Justina Yat Wa Liu|Michelle Briggs|S. José Closs
The Psychometric Qualities of Four Observational Pain Tools (OPTs) for the Assessment of Pain in Elderly People with Osteoarthritic Pain
Hong Kong Polytechnic University|University of Leeds|University of Leeds
contextpain cognitively impaired elderly people ciep often goes unrecognized observational pain tools opts designed limited evidence support psychometric qualitiesobjectivesthis study compared four opts pain assessment advanced dementia painad abbey pain scale abbey ps pain assessment checklist seniors limited ability communicate pacslac discomfort scaledementia alzheimer type dsdat two selfreport scales two proxyreport scales assessing osteoarthritic oa pain among ciepmethodsparticipants n124 divided two groups cognitively intact impaired observed two raters simultaneously rest standardized exercise program besides reliabilities correlation opts selfreportproxyreport scores evaluated opt scores collected different activity levels compared establish convergent discriminant validity confirmatory factor analysis used evaluate construct validityresultssimilar accepted patterns reliabilityvalidity obtained opts better levels psychometric properties consistently obtained exercise however single construct oa pain appeared painad abbey ps deletion breathing physiological change indicators respectively showed opts better used detect oa pain pain triggered movement ie exercise programconclusionthe painad abbey ps appeared reliable valid assessing oa pain using exercise program among elderly people regardless cognitive ability