Eun-Kyung Kim; Se Young Kim; Mi Ran Eom; Hyun Sook Kim; Eunpyo Lee

doi:10.4040/jkan.2014.44.4.398

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Original Article
Validity and Reliability of the Korean Version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate: Eun-Kyung Kim, Se Young Kim, Mi Ran Eom, Hyun Sook Kim, Eunpyo Lee; Journal of Korean Academy of Nursing 2014;44(4):398-406.
DOI: https://doi.org/10.4040/jkan.2014.44.4.398
Published online: August 29, 2014

¹Department of Nursing, Chungbuk National University, Cheongju, Korea.

²Department of Nursing, Changwon National University, Changwon, Korea.

³Department of Nursing, Mokpo National University, Muan, Korea.

⁴Department of Nursing, Eulji University, Daejeon, Korea.

⁵Department of Medicine, Eulji University, Daejeon, Korea.

Address reprint requests to: Lee, Eunpyo. Department of Medicine, Eulji University, 771-77 Gyeryong-ro, Jung-gu, Daejeon 301-832, Korea. Tel: +82-42-259-1613, Fax: +82-42-259-1539, elee@eulji.ac.kr

• Received: May 2, 2014 • Revised: May 17, 2014 • Accepted: July 2, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

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), inter-rater reliability (.86), intra-rater 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: Pain; Dementia; Elders; Validity; Reliability

This study was supported by the Chungbuk National University Research Support fund in 2012.

REFERENCES

1. Kaasalainen S. Pain assessment in older adults with dementia: Using behavioral observation methods in clinical practice. J Gerontol Nurs. 2007;33(6):6–10.Article
2. Wang JJ, Hsieh PF, Wang CJ. Long-term care nurses' communication difficulties with people living with dementia in Taiwan. Asian Nurs Res. 2013;7(3):99–103. http://dx.doi.org/10.1016/j.anr.2013.06.001Article
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 Manag Nurs. 2007;8(2):77–85. http://dx.doi.org/10.1016/j.pmn.2007.03.003Article PubMed
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 Geriatr. 2006;6:3. http://dx.doi.org/10.1186/1471-2318-6-3Article PubMed PMC PDF
5. Cohen-Mansfield J, Creedon M. Nursing staff members' perceptions of pain indicators in persons with severe dementia. Clin J Pain. 2002;18(1):64–73.Article PubMed
6. AGS Panel on Persistent Pain in Older Persons. The management of persistent pain in older persons. J Am Geriatr Soc. 2002;50:6 Suppl. S205–S224.Article PubMed
7. Reid MC, Guo Z, Jenq GY, Gill TM. Factors associated with pain-related disability among community-dwelling older persons with chronic pain. J Am Geriatr Soc. 2003;51:Suppl S4. S204.
8. Ryoo EN, Park KS. Validity, reliability and efficiency of pain self-report scale in elderly with dementia. Korean J Adult Nurs. 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. J Gerontol A Biol Sci Med Sci. 2005;60(4):524–529.Article PubMed
10. Kim SJ, Ryoo EN, Park KS. A study on pain, physical function, cognitive function, depression and agitation in elderly women with dementia. J Korean Acad Adult Nurs. 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. Clin J Pain. 2004;20(4):207–219.PubMed
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 Ageing. 1998;27(4):493–501.Article PubMed
13. Sloman R, Ahern M, Wright A, Brown L. Nurses' knowledge of pain in the elderly. J Pain Symptom Manage. 2001;21(4):317–322.Article PubMed
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. J Pain Symptom Manage. 2006;31(2):170–192. http://dx.doi.org/10.1016/j.jpainsymman.2005.07.001Article PubMed
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. J Gerontol Nurs. 2010;36(3):18–29. http://dx.doi.org/10.3928/00989134-20100108-04PMC
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.2006.06.029Article PubMed
18. Fuchs-Lacelle S, Hadjistavropoulos T. Development and preliminary validation of the pain assessment checklist for seniors with limited ability to communicate (PACSLAC). Pain Manag Nurs. 2004;5(1):37–49.Article PubMed
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. Arch Gerontol Geriatr. 2013;57(3):403–410. http://dx.doi.org/10.1016/j.archger.2013.06.002Article PubMed
20. Zwakhalen SM, Hamers JP, Berger MP. Improving the clinical usefulness of a behavioural pain scale for older people with dementia. J Adv Nurs. 2007;58(5):493–502. http://dx.doi.org/10.1111/j.1365-2648.2007.04255.xArticle PubMed
21. Park JH, Kwon YC. Standardization of Korean version of the minimental state examination (MMSE-K) for use in the elderly. Part diagnostic validity. J Korean Neuropsychiatr Assoc. 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. J Am Med Dir Assoc. 2003;4(1):9–15. http://dx.doi.org/10.1097/01.jam.0000043422.31640.f7Article PubMed
23. Chapman DW, Carter JF. Translation procedures for cross-cultural use of measurement instruments. Educ Eval Policy Anal. 1979;1(3):71–76.
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. Eur J Pain. 2009;13(1):89–93. http://dx.doi.org/10.1016/j.ejpain.2008.02.009Article PubMed
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 Manag Nurs. 2013;14(4):e106–e114. http://dx.doi.org/10.1016/j.pmn.2011.08.006Article PubMed
27. Sheu E, Versloot J, Nader R, Kerr D, Craig KD. Pain in the elderly: Validity of facial expression components of observational measures. Clin J Pain. 2011;27(7):593–601. http://dx.doi.org/10.1097/AJP.0b013e31820f52e1PubMed
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). J Pain. 2009;10(8):844–853. http://dx.doi.org/10.1016/j.jpain.2009.02.007Article PubMed
29. Fuchs-Lacelle S, Hadjistavropoulos T, Lix L. Pain assessment as intervention: A study of older adults with severe dementia. Clin J Pain. 2008;24(8):697–707. http://dx.doi.org/10.1097/AJP.0b013e318172625aPubMed

