dc.contributor.author | Hølen, Jacob C | |
dc.contributor.author | Saltvedt, Ingvild | |
dc.contributor.author | Fayers, Peter M | |
dc.contributor.author | Hjermstad, Marianne J | |
dc.contributor.author | Loge, Jon H | |
dc.contributor.author | Kaasa, Stein | |
dc.date.accessioned | 2015-10-09T01:03:40Z | |
dc.date.available | 2015-10-09T01:03:40Z | |
dc.date.issued | 2007 | |
dc.identifier.citation | BMC Geriatrics. 2007 Dec 19;7(1):29 | |
dc.identifier.uri | http://hdl.handle.net/10852/46342 | |
dc.description.abstract | Background
The Doloplus-2 is used for behavioural pain assessment in cognitively impaired patients. Little data exists on the psychometric properties of the Doloplus-2. Our objectives were to test the criterion validity and inter-rater reliability of the Doloplus-2, and to explore a design for validations of behavioural pain assessment tools.
Methods
Fifty-one nursing home patients and 22 patients admitted to a geriatric hospital ward were included. All were cognitively impaired and unable to self-report pain. Each patient was examined by an expert in pain evaluation and treatment, who rated the pain on a numerical rating scale. The ratings were based on information from the medical record, reports from nurses and patients (if possible) about pain during the past 24 hours, and a clinical examination. These ratings were used as pain criterion. The Doloplus-2 was administered by the attending nurse. Regression analyses were used to estimate the ability of the Doloplus-2 to explain the expert's ratings. The inter-rater reliability of the Doloplus-2 was evaluated in 16 patients by comparing the ratings of two nurses administrating the Doloplus-2.
Results
There was no association between the Doloplus-2 and the expert's pain ratings (R2 = 0.02). There was an association (R2 = 0.54) between the expert's ratings and the Doloplus-2 scores in a subgroup of 16 patients assessed by a geriatric expert nurse (the most experienced Doloplus-2 administrator). The inter-rater reliability between the Doloplus-2 administrators assessed by the intra-class coefficient was 0.77. The pain expert's ratings were compared with ratings of two independent geriatricians in a sub sample of 15, and were found satisfactory (intra-class correlation 0.74).
Conclusion
It was challenging to conduct such a study in patients with cognitive impairment and the study has several limitations. The results do not support the validity of the Doloplus-2 in its present version and they indicate that it demands specific administration skills. | |
dc.language.iso | eng | |
dc.rights | Holen et al. | |
dc.rights | Attribution 2.0 Generic | |
dc.rights.uri | http://creativecommons.org/licenses/by/2.0/ | |
dc.title | Doloplus-2, a valid tool for behavioural pain assessment? | |
dc.type | Journal article | |
dc.date.updated | 2015-10-09T01:03:40Z | |
dc.creator.author | Hølen, Jacob C | |
dc.creator.author | Saltvedt, Ingvild | |
dc.creator.author | Fayers, Peter M | |
dc.creator.author | Hjermstad, Marianne J | |
dc.creator.author | Loge, Jon H | |
dc.creator.author | Kaasa, Stein | |
dc.identifier.doi | http://dx.doi.org/10.1186/1471-2318-7-29 | |
dc.identifier.urn | URN:NBN:no-50410 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/46342/1/12877_2007_Article_93.pdf | |
dc.type.version | PublishedVersion | |
cristin.articleid | 29 | |