The Italian version of the pain assessment in advanced dementia (PAINAD) scale

Costardi, Daniela; Rozzini, Luca; Costanzi, Chiara; Ghianda, Diego; Franzoni, Simone; Padovani, Alessandro; Trabucchi, Marco

doi:10.1016/j.archger.2006.04.008

Cited by 49 publications

(44 citation statements)

References 23 publications

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“…In our large sample of hospitalized elderly subjects, the concurrent validity of the PAINAD scale in relation to the gold standard pain assessment method (the NRS) was significantly higher than reported elsewhere [5]. Our results show a good construct validity and reliability, even in moderate-to-severe dementia.…”

Section: Discussionmentioning

confidence: 49%

“…For the purposes of this study, the Italian version of PAINAD validated by Costardi et al [5] was used. In their validation paper the authors demonstrated an acceptable level of concurrent validity for PAINAD as compared with the verbal descriptor scale (0.65, p = 0.008), and an adequate internal consistency expressed by Cronbach's alpha (0.74).…”

Section: Pain Assessmentmentioning

confidence: 99%

“…Although currently available data on the scale's validity and reliability by comparison with the gold standard self-assessment method are encouraging, the size of the sample in which the scale was previously validated [5,37] is too small to support any recommendation for the widespread adoption of the PAINAD in clinical practice.…”

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confidence: 99%

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Psychometric Properties of the Pain Assessment in Advanced Dementia Scale Compared to Self Assessment of Pain in Elderly Patients

Mosele

Inelmen

Toffanello

et al. 2012

Dement Geriatr Cogn Disord

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Aim: The aims of the present study were to report on the psychometric properties of the Pain Assessment in Advanced Dementia (PAINAD) scale by comparing it with the gold standard method of self-reporting on a numerical rating scale (NRS), and to provide a categorical version of the PAINAD scale comparable with the verbal descriptor scale of the NRS. Methods: Six hundred elderly patients with various degrees of cognitive impairment consecutively admitted to the acute geriatric section at Padua University were evaluated. Cognitive, functional, and health statuses were evaluated using the Mini-Mental State Examination (MMSE), activities of daily living, and the Cumulative Illness Rating Scale (CIRS), respectively. Pain measurements were obtained by administering the NRS and the PAINAD scale. Results: Cognitive decline was recorded in 310 subjects (52%). The internal reliability of the PAINAD scale was adequate for all items, both in patients with dementia (α = 0.90) and in those with no cognitive impairment (α = 0.94). The psychometric evaluation demonstrated a stronger level of concurrent validity (Kendall’s τ = 0.73, p < 0.0001) and inter-rater agreement (ĸ = 0.74, p < 0.0001) for the PAINAD compared with the NRS. Conclusion: Our findings clearly indicate that the PAINAD scale is a reliable and easily administered tool for assessing pain intensity also in elderly patients with advanced dementia.

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Section: Discussionmentioning

confidence: 49%

Section: Pain Assessmentmentioning

confidence: 99%

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Psychometric Properties of the Pain Assessment in Advanced Dementia Scale Compared to Self Assessment of Pain in Elderly Patients

Mosele

Inelmen

Toffanello

et al. 2012

Dement Geriatr Cogn Disord

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“…15,[39][40][41] PAINAD has been shown to correlate well with observer pain ratings and other observational pain tools (r = 0.81 to 0.85), 15 and poorly with the CSDD. Observers rate each behavior on a scale of 0 to 2, where 0 represents normal functioning and 2 represents behaviors hypothesized to indicate pain (eg, noisy labored breathing, loud moaning or groaning, facial grimacing, rigid, or unable to console).…”

Section: Painad 12mentioning

confidence: 99%

Evidence-based Development and Initial Validation of the Pain Assessment Checklist for Seniors With Limited Ability to Communicate-II (PACSLAC-II)

Chan

Hadjistavropoulos

Williams

et al. 2014

The Clinical Journal of Pain

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“…The PAINAD scale was also translated and validated in other languages as German (26) , Dutch (27) , Chinese (28) , Italian (29) and Portuguese from Portugal (30) . In all versions it seemed to be an instrument with high correlation and adequate levels of construct validity and internal reliability.…”

Section: Discussionmentioning

confidence: 99%

Cultural adaptation of the scale Pain Assessment in Advanced Dementia – PAINAD to Brazil

Valera

Carezzato

Vale

et al. 2014

Rev. esc. enferm. USP

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RESUMENObjetivo: Traducir y adaptar culturalmente para Brasil la escala Pain Assessment in Advanced Dementia (PAINAD). Método: El proceso de adaptación cultural del instrumento utilizó la metodología de un referencial teórico, realizada en cinco etapas: traducción para el portugués -brasileño, versión consensual de las traducciones, retro-traducción para el idioma original, revisión por un comité de expertos en el área del instrumento y prueba piloto de equivalencia. En la última etapa, el instrumento fue evaluado y aplicado por 27 profesionales de la salud. Resultados: La Escala de Evaluación del Dolor en Demencia Avanzada fue adaptada culturalmente para Brasil y mostró equivalencia semántica con la original, así como claridad, aplicabilidad y fácil comprensión de los elementos del instrumento. Conclusión: Este proceso garantizó las propiedades psicométricas tales como confiabilidad y la validez de contenido de esa escala. DESCRIPTORES DESCRITORES Medição da dorDemência Estudos de validação ABSTRACTObjective: To translate and culturally adapt to Brazil the scale Pain Assessment in Advanced Dementia (PAINAD). Method: The cultural adaptation process followed the methodology of a theorical reference, in five steps: translation to Brazilian Portuguese, consensual version of translations, back-translation to the original language, revision by a committee of specialists in the field and a equivalency pre-test. The instrument was assessed and applied by 27 health professionals in the last step. Results: The Escala de Avaliação de Dor em Demência Avançada was culturally adapted to Brazil and presented semantic equivalency to the original, besides clarity, applicability and easy comprehension of the instrument items. Conclusion: This process secured the psychometric properties as the reliability and content validity of the referred scale.

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The Italian version of the pain assessment in advanced dementia (PAINAD) scale

Cited by 49 publications

References 23 publications

Psychometric Properties of the Pain Assessment in Advanced Dementia Scale Compared to Self Assessment of Pain in Elderly Patients

Psychometric Properties of the Pain Assessment in Advanced Dementia Scale Compared to Self Assessment of Pain in Elderly Patients

Evidence-based Development and Initial Validation of the Pain Assessment Checklist for Seniors With Limited Ability to Communicate-II (PACSLAC-II)

Cultural adaptation of the scale Pain Assessment in Advanced Dementia – PAINAD to Brazil

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