Psychometric Evaluation of the MOBID Dementia Pain Scale in U.S. Nursing Homes

Herr, Keela; Sefcik, Justine S.; Neradilek, Moni B.; Hilgeman, Michelle M.; Nash, Princess; Ersek, Mary

doi:10.1016/j.pmn.2018.11.062

Cited by 9 publications

(9 citation statements)

References 37 publications

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“…13 In addition to expert ratings, we used two observational validated tools, the MOBID and the PIMD, to measure pain. 21,22,28 For both tools, raters observe pain-related behaviors during movement, which generally leads to higher scores than when observations occur during rest. 22,39 The tools differ in that the PIMD has raters judge the intensity of pain-related behaviors and sums the score on all items.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to expert ratings, we used two observational validated tools, the MOBID and the PIMD, to measure pain . For both tools, raters observe pain‐related behaviors during movement, which generally leads to higher scores than when observations occur during rest .…”

Section: Discussionmentioning

confidence: 99%

“…The Mobilization‐Observation‐Behavior‐Intensity‐Dementia Pain Scale (MOBID) is a validated observational pain scale in which raters observe pain‐related behaviors (pain noises, facial expressions, and defense movements) and rate pain intensity at rest and during a standardized protocol in which the patient is guided through five movements (opening both hands; stretching both arms toward head; stretching and bending both knees and hips; turning in bed to both sides; and guided to sit at the bedside) . Following the guided activities, raters then assess the patient's overall pain intensity using a 0 to 10 scale, with 0 indicating no pain and 10 indicating pain as bad as it possibly could be.…”

Section: Methodsmentioning

confidence: 99%

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Pain Patterns and Treatment Among Nursing Home Residents With Moderate‐Severe Cognitive Impairment

Ersek

Nash

Hilgeman

et al. 2019

J American Geriatrics Society

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OBJECTIVES To examine the frequency and severity of pain and use of pain therapies among long‐term care residents with moderate to severe dementia and to explore the factors associated with increased pain severity. DESIGN Prospective individual data were collected over 1 to 3 days for each participant. SETTING Sixteen long‐term care facilities in Alabama, Georgia, Pennsylvania, and New Jersey. PARTICIPANTS Residents with moderate to severe cognitive impairment residing in a long‐term care facility for at least 7 days were enrolled (N = 205). Residents were 47% female, predominantly white (69%), and 84 years old, on average (SD = 10 years). MEASUREMENTS A comprehensive pain assessment protocol was used to evaluate pain severity and characteristics through medical record review, interviews with nursing home staff, physical examinations, as well as pain observation tools (Mobilization‐Observation‐Behavior‐Intensity‐Dementia Pain Scale and Pain Intensity Measure for Persons With Dementia). Known correlates were also assessed (agitation, depression, and sleep). RESULTS Experts' pain evaluations indicated that residents' usual pain was mild (mean = 1.6/10), and most experienced only intermittent pain (70%). However, 45% of residents experienced moderate to severe worst pain. Of residents, 90% received a pain therapy, with acetaminophen (87%) and opioids (32%) commonly utilized. Only 3% had a nondrug therapy documented in the medical record. The only resident characteristic that was significantly associated with pain severity was receipt of an opioid in the past week. CONCLUSION Using a comprehensive pain assessment protocol, we found that most nursing home residents with moderate to severe dementia had mild usual, intermittent pain and the vast majority received at least one pain therapy in the previous week. Although these findings reflect improvements in pain management compared with older studies, there is still room for improvement in that 45% of the sample experienced moderate to severe pain at some point in the previous week. J Am Geriatr Soc 68:794–802, 2020

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Pain Patterns and Treatment Among Nursing Home Residents With Moderate‐Severe Cognitive Impairment

Ersek

Nash

Hilgeman

et al. 2019

J American Geriatrics Society

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“…The location of study was not stated in Lorenzet et al [ 66 ]. Studies were reported in 21 countries, most frequently Norway ( n = 8) [ 32 , 41 , 48 , 56 – 59 , 63 ], USA ( n = 7) [ 19 , 33 , 34 , 42 , 44 , 60 , 61 ], Canada ( n = 4) [ 31 , 52 , 54 , 55 ], and Brazil ( n = 4)] 17,22,23,66].…”

