Validation of the Spanish Version of the Pain Assessment in Advanced Dementia Scale (PAINAD-Sp) in Hospitalized Patients with Neurologic Disorders and Oncologic Patients Unable to Self-Report Their Pain |
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| Institution: | 1. Institute for Health Science Research Germans Trias I Pujol (IGTP), Department of Neurosciences, Badalona (Barcelona), Spain;2. RETICS Research Group (Redes Temáticas de Investigación Cooperativa en Salud), RD16/0019/0020 Health Institute Carlos III, Madrid, Spain;3. Institut Català d’Oncologia (ICO), Badalona (Barcelona), Spain;4. GRIN Group, IDIBELL, Institute of Biomedical Research, Barcelona, Spain;6. Universidad de Barcelona, Escuela Universitaria de Enfermería, Campus de Ciències de la Salut de Bellvitge, Barcelona, Spain;5. School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain;7. Stroke Unit, Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain;11. Stroke Unit, Department of Neurosciences, Hospital Vall d’Hebron, Barcelona, Spain;12. Stroke Unit, Department of Neurosciences, Hospital Universitari Bellvitge, Barcelona, Spain;8. Sant Joan de Déu-Fundació Privada, School of Nursing, University of Barcelona, Barcelona, Spain;10. Research Group GIESS (Grupo de investigación en Enfermería, Educación y Sociedad), Barcelona, Spain;9. Research Group GIRISAME (International Researchers Group of Mental Health Nursing Care), Madrid, Spain;1. Division of Specialist Nursing, Department of Nursing, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland;2. Pediatric Division, Department of Thoracic Surgery, Institute for Tuberculosis and Lung Diseases, Rabka-Zdroj, Poland;1. Institute of Rheumatology, Belgrade, Serbia;2. School of Medicine, University of Belgrade, Serbia;3. Neurology Outpatient Clinic Apostolski, Belgrade, Serbia;4. Center for Biochemistry, Clinical Center of Serbia, Belgrade, Serbia;1. School of Nursing, Shandong University, Jinan, China;2. School of Nursing, Peking University, Beijing, China;1. Community Based Psychiatric Care Research Centre, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;2. Islamic Azad University, Shiraz Branch, Shiraz, Iran;1. Surgical Department, Odense University Hospital, Odense, Denmark;2. Institute of Clinical Research, University of Southern Denmark, Odense, Denmark;3. OPEN (Odense Patient Data Explorative Network), Odense University Hospital, Odense, Denmark |
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| Abstract: | BackgroundPain has a significant impact on hospitalized patients and is a quality indicator for nursing care. The Pain Assessment in Advanced Dementia (PAINAD) scale measures pain in people with communication disorders and advanced dementia, but it has not been validated in any other population.AimsThe aim of this study was to validate the Spanish version (PAINAD-Sp) in hospitalized patients with neurologic disorders and in end-of-life cancer patients with difficulty self-reporting.DesignThe study had two phases: (1) analysis of the content by a committee of experts and (2) a cross-sectional study.SettingsWe collected phase 2 data from January 2017 to December 2017 in four hospitals in Barcelona: Hospital Germans Trias i Pujol, Institut Català d’Oncologia, Hospital Vall d’Hebron, and Hospital de Bellvitge.Participants/SubjectsWe included all adults who had either a neurological disorder affecting language or an oncological disease with an end-of-life prognosis and difficulty self-reporting pain. We excluded patients with a diagnosis of dementia.MethodsThe cross-sectional study included 325 patients who were simultaneously evaluated by two observers both at rest and in movement. We analyzed psychometric properties in terms of construct validity, reliability, and sensitivity to change.ResultsWe obtained Cronbach α > .70 in both situations and an inter-rater reliability of 0.80. Confirmatory factor analysis indicated that the model adjusted adequately to a unidimensional structure. In terms of sensitivity to change, the mean difference was greater in movement than at rest (difference in means was 1.15).ConclusionsThe PAINAD-Sp_Hosp scale had good psychometric qualities in terms of validity and reliability in neurology and oncology patients unable to self-report pain. |
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