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.

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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

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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.