Validación de un instrumento para la medición del dolor crónico en centros asistenciales de la tercera edad

  1. Ubillos-Landa, S. 1
  2. García-Otero, R. 1
  3. Puente-Martínez, A. 2
  1. 1 Universidad de Burgos
    info

    Universidad de Burgos

    Burgos, España

    ROR https://ror.org/049da5t36

  2. 2 Universidad del País Vasco/Euskal Herriko Unibertsitatea
    info

    Universidad del País Vasco/Euskal Herriko Unibertsitatea

    Lejona, España

    ROR https://ror.org/000xsnr85

Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2019

Volume: 42

Issue: 1

Pages: 19-30

Type: Article

DOI: 10.23938/ASSN.0390 DIALNET GOOGLE SCHOLAR

More publications in: Anales del sistema sanitario de Navarra

Abstract

Background. Assessment of chronic pain is frequently done in care centers. The aim of this study was to analyze the psychometric properties of the Chronic Pain Grade Scale (CPGS) – that measures both the intensity of chronic pain and its incapacitating effects on the everyday activities of the elderly.Method. Cross-sectional study of 185 people with chronic pain from two nursing homes. The questionnaire was adapted by back-translation and administered as a structured interview. It was assessed for reliability, internal consistency, construct validity, convergent and divergent validity (regarding the SF-12 score) and discriminant validity. Studied variables were compared among the pain groups derived from applying the scale.Results. The scale showed sufficient reliability (α=0.90), bidimensionality (intensity and disability), good convergent and divergent validity and sufficient discriminant validity. Elderly people in groups I and II had better physical health than those in groups III and IV, but group II people had similar mental health to those from group IV (highest/limiting disability). Males, people with no education and pensioners were more frequently classified as group IV.Conclusion. The Spanish version of the CPGS has proved to be valid and reliable for evaluating both intensity and disability related to chronic pain in older people living in nursing homes.

Bibliographic References

  • ÁVILA ÁLVAREZ A, MARTÍNEZ PIÉDROLA R, MATILLA MORA R, MÁXIMO BOCANEGRA M, MÉNDEZ MÉNDEZ B, TALAVERA VALVERDE MA et al. Marco de trabajo para la práctica de la terapia ocupacional: dominio y proceso. 2 edición. Occupational therapy practice framework: domain and process. Am J Occup Ther 2008; 62: 625-683. https://doi.org/10.5014/ajot.62.6.625
  • VARELA N, GUILLÉN-GRIMA F, PÉREZ-CAJARAVILLE JJ, PÉREZ-HERNÁNDEZ C, MONEDERO P. Valoración de la repercusión del dolor sobre la productividad laboral: validación del cuestionario WPAI: Pain. An Sis Sanit Navar 2016; 39; 77-85. https://doi.org/10.4321/S1137-6627/2016000100009
  • VAN DER LEEUW G, LEVEILLE SG, DONG Z, SHI L, HABTEMARIAM D, MILBERG W et al. Chronic pain and attention in older community-dwelling adults. J Am Geriatr Soc 2018; 66; 1318-1324. https://doi.org/10.1111/jgs.15413
  • MACKINTOSH-FRANKLIN C. Pain: A content review of undergraduate pre-registration nurse education in the United Kingdom. Nurse Educ Today. 2017, 48: 84-89. https://doi.org/10.1016/j.nedt.2016.08.035
  • SERRANO-ATERO MS, CABALLERO J, CAÑAS A, GARCÍA-SAURA PL, SERRANO-ÁLVAREZ C, PRIETO J. Valoración del dolor (I). Rev Soc Esp Dolor 2002; 9: 94-108.
  • KEELE KD. The pain chart. Lancet 1948; 2: 6-8. https://doi.org/10.1016/S0140-6736(48)91787-5
  • SCOTT J, HUSKISSON EC. Vertical or horizontal visual analogue scales. Ann Rheum Dis 1979; 38: 560. https://doi.org/10.1136/ard.38.6.560
  • JENSEN MP, MCFARLAND C. Increasing the reliability and validity of pain intensity measurement in chronic pain patients. Pain 1993; 55: 195-203. https://doi.org/10.1016/0304-3959(93)90148-I
  • DOWNIE WW, LEATHAM P, RHIND VM, WRIGHT V, BRANCO J, ANDERSON J. Studies with pain rating scales. Ann Rheum Dis 1978; 37: 378-381. https://doi.org/10.1136/ard.37.4.378
  • HERR KA, SPRATT K, MOBILY PR, RICHARDSON G. Pain intensity assessment in older adults: use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults. Clin J Pain 2004; 20: 207-219. https://doi.org/10.1097/00002508-200407000-00002
  • VON KORFF M, DWORKIN S, LE RESCHE L. Graded chronic pain status: an epidemiologic evaluation. Pain 1990; 40: 279-291. https://doi.org/10.1016/0304-3959(90)91125-3
  • CLEELAND CS, RYAN KM. Pain assessment: global use of the brief pain inventory. Ann Acad Med Singapore 1994; 23: 129-138.
  • BADIA X, SALAMERO M, ALONSO J. La medición de la salud. Guía de escalas de medición en español. Cuestionario de salud SF-36. Barcelona: Edimact; 1999.
  • ALONSO J, PRIETO L, ANTO JM. La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clínicos. Med Clin 1995; 104: 771-776.
  • WARE JE JR, SHERBOURNE S. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992; 30; 473-483. https://doi.org/10.1097/00005650-199206000-00002
  • KERNS RD, TURK DC, RUDY TE. The West Haven-Yale Multidimensional Pain Inventory (WHYMPI). Pain 1985; 23: 345-356. https://doi.org/10.1016/0304-3959(85)90004-1
  • FERRER-PÉREZ, VA, GONZÁLEZ-BARRÓN R, MANASSERO MA. El dolor y su clasificación: revisión de algunas propuestas. Revista de Psicología de la Salud 1994; 6: 75-101.
  • SALAFFI F, STANCATI A, GRASSI W. Reliability and validity of the Italian version of the Chronic Pain Grade questionnaire in patients with musculoskeletal disorders. Clin Rheumatol 2006; 25: 619-631. https://doi.org/10.1007/s10067-005-0140-y
  • SMITH B, PENNY K, PURVESA A, MUNROB C, WILSONB B, GRIMSHAWD J et al. The chronic pain grade questionnaire: validation and reliability in postal research. Pain 1997; 71: 141-147. https://doi.org/10.1016/S0304-3959(97)03347-2
  • SCHMIDT CO, RASPE H, KOHLMANN T. Graded back pain revisited - Do latent variable models change our understanding of severe back pain in the general population? Pain 2010; 149 : 50-56. https://doi.org/10.1016/j.pain.2010.01.025
  • HU, LT, BENTLER PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model a Multidiscip J 1999; 6: 1-55. https://doi.org/10.1080/10705519909540118
  • VON KORFF M, ORMEL J, KEEFE FJ, DWORKIN SF. Grading the severity of chronic pain. Pain 1992; 5: 133-149. https://doi.org/10.1016/0304-3959(92)90154-4
  • VILAGUT G, FERRER M, RAJMIL L, REBOLLO P, PERMANYER-MIRALDA G, QUINTANA JM et al. El cuestionario de salud SF-36 español: una década de experiencia y nuevos desarrollos. Gac Sanit 2005; 19: 135-150. https://doi.org/10.1157/13074369
  • HAMBLETON RK, PATSULA L. Increasing the validity of adapted tests: myths to be avoided and guidelines for improving test adaptation practices. J Appl Test Technol 1999; 1: 1-13.
  • MERINO CL, LAUTENSCHLAGER G. Comparación estadística de la confiabilidad alfa de Cronbach: aplicaciones en la medición educacional. Rev Psicol Chile 2003; 12: 129-139.
  • CRUZ-SÁNCHEZ E, TORRES-BONETE MD, GARCÍA-PALLARÉS J, GASCÓN-CÁNOVAS JJ, VALERO-VALENZUELA A, PEREÑÍGUEZ-BARRANCO J. Dolor de espalda y limitación de la actividad física cotidiana en la población adulta española. An Sis Sanit Navar 2012; 35: 241-249. https://doi.org/10.4321/S1137-66272012000200006
  • LAMÉ IE, PETERS ML, VLAEYEN JWS, KLEEF MV, PATIJN J. Quality of life in chronic pain is more associated with beliefs about pain, than with pain intensity. Eur J Pain 2005; 9: 15-24. https://doi.org/10.1016/j.ejpain.2004.02.006
  • RODRÍGUEZ MJ, DE LA TORRE R, ORTEGA JL, TRINIDAD JM, BENÍTEZ D, JIMÉNEZ AJ et al. Evaluation of the quality of care of elderly patients with chronic and breakthrough pain treated with opioids: SAND study. Curr Med Res Opin 2018; 34: 701-709. https://doi.org/10.1080/03007995.2017.1380618
  • RUSTØEN T, WAHL AK, HANESTAD BR, LERDAL A, PAUL S, MIASKOWSKI C. Prevalence and characteristics of chronic pain in the general Norwegian population. Eur J Pain 2004; 8: 555-565. https://doi.org/10.1016/j.ejpain.2004.02.002
  • FARIÑA-LÓPEZ E, ESTÉVEZ-GUERRA GJ, CALVO FRANCÉS F, PENELO E. Adaptación y validación española del Perception of Restraint Use Questionnaire (PRUQ) sobre el uso de restricciones físicas en personas mayores. An Sis Sanit Navar 2016; 39: 13-22. https://doi.org/10.4321/S1137-6627/2016000100003
Data source: Dialnet