RT Journal Article
T1 Spanish adaptation and validation of the Pain Assessment Scale in Advanced Dementia (PAINAD) in patients with dementia and impaired verbal communication: cross-sectional study
A1 Cantón-Habas, Vanesa
A1 Carrera-González, María Del Pilar
A1 Moreno-Casbas, María Teresa
A1 Rich-Ruiz, Manuel
K1 Pain assessment scale
K1 Psychometric
K1 Dementia
K1 Primary healthcare
K1 Spain
K1 Impaired verbal communication
K1 Dimensión del dolor
K1 Psicometría
K1 Demencia
K1 Atención primaria de salud
K1 España
AB Objectives The aim of this study was to adapt and validate the Pain Assessment in Advanced Dementia (PAINAD) scale in Spanish.Design Cross-sectional observational study.Setting Two health districts of Andalusian provinces, located in the south of Spain, through the Andalusian network of Primary Healthcare centres and four institutions dedicated to the care of patients with dementia.Participants A total of 100 older people, with a medical diagnosis of dementia and a score on the Global Deterioration Scale between 5 and 7 were assessed using the PAINAD scale.Primary and secondary outcome measures Psychometric properties including content validity, construct validity and reliability of the scale have been tested.Results The overall Item Content Validity Index was excellent (0.95). Regarding construct validity, it was confirmed that a lower use of analgesics implied a lower score on the PAINAD scale (p<0.05). The internal consistency of the scale was 0.76 and it increases to 0.81 if we remove the breathing item. Furthermore, the intraclass correlation coefficient (ICC) used to assess interobserver reliability was 0.94, whereas the ICC used to assess temporary stability was 0.55.Conclusions The Spanish version of the PAINAD scale is a valid tool to assess pain in patients with dementia and inability to communicate verbally.
PB BMJ Group
YR 2021
FD 2021-06-22
LK http://hdl.handle.net/10668/4425
UL http://hdl.handle.net/10668/4425
LA en
NO Cantón-Habas V, Carrera-González MDP, Moreno-Casbas MT, Rich-Ruiz M. Spanish adaptation and validation of the Pain Assessment Scale in Advanced Dementia (PAINAD) in patients with dementia and impaired verbal communication: cross-sectional study. BMJ Open. 2021 Jun 22;11(6):e049211
DS RISalud
RD Apr 5, 2025