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Pain Assessment for the Dementing Elderly (PADE): reliability and validity of a new measure.

Abstract：

OBJECTIVES:To establish the reliability and validity of a measure to assess pain in individuals with advanced dementia. DESIGN:Sixty-five residents of long-term care facilities were assessed using a new rating tool, the Pain Assessment for the Dementing Elderly (PADE), in two separate studies: (1) Residents were assessed simultaneously by two different raters, at Time 1 and 2, to establish interrater reliability, stability, and internal consistency. (2) Validity was established by assessing the correlation between an agitation scale and the PADE; by comparing groups with pain as a significant clinical factor (as assessed by an independent rater) versus not a significant factor, and by assessing individuals receiving versus not receiving psychoactive medications. SETTING:Four different long-term care facilities, three skilled nursing facilities, and a locked dementia assisted-living facility. PARTICIPANTS:Twenty-five residents of long-term care facilities with advanced levels of dementia in Study 1, and 40 residents with similar level of dementia in Study 2; 42% of the total sample were rated as having significant painful conditions. MEASUREMENTS:For Study 1, the PADE was administered; for Study 2, the PADE and the Cohen-Mansfield Agitation Inventory (CMAI) were administered. RESULTS:Reliability coefficients were adequate (interrater = 0.54-0.95; stability = 0.70-0.98; and internal consistency = 0.24-0.88). Validity coefficients were likewise encouraging, with the PADE demonstrating the expected relationship with a measure of agitation. The PADE also differentiated between groups that were independently judged to suffer clinically problematic pain versus those who were not. CONCLUSION:The PADE is a reliable and valid tool to assess pain in dementing elderly residents of long-term care facilities.

journal_name

J Am Med Dir Assoc

journal_title

Journal of the American Medical Directors Association

authors

Villanueva MR,Smith TL,Erickson JS,Lee AC,Singer CM

doi

10.1097/01.JAM.0000043419.51772.A3

keywords:

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

1-8

issue

1

eissn

1525-8610

issn

1538-9375

pii

S1525-8610(04)70257-1

journal_volume

4

pub_type

临床试验,杂志文章

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