Section: Resultsmentioning

confidence: 99%

Psychometric properties of pain measurements for people living with dementia: a COSMIN systematic review

Smith

Harvey

2022

Eur Geriatr Med

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Purpose Detecting pain in older people with dementia is challenging. Consequentially, pain is often under-reported and under-treated. There remains uncertainty over what measures should be promoted for use to assess pain in this population. The purpose of this paper is to answer this question. Methods A search of clinical trials registered on the ClinicalTrial.gov and ISRCTN registries was performed to identify outcome measures used to assess pain in people with dementia. Following this, a systematic review of published and unpublished databases was performed to 01 November 2021 to identify papers assessing the psychometric properties of these identified measures. Each paper and measure was assessed against the COSMIN checklist. A best evidence synthesis analysis was performed to assess the level of evidence for each measure. Results From 188 clinical trials, nine outcome measures were identified. These included: Abbey Pain Scale, ALGOPLUS, DOLOPLUS-2, Facial Action Coding System, MOBID-2, self-reported pain through the NRS or VAS/thermometer or Philadelphia Geriatric Pain Intensity Scale, PACSLAC/PACSLAC-2, Pain Assessment in Advanced Dementia (PAINAD), and Checklist for non-verbal pain behavior (CNPI). From these, 51 papers (5924 people with dementia) were identified assessing the psychometric properties of these measures. From these, there was strong- and moderate-level evidence to support the use of the facial action coding system, PACSLAC and PACSLAC-II, CNPI, DOLOPLUS-2, ALGOPLUS, MOBID, and MOBID-2 tools for the assessment of pain with people living with dementia. Conclusion Whilst these reflect measurement tools used in research, further consideration on how these reflect clinical practice should be considered. PROSPERO registration CRD42021282032

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“…In terms of internal consistency, the results from the present study demonstrated slightly lower agreement at rest, but higher agreement in the post-movement condition when compared to Atee et al [ 27 ]. Other observational assessment tools which have demonstrated similar interrater agreement are the NOPPAIN [ 41 ], MOBID [ 42 ] and previous PainChek® studies [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Psychometric Properties of PainChek® in UK Aged Care Residents with advanced dementia

et al. 2021

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Background The aim of this study was to further validate PainChek®, an electronic pain assessment instrument, with a population living with dementia in a UK care home. Method This study utilised a correlational design to evaluate the psychometric properties of PainChek® when compared to the Abbey Pain Scale (APS). Blinded paired pain assessments were completed at rest and immediately post-movement by a researcher and a nurse. A total of 22 participants with a diagnosis of moderate-to-severe dementia and a painful condition were recruited using opportunity sampling. Results Overall, 302 paired assessments were collected for 22 participants. Out of these 179 were conducted during rest and 123 were immediately post-movement. The results demonstrated a positive significant correlation between overall PainChek® pain scores and overall APS pain scores (r = 0.818, N = 302, p < .001, one-tailed), satisfactory internal consistency (α = 0.810), moderate single measure intraclass correlation (ICC = 0.680) and substantial inter-rater agreement (κ = 0.719). Conclusions PainChek® has demonstrated to be a valid and reliable instrument to assess the presence and severity of pain in people with moderate-to-severe dementia living in aged care.

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Psychometric Evaluation of the MOBID Dementia Pain Scale in U.S. Nursing Homes

Cited by 9 publications

References 37 publications

Pain Patterns and Treatment Among Nursing Home Residents With Moderate‐Severe Cognitive Impairment

Pain Patterns and Treatment Among Nursing Home Residents With Moderate‐Severe Cognitive Impairment

Psychometric properties of pain measurements for people living with dementia: a COSMIN systematic review

Evaluation of the Psychometric Properties of PainChek® in UK Aged Care Residents with advanced dementia

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