This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Hølen, J. C Articles by Kaasa, S. Search for Related Content PubMed PubMed Citation Articles by Hølen, J. C Articles by Kaasa, S. Pubmed/NCBI databases Medline Plus Health Information Dementia Pain Social Bookmarking                         What's this?

The Norwegian Doloplus-2, a tool for behavioural pain assessment: translation and pilot-validation in nursing home patients with cognitive impairment

Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim

Ingvild Saltvedt

Medical Department, St. Olav's Hospital, Trondheim

Peter M Fayers

Department of Public Health, University of Aberdeen Medical School, Aberdeen, Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim

Marit Bjørnnes

Guri Stenseth

Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim

Bjørn Hval

Department of Anaesthesiology, St. Olav's Hospital, Trondheim

Marilène Filbet

Centre de soins palliatifs, Hospices Civils de Lyon

Jon Håvard Loge

Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Department of Behavioural Sciences in Medicine, University of Oslo and Ullevaal University Hospital

Stein Kaasa

Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Department of Oncology and Radiotherapy, St. Olav's Hospital, Trondheim

Background: Pain assessment is challenging in cognitively impaired (CI) patients due to inadequate self-report skills and observational ratings are an alternative. The Doloplus-2 is developed for pain assessment in the CI and rates somatic, psychomotor and psychosocial behaviours as indicators of pain. Aims: To translate the Doloplus-2 into Norwegian, to test the Doloplus-2 with regard to criterion validity and to obtain the administrators' evaluation of the clinical performance of the Doloplus-2. Methods: Nurses at three nursing homes, in collaboration with two research assistants, administered the Doloplus-2 to 59 patients with dementia. The results were compared against experienced clinicians' pain ratings. Regression analyses were performed to explore each different item's contribution to the total pain score. The administrators also completed a debriefing questionnaire. Results: The instrument was translated according to international guidelines. Regression analyses demonstrate that the Doloplus-2 score accounts for 62% (R²) of the expert score and that the four most informative items could explain 68% of the expert score. Analyses of the different Doloplus-2 items indicate that facial expressions explain most and social life least of the expert's pain ratings. The administrators reported that Doloplus-2 was helpful and easy to administer, but questioned the validity of the psychosocial domain. Conclusions: The Norwegian Doloplus-2 demonstrates satisfactory criterion validity and clinical value in this pilot study. However, the content of the instrument needs a general re-evaluation, especially with regard to the psychosocial items.

Key Words: dementia • geriatrics • measurement • observational assessment • pain • palliative patients

Palliative Medicine, Vol. 19, No. 5, 411-417 (2005)
DOI: 10.1191/0269216305pm1031oa


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				G. Evans Improving end of life care for the person with dementia: A practical approach from general practice Dementia, August 1, 2009; 8(3): 363 - 376. [Abstract] [PDF]

				K Torvik, S Kaasa, O Kirkevold, and T Rustoen Pain in patients living in Norwegian nursing homes Palliative Medicine, January 1, 2009; 23(1): 8 - 16. [Abstract] [PDF]