898 Development of an Acute Pain Behavioral Assessment Scale for Elderly With Limited Communication Ability: Algoplus

Rat, Patrice; Jouve, Élisabeth; Nguyen, L.; Zeller, C; Michel, M.; Gauquelin, F.; Chapiro, Sylvie; Bonin‐Guillaume, Sylvie; Doloplus, Collectif

doi:10.1016/s1090-3801(06)60901-4

Cited by 6 publications

(6 citation statements)

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“…A 48-behavior-19-cluster scale was finally retained (Rat et al, 2005). To obtain a scale that could easily be used by nurses, the 53 selected behaviors were graded by 20 nurses working in geriatric settings to reach consensus on how to clearly label the observed behaviors.…”

Section: Candidate-behavior Itemsmentioning

confidence: 99%

“…The different results led to the selection of the 22 basic behaviors that were the best able to detect acute pain in the ICV population (Rat et al, 2006). Communicative patients were evaluated for pain with self-rating scales (Visual Analog Scale, VAS; Numeric Rating Scale, NRS; Verbal Descriptor Scale, VDS).…”

Section: Item Selectionmentioning

confidence: 99%

“…Five behaviors were deleted because of a lack of clarity in the semantics. A 48-behavior-19-cluster scale was finally retained (Rat et al, 2005).…”

Section: Candidate-behavior Itemsmentioning

confidence: 99%

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Validation of an acute pain‐behavior scale for older persons with inability to communicate verbally: Algoplus®

Rat

Jouve

Pickering

et al. 2011

European Journal of Pain

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To compensate for poor acute pain detection in elderly inpatients with inability to communicate verbally (ICV), the Doloplus Collective team devised the 5-item Algoplus behavior-assessment scale specifically aimed at quickly detecting acute pain in these individuals. Algoplus was developed in three successive phases, including expert opinions, caregivers interviews, patient video recordings and statistical procedures. Among the 1500 recorded primary pain behaviors, 48 were selected and clustered into a 5-item scale. This version was validated based on 349 old inpatients (204 with acute pain and 145 without) from different care settings and hospitals. Comparators were objective acute pain clinical situations, experts' clinical judgment on acute pain presence, and self-rating scales (Visual Analog Scale, Numeric Rating Scale and Verbal Descriptor Scale) for a communicative subsample (n=134). Algoplus showed good discriminant validity with adequate internal consistency (Kuder-Richardson-20, 0.712), excellent interrater reliability (intraclass coefficient, 0.812) and high sensitivity to change during specific pain situations and after starting pain management. Excellent correlations were observed between Algoplus and experts' clinical judgment, acute pain clinical situations or each comparator self-rating-pain score. For patients with acute pain conditions, a score ⩾2 out of 5 on the Algoplus scale was retained as the threshold for the presence of acute pain in elderly ICV inpatients, with 87% sensitivity and 80% specificity. In addition, the very brief rating time of ∼1min is particularly relevant in acute-care settings, where repetitive pain-monitoring is required.

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Section: Candidate-behavior Itemsmentioning

confidence: 99%

Section: Item Selectionmentioning

confidence: 99%

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Validation of an acute pain‐behavior scale for older persons with inability to communicate verbally: Algoplus®

Rat

Jouve

Pickering

et al. 2011

European Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Deux scores très complets, Doloplus et échelle comportementale des personnes âgées (ECPA) [11,[16][17][18], qui se basent sur la posture, l'expression des visages, les cris mais aussi sur le retentissement psychosocial, sont utilisés préférentiellement en France, mais essentiellement en douleur chronique. L'échelle de Boureau [11], qui cote quatre items de 0 à 3, semble plus adaptée à la cotation de la douleur aiguë, mais moins connue.…”

Section: Recours Aux éChelles D'hétéroévaluationunclassified

“…Un nouveau score semble prometteur, intermédiaire entre ces deux catégories. Développé par l'équipe à l'origine de l'échelle Doloplus, le score « Algoplus » [18] qui semble s'adresser plus spécifiquement aux praticiens confrontés à une douleur aiguë chez l'âgé. Sa validation a été réalisée en 2001, son évaluation en pratique reste à faire.…”

Section: Recours Aux éChelles D'hétéroévaluationunclassified