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dc.contributor.authorCantón-Habas, Vanesa
dc.contributor.authorCarrera-González, María Del Pilar
dc.contributor.authorMoreno-Casbas, Teresa 
dc.contributor.authorRich-Ruiz, Manuel 
dc.date.accessioned2021-06-29T19:11:18Z
dc.date.available2021-06-29T19:11:18Z
dc.date.issued2021-06-22
dc.identifier.citationBMJ Open. 2021 Jun 22;11(6):e049211.es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/13213
dc.description.abstractObjectives The aim of this study was to adapt and validate the Pain Assessment in Advanced Dementia (PAINAD) scale in Spanish. Design Cross-sectional observational study. Setting Two health districts of Andalusian provinces, located in the south of Spain, through the Andalusian network of Primary Healthcare centres and four institutions dedicated to the care of patients with dementia. Participants A total of 100 older people, with a medical diagnosis of dementia and a score on the Global Deterioration Scale between 5 and 7 were assessed using the PAINAD scale. Primary and secondary outcome measures Psychometric properties including content validity, construct validity and reliability of the scale have been tested. Results The overall Item Content Validity Index was excellent (0.95). Regarding construct validity, it was confirmed that a lower use of analgesics implied a lower score on the PAINAD scale (p<0.05). The internal consistency of the scale was 0.76 and it increases to 0.81 if we remove the breathing item. Furthermore, the intraclass correlation coefficient (ICC) used to assess interobserver reliability was 0.94, whereas the ICC used to assess temporary stability was 0.55. Conclusions The Spanish version of the PAINAD scale is a valid tool to assess pain in patients with dementia and inability to communicate verbally.es_ES
dc.description.sponsorshipThis study was supported by Junta de Andalucía through a regional health research fund (Research code: PI-0357–2017).es_ES
dc.language.isoenges_ES
dc.publisherBMJ Publishing Group es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectDementiaes_ES
dc.subjectGeriatric medicinees_ES
dc.subjectPain managementes_ES
dc.titleSpanish adaptation and validation of the Pain Assessment Scale in Advanced Dementia (PAINAD) in patients with dementia and impaired verbal communication: cross-sectional studyes_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución-NoComercial 4.0 Internacional