Figure 1

ROC curve of PACSLAC for pain assessment of elderly with dementia living in long-term care facilities.

Table 1

General and Pain-related Characteristics of Participants (N=307)

MMSE-K=Mini-Mental State Examination Korean version; ADL=Activities of Daily Living; PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate.

Table 2

Inter-rater Reliability and Test-retest Reliability of PACSLAC (N=30)

PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate.

Table 3

Concurrent Validity of PACSLAC Tool for Pain (N=307)

PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate; PAINAD=Pain Assessment in Advanced Dementia Scale.

Table 4

Discriminant Validity: Comparison of PACSLAC Scores Measured at Rest and in Pain (N=307)

PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate.

Figure & Data

REFERENCES

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

J Korean Acad Nurs. 2014;44(4):398-406. Published online August 29, 2014

DOI: https://doi.org/10.4040/jkan.2014.44.4.398

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

Figure 1 ROC curve of PACSLAC for pain assessment of elderly with dementia living in long-term care facilities.

Figure 1

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

Table 1

General and Pain-related Characteristics of Participants (N=307)

MMSE-K=Mini-Mental State Examination Korean version; ADL=Activities of Daily Living; PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate.

Table 2

Inter-rater Reliability and Test-retest Reliability of PACSLAC (N=30)

PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate.

Table 3

Concurrent Validity of PACSLAC Tool for Pain (N=307)

PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate; PAINAD=Pain Assessment in Advanced Dementia Scale.

Table 4

Discriminant Validity: Comparison of PACSLAC Scores Measured at Rest and in Pain (N=307)

PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate.

Table 1 General and Pain-related Characteristics of Participants (N=307)

MMSE-K=Mini-Mental State Examination Korean version; ADL=Activities of Daily Living; PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate.

Table 2 Inter-rater Reliability and Test-retest Reliability of PACSLAC (N=30)

PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate.

Table 3 Concurrent Validity of PACSLAC Tool for Pain (N=307)

PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate; PAINAD=Pain Assessment in Advanced Dementia Scale.

Table 4 Discriminant Validity: Comparison of PACSLAC Scores Measured at Rest and in Pain (N=307)

PACSLAC=Pain Assessment Checklist for Seniors with Limited Ability to Communicate.