A Psychometric Evaluation of Three Pain Rating Scales for People with Moderate to Severe Dementia

Article


Neville, Christine and Ostini, Remo. 2014. "A Psychometric Evaluation of Three Pain Rating Scales for People with Moderate to Severe Dementia." Pain Management Nursing. 15 (4), pp. 798-806. https://doi.org/10.1016/j.pmn.2013.08.001
Article Title

A Psychometric Evaluation of Three Pain
Rating Scales for People with Moderate to Severe Dementia

ERA Journal ID14157
Article CategoryArticle
AuthorsNeville, Christine and Ostini, Remo
Journal TitlePain Management Nursing
Journal Citation15 (4), pp. 798-806
Number of Pages9
YearDec 2014
PublisherElsevier
Place of PublicationUnited States
ISSN1524-9042
1532-8635
Digital Object Identifier (DOI)https://doi.org/10.1016/j.pmn.2013.08.001
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1524904213001148
Abstract

Little comparative information exists regarding the reliability and validity of pain rating scales for nurses to assess pain in people with moderate to severe dementia in residential aged care facilities. The objective of this study was to evaluate the relative psychometric merits of the Abbey Pain Scale, the DOLOPLUS-2 Scale, and the Checklist of Nonverbal Pain Indicators Scale, three well-known pain rating scales that have previously been used to assess pain in nonverbal people with dementia. An observational study design was used. Nurses (n = 26) independently rated a cross-section of people with moderate to severe dementia (n = 126) on two occasions. The Abbey Pain Scale and the DOLOPLUS-2 Scale showed good psychometric qualities in terms of reliability and validity, including resistance to the influence of rater characteristics. The Checklist of Nonverbal Pain Indicators Scale also had reasonable results but was not as psychometrically strong as the Abbey Pain Scale and DOLOPLUS-2 Scale. This study has provided comparative evidence for the reliability and validity of three pain rating scales in a single sample. These scales are strong, objective adjuncts in making comprehensive assessments of pain in people who are unable to self-report pain due to moderate to severe dementia, with each having their own strengths and weaknesses. The DOLOPLUS-2 Scale provides more reliable measurement, and the Abbey Pain Scale may be better suited than the other two scales for use by nurse raters who only occasionally use pain rating scales or who have lower level nursing qualifications.

KeywordsAged; Aged, 80 and over; Dementia; Geriatric Assessment; Humans; Nursing Diagnosis; Pain; Pain Measurement; Psychometrics; Reproducibility of Results
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Byline AffiliationsUniversity of Queensland
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Neville, Christine C. and Byrne, Gerard J. A.. 2002. "Behaviour of older people admitted for residential respite care." Australian Journal of Advanced Nursing. 20 (1), pp. 8-12.
Mental health nursing standards and practice indicators for Australia: a review of current literature
Neville, Christine, Eley, Diann, Quinn, John, Weir, Jim, Hegney, Desley, Hangan, Catherine and Grasby, David. 2006. Mental health nursing standards and practice indicators for Australia: a review of current literature. Toowoomba, Australia. University of Southern Queensland.
Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care
Fallon, Anthony Bruce, Price, Kay, Hegney, Desley, Abbey, Jennifer, Neville, Christine C., Oxlade, Deborah and Soar, Jeffrey. 2004. "Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care." Conrick, Moya and Soar, Jeffrey (ed.) 1st Australian Aged and Community Care Informatics Conference (ACCIC'04). Brisbane, Australia 24 - 25 Aug 2004 Brunswick East, Australia.
A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia
Neville, Christine C., Yuginovich, Trudy, Fallon, Anthony Bruce, Soar, Jeffrey, Boyes, Joanne and Grasby, David. 2006. A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia. Toowoomba, Australia. University of Southern Queensland.
The impact of residential respite care on the behavior of older people
Neville, Christine C. and Byrne, Gerard J. A.. 2006. "The impact of residential respite care on the behavior of older people." International Psychogeriatrics. 18 (1), pp. 163-170. https://doi.org/10.1017/S1041610205002553
Implementing the wandering evidence for older people with dementia: key issues for nurses and carers
Neville, Christine C., McMinn, Bryan and Cave, Patricia. 2006. "Implementing the wandering evidence for older people with dementia: key issues for nurses and carers." International Journal of Older People Nursing. 1 (4), pp. 235-238. https://doi.org/10.1111/j.1748-3743.2006.00044.x