Échelle EDAAP 2 : validation statistique d’une grille d’évaluation de l’expression de la douleur chez les adultes ou adolescents polyhandicapés

Jutand, Marthe-Aline; Gallois, Alice; Léger, Jean‐Michel; Pambrun, Élodie; Rondi, Fabienne; Belot, Michel; Marrimpoey, P.

doi:10.1016/j.motcer.2008.07.003

Cited by 5 publications

(1 citation statement)

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“…Regarding pain management, information was found on pain assessment in AWIDs, [19][20][21][22][23][24][25][26] but information on pharmacological treatment relied mainly on guidelines for the general population, based on the WHO pain ladder, and on local guidelines of the Geneva University Hospitals. [27][28][29] The scoping review on which the pain prescription guide is based has been published by the research group.…”

Section: Methodsmentioning

confidence: 99%

TOP-ID: a Delphi technique-guided development of a prescription and deprescription tool for adults with intellectual disabilities

et al. 2020

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ObjectivesAdults with an intellectual disability (AWID) are often polymedicated because of somatic and psychiatric health problems. Besides, they may display challenging behaviours, leading to off-label prescription of psychotropic drugs, without efficacy and with numerous adverse effects. In this context, a prescription/deprescription tool (Tool for Optimising Prescription in Intellectual Disability/TOP-ID) was developed to improve the care of AWID. This paper describes how TOP-ID was designed.DesignFour-step consensus-based process involving a review of the literature, eight semistructured interviews and a two-round Delphi process.SettingSeventeen general practices and university and general hospitals from Belgium, France and Switzerland.ParticipantsEighteen French-speaking physicians from different domains of expertise participated in the Delphi process.Primary and secondary outcome measuresFor the Delphi iteration process, consensus was defined as at least a 65% agreement between the experts.ResultsTwo rounds were needed for the Delphi process. Eighty-one items of the tool were submitted to 18 out of 35 recruited French-speaking experts during the first round. Sixty-nine per cent of the items reached a rate of agreement of 65% or more in that round. Thirteen questions were reformulated and resubmitted for the second Delphi iteration round. All of the statements reached a rate of agreement of 65% or more in the second round.ConclusionTOP-ID is the first prescription–deprescription tool developed specifically for AWIDs in French. It is intended to help prescribers document patient care in order to reduce prescription errors and to improve safety. The next steps of the project include the development of an electronic version of TOP-ID and a utility study.

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