE, Hanlon JT, Fillenbaum GG, Huber M, Pieper C, Horner R. Medication use patterns among demented, cognitively impaired and cognitively intact community-dwelling elderly people. Age and Ageing. 1998;27(4):493-501. https://doi.org/10.1093/ageing/27.4.493
  13. Sloman R, Ahern M, Wright A, Brown L. Nurses' knowledge of pain in the elderly. Journal of Pain and Symptom Management. 2001;21(4): 317-322. https://doi.org/10.1016/S0885-3924(01)00248-2
  14. Ryoo EN. Verification of self-report scale about pain assessment in elder with dementia [dissertation]. Seoul: Chung-Ang University; 2009.
  15. Herr K, Bjoro K, Decker S. Tools for assessment of pain in nonverbal older adults with dementia: A state-of-the-science review. Journal of Pain and Symptom Management. 2006;31(2):170-192. http://dx.doi.org/10.1016/j.jpainsymman.2005.07.001
  16. Herr K, Bursch H, Ersek M, Miller LL, Swafford K. Use of pain-behavioral assessment tools in the nursing home: Expert consensus recommendations for practice. Journal of Gerontological Nursing. 2010;36(3):18-29. http://dx.doi.org/10.3928/00989134-20100108-04
  17. Zwakhalen SM, Hamers JP, Berger MP. The psychometric quality and clinical usefulness of three pain assessment tools for elderly people with dementia. Pain. 2006;126(1-3):210-220. http://dx.doi.org/10.1016/j.pain.2006.06.029
  18. Fuchs-Lacelle S, Hadjistavropoulos T. Development and preliminary validation of the pain assessment checklist for seniors with limited ability to communicate (PACSLAC). Pain Management Nursing. 2004;5(1):37-49. https://doi.org/10.1016/j.pmn.2003.10.001
  19. Takai Y, Yamamoto-Mitani N, Suzuki M, Furuta Y, Sato A, Fujimaki Y. Developing and validating a Japanese version of the assessment of pain in elderly people with communication impairment. Archives of Gerontology and Geriatrics. 2013;57(3):403-410. http://dx.doi.org/10.1016/j.archger.2013.06.002
  20. Zwakhalen SM, Hamers JP, Berger MP. Improving the clinical usefulness of a behavioural pain scale for older people with dementia. Journal of Advanced Nursing. 2007;58(5):493-502. http://dx.doi.org/10.1111/j.1365-2648.2007.04255.x
  21. Park JH, Kwon YC. Standardization of Korean version of the minimental state examination (MMSE-K) for use in the elderly. Part diagnostic validity. Journal of Korean Neuropsychiatric Association. 1989;28(3):508-513.
  22. Warden V, Hurley AC, Volicer L. Development and psychometric evaluation of the pain assessment in advanced dementia (PAINAD) scale. Journal of the American Medical Directors Association. 2003;4(1): 9-15. http://dx.doi.org/10.1097/01.jam.0000043422.31640.f7
  23. Chapman DW, Carter JF. Translation procedures for cross-cultural use of measurement instruments. Educational Evaluation and Policy Analysis. 1979;1(3):71-76. https://doi.org/10.3102/01623737001003071
  24. Streiner DL, Norman GR. Health measurement scales: A practical guide to their development and use. 3rd ed. Oxford, UK: Oxford University Press; 2003.
  25. Zwakhalen SM, Koopmans RT, Geels PJ, Berger MP, Hamers JP. The prevalence of pain in nursing home residents with dementia measured using an observational pain scale. European Journal of Pain. 2009;13(1): 89-93. http://dx.doi.org/10.1016/j.ejpain.2008.02.009
  26. Kaasalainen S, Akhtar-Danesh N, Hadjistavropoulos T, Zwakhalen S, Verreault R. A comparison between behavioral and verbal report pain assessment tools for use with residents in long term care. Pain Management Nursing. 2013;14(4):e106-e114. http://dx.doi.org/10.1016/j.pmn.2011.08.006
  27. Sheu E, Versloot J, Nader R, Kerr D, Craig KD. Pain in the elderly: Validity of facial expression components of observational measures. The Clinical Journal of Pain. 2011;27(7):593-601. http://dx.doi.org/10.1097/AJP.0b013e31820f52e1
  28. van Nispen tot Pannerden SC, Candel MJ, Zwakhalen SM, Hamers JP, Curfs LM, Berger MP. An item response theory-based assessment of the pain assessment checklist for seniors with limited ability to communicate (PACSLAC). The Journal of Pain. 2009;10(8):844-853. http://dx.doi.org/10.1016/j.jpain.2009.02.007
  29. Fuchs-Lacelle S, Hadjistavropoulos T, Lix L. Pain assessment as intervention: A study of older adults with severe dementia. The Clinical Journal of Pain. 2008;24(8):697-707. http://dx.doi.org/10.1097/AJP.0b013e318172625a

Cited by

  1. 요양병원 간호사의 치매환자 통증관리 수행에 영향을 미치는 요인 vol.17, pp.9, 2014, https://doi.org/10.5762/kais.2016.17.9.253
  2. Nonverbal Pain Measurement for Elders: A Literature Review vol.18, pp.3, 2016, https://doi.org/10.17079/jkgn.2016.18.3.147
  3. Development and Effect of Evidence-based Nursing Practice Guidelines for Pain Management in Patients with Dementia vol.31, pp.2, 2014, https://doi.org/10.7475/kjan.2019.31.2.176
  4. Validation of Pain Assessment Checklist for Seniors with Limited Ability to Communicate‐II (PACSLAC‐II) in Iranian older adults with dementia living in nursing homes vol.20, pp.3, 2020, https://doi.org/10.1111/psyg.12496