Observational studyJournal of intellectual disability research : JIDR2021
Validity of the Rotterdam Elderly Pain Observation Scale for institutionalised cognitively impaired Dutch adults.
Observational study in Journal of intellectual disability research : JIDR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Pain in non-communicative older adults beyond dementia: a narrative review.Frontiers in medicine · 2024Review
- Self-Reported Pain and Pain Observations in People with Korsakoff's Syndrome: A Pilot Study.Journal of clinical medicine · 2023Article
- Validity of the Rotterdam Elderly Pain Observation Scale for institutionalised cognitively impaired Dutch adults.Journal of intellectual disability research : JIDR · 2021Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Rotterdam Elderly Pain Observation Scale (REPOS) has not yet been validated for institutionalised cognitively impaired adults. To fill this gap of knowledge, we tested psychometric properties of the REPOS when used for pain assessment in this population.
methodsIn this multicentre observational study, residents were filmed during a possibly painful moment and at rest. Healthcare professionals were asked to rate residents' pain by means of a Numeric Rating Scale (NRS)-proxy. Two researchers assessed pain with the REPOS and the Chronic Pain Scale for Non Verbal Adults with Intellectual Disabilities (CPS-NAID) from video-recordings.
resultsIn total, 168 observations from 84 residents were assessed. Inter-observer reliability between the two researchers was good, with Cohen's kappa 0.72 [95% confidence interval (CI) 0.64 to 0.79]. Correlation between the REPOS and CPS-NAID for a possibly painful moment was 0.73 (95% CI 0.65 to 0.79). Sensitivity (85%) and specificity (61%) for the detection of pain were calculated with REPOS ≥ 3 and NRS ≥ 4 as a reference value. Item response theory analysis shows that the item grimace displayed perfect discrimination between residents with and without pain.
conclusionThe REPOS is a reliable and valid instrument to assess pain in cognitively impaired individuals.
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