Chinese version of the Pain Assessment in Advanced Dementia Scale: initial psychometric evaluation
Resource
JOURNAL OF ADVANCED NURSING, 66(10), 2360-2368
Journal
JOURNAL OF ADVANCED NURSING
Journal Volume
66
Journal Issue
10
Pages
2360-2368
Date Issued
2010
Date
2010
Author(s)
Lin, Pei Chao
Lin, Li Chan
Shyu, Yea Ing Lotus
Hua, Mau Sun
Abstract
Aim: This paper is a report of the validity and reliability testing of the Chinese version of the Pain Assessment in Advanced Dementia Scale (PAINAD-C). Background: Pain is under-reported and under-treated for people with dementia, largely due to impairment of communication. An adequate instrument for assessment of pain in this population is essential to improving their quality of life and decreasing disability and behavioural disturbances, but none were found that were appropriate for these purposes. Method: The PAINAD-C was developed in three phases in 2006. First, back-translation was used to create the Chinese version, where five medical and nursing experts assessed content validity. Inter-rater reliability, internal consistency reliability and test-retest reliability were then examined. Finally, principal component analysis and known-group comparisons were used to test construct validity. Participants with dementia were selected from five licensed long-term care facilities in Taiwan. Direct observation was used to collect data. Results: Inter-rater reliability showed an intra-class correlation coefficient of 0·80-0·86, and a test-retest reliability intra-class correlation coefficient of 0·71. The internal consistency reliability was 0·55-0·66. Factor analysis of the PAINAD-C showed two factors that explained 62·48% of variance. The PAINAD-C scores showed statistically significant differences between the non-dementia group and the advanced dementia group as well as significant differences between activities and rest groups. Conclusion: The PAINAD-C is useful in a clinical setting for people with advanced dementia for both research and practice. It is easy to use and is a comprehensive instrument. ? 2010 The Authors. Journal of Advanced Nursing ? 2010 Blackwell Publishing Ltd.
Subjects
Chinese version Pain Assessment in Advanced Dementia Scale; Instrument evaluation; Long-term care
SDGs
Other Subjects
aged; article; communication disorder; dementia; female; hospitalization; human; long term care; male; methodology; pain; pain assessment; pathophysiology; psychometry; publication; statistics; Taiwan; validation study; Aged; Communication Disorders; Dementia; Female; Humans; Long-Term Care; Male; Pain; Pain Measurement; Psychometrics; Severity of Illness Index; Statistics as Topic; Taiwan; Translations
Type
journal article
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