The Systematic Evaluation of Instruments Designed to Assess Pain in Persons with Limited Ability to Communicate*

Chronic pain is often underdetected and undertreated in long-term care facilities. The use of self-report measures of pain (such as the visual analogue scale) is often problematic for older adults residing in long-term care because of the high prevalence of visual and auditory deficits and severe co...

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Main Authors: Michèle Aubin, Anik Giguère, Thomas Hadjistavropoulos, René Verreault
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2007/705616
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author Michèle Aubin
Anik Giguère
Thomas Hadjistavropoulos
René Verreault
author_facet Michèle Aubin
Anik Giguère
Thomas Hadjistavropoulos
René Verreault
author_sort Michèle Aubin
collection DOAJ
description Chronic pain is often underdetected and undertreated in long-term care facilities. The use of self-report measures of pain (such as the visual analogue scale) is often problematic for older adults residing in long-term care because of the high prevalence of visual and auditory deficits and severe cognitive impairment. Observational measures of pain have been developed to address this concern. A systematic grid designed to assess the properties of existing observational measures of pain was used for seniors with dementia. The grid focused on the evaluation of content validity (12 items), construct validity (12 items), reliability (13 items) and clinical utility (10 items). Among the 24 instruments that were evaluated, several were deemed to be promising in the assessment of pain among older persons with severe dementia. Nonetheless, additional research is needed before their routine integration in the practices of long-term care settings.
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spelling doaj-art-b0419e3e1dcc438894e6eed0add4b84d2025-08-20T03:20:50ZengWileyPain Research and Management1203-67652007-01-0112319520310.1155/2007/705616The Systematic Evaluation of Instruments Designed to Assess Pain in Persons with Limited Ability to Communicate*Michèle Aubin0Anik Giguère1Thomas Hadjistavropoulos2René Verreault3Unité de recherche en gériatrie et équipe de recherche en soins palliatifs de l’Université Laval, CanadaUnité de recherche en gériatrie et équipe de recherche en soins palliatifs de l’Université Laval, CanadaCentre on Aging and Health, département de psychologie, Université de Régina, Régina (Saskatchewan), CanadaUnité de recherche en gériatrie et équipe de recherche en soins palliatifs de l’Université Laval, CanadaChronic pain is often underdetected and undertreated in long-term care facilities. The use of self-report measures of pain (such as the visual analogue scale) is often problematic for older adults residing in long-term care because of the high prevalence of visual and auditory deficits and severe cognitive impairment. Observational measures of pain have been developed to address this concern. A systematic grid designed to assess the properties of existing observational measures of pain was used for seniors with dementia. The grid focused on the evaluation of content validity (12 items), construct validity (12 items), reliability (13 items) and clinical utility (10 items). Among the 24 instruments that were evaluated, several were deemed to be promising in the assessment of pain among older persons with severe dementia. Nonetheless, additional research is needed before their routine integration in the practices of long-term care settings.http://dx.doi.org/10.1155/2007/705616
spellingShingle Michèle Aubin
Anik Giguère
Thomas Hadjistavropoulos
René Verreault
The Systematic Evaluation of Instruments Designed to Assess Pain in Persons with Limited Ability to Communicate*
Pain Research and Management
title The Systematic Evaluation of Instruments Designed to Assess Pain in Persons with Limited Ability to Communicate*
title_full The Systematic Evaluation of Instruments Designed to Assess Pain in Persons with Limited Ability to Communicate*
title_fullStr The Systematic Evaluation of Instruments Designed to Assess Pain in Persons with Limited Ability to Communicate*
title_full_unstemmed The Systematic Evaluation of Instruments Designed to Assess Pain in Persons with Limited Ability to Communicate*
title_short The Systematic Evaluation of Instruments Designed to Assess Pain in Persons with Limited Ability to Communicate*
title_sort systematic evaluation of instruments designed to assess pain in persons with limited ability to communicate
url http://dx.doi.org/10.1155/2007/705616
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