Can We Quickly and Thoroughly Assess Pain with the PACSLAC-II? A Convergent Validity Study in Long-Term Care Residents Suffering from Dementia

Ruest, Mélanie; Bourque, Monique; Laroche, Sarah; Harvey, Marie-Philippe; Martel, Marylie; Bergeron-Vézina, Kayla; Apinis, Catherine; Proulx, Dominique; Hadjistavropoulos, Thomas; Tousignant-Laflamme, Yannick; Léonard, Guillaume

doi:10.1016/j.pmn.2017.05.009

Cited by 11 publications

(5 citation statements)

References 36 publications

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“…[8] The average time required to complete and score the PACSLAC-II is 96 (± 2) seconds. [28] The internal consistency (Cronbach's α ≥ .77) [8,29] and the inter-rater reliability (k = .63) [8] were satisfactory. The established convergent validity was moderate to high with PACSLAC (r = .61, p < .001) and PAINAD (r = .65, p < .001).…”

Section: Introductionmentioning

confidence: 90%

“…The established convergent validity was moderate to high with PACSLAC (r = .61, p < .001) and PAINAD (r = .65, p < .001). [28] 1.3 Objectives of study Even though the PACSLAC-II has proven to be a valid and reliable instrument for assessing pain in older adults with limited ability to communicate verbally, [8,[28][29][30] no German translation (PACSLAC-II-G) is available yet. Therefore, the overall aim was to translate and culturally-functionally adapt the PACSLAC-II into German.…”

Section: Introductionmentioning

confidence: 99%

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The pain assessment checklist for seniors with limited ability to communicate-II (PACSLAC-II): Translation, cultural-functional adaptation, and psychometric testing in an Austrian population

Müller,

Schmied,

Wandl

et al. 2023

JNEP

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Objective: This study aimed to translate, culturally-functionally adapt, and test the psychometric properties of the German Pain Assessment Checklist for Seniors with Limited Ability to Communicate-II (PACSLAC-II-G).Methods: The scale was translated and adapted according to the ISPOR principles. PACSLAC-II-G was tested for its psychometric properties in 107 cognitively and verbally impaired geriatric nursing hospital residents.Results: Internal consistency of PACSLAC-II-G was acceptable (Cronbach’s α = .752). Inter-rater reliability showed high observed percentage agreement (Po = 72% – 100%). Content validity could not be established. Convergent validity of PACSLAC-II-G rated high with the total scores of BESD (= PAINAD) (ρ = .743, p < .001) and with Doloplus-2 (ρ = .816, p < .001).Conclusions: PACSLAC-II-G was in part reliable and valid in this population sample.

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Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

The pain assessment checklist for seniors with limited ability to communicate-II (PACSLAC-II): Translation, cultural-functional adaptation, and psychometric testing in an Austrian population

Müller,

Schmied,

Wandl

et al. 2023

JNEP

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show abstract

“…The second way of measuring pain is the "Observe behavior and infer" method (39). This method has various scales like Neonatal Infant Pain Scale (NIPS) (40), Crying Requires Increased Vital Signs Expression Sleeplessness (CRIES) (41), Face, Legs, Activity, Cry, Consolability (FLACC) (41) for Infants and Toddlers, then Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC) (42), DOLOPLUS2 (43), Pain Assessment in Advanced Dementia Scale (PAINAD) (44) for elderly with dementia and Behavioral Pain Scale (BPS) (45), Critical Care Pain Observation Tool (CPOT) (46), Nonverbal Pain Scale (NVPS) (47) for ill and unconscious persons. The third classification of measuring pain is "Indirect Physiology."…”

Section: Pain Identification Methodsmentioning

confidence: 99%

Chronic Pain Treatment and Digital Health Era-An Opinion

Rejula

Anitha

Belfin

et al. 2021

Front. Public Health

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“…Each item is scored as present or absent and then a total score is summed with higher scores indicative of more severe pain. This measure has been shortened and tested as a 31-item measure referred to as the PACSLAC-II ( 16 ). Although there is support for the reliability and validity of the PACSLAC and the PACSLAC-II ( 16 – 18 ), the measure requires more training and takes more time to complete than the PAINAD.…”

Section: Introductionmentioning

confidence: 99%

Invariance of the PAINAD Scale Between the Black and White Residents Living With Dementia

et al. 2021

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The purpose of this study was to test the reliability and validity of the Pain Assessment in Advanced Dementia (PAINAD) and particularly consider whether or not this measure was invariant when used among the Black and White residents. Baseline data from an implementation study testing that included a sample of 553 residents, 30% of who were Black, from 55 nursing were included in this study. The Winsteps statistical program was used to perform the Rasch analysis and evaluate the reliability and validity of the measure based on internal consistency, infit and outfit statistics, mapping, and a differential item functioning (DIF) analysis. The AMOS statistical program was used for confirmatory factor analysis. The findings supported the reliability and validity of the PAINAD when used with these individuals and demonstrated that there was no evidence of invariance between the Black and White residents. All the items fit the model, but there was not a good spread of the items across the pain level of the participants. The majority of the participants (75%) were so low in pain signs or symptoms that they could not be differentiated. Based on the clinical practice and observations, it is recommended that additional items can be added to the measure such as observing the individual for evidence of resisting care, retropulsion when trying to stand, hitting or kicking when turning in bed, hitting or kicking when transferring from bed to chair, hitting or kicking when ambulating, or hitting or kicking when raising arms, less engagement with others, and decreased participation in the activities previously enjoyed.

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Can We Quickly and Thoroughly Assess Pain with the PACSLAC-II? A Convergent Validity Study in Long-Term Care Residents Suffering from Dementia

Abstract: Background: A previous study showed that the modified version of the Pain Assessment

Cited by 11 publications

References 36 publications

The pain assessment checklist for seniors with limited ability to communicate-II (PACSLAC-II): Translation, cultural-functional adaptation, and psychometric testing in an Austrian population

The pain assessment checklist for seniors with limited ability to communicate-II (PACSLAC-II): Translation, cultural-functional adaptation, and psychometric testing in an Austrian population

Chronic Pain Treatment and Digital Health Era-An Opinion

Invariance of the PAINAD Scale Between the Black and White Residents Living With Dementia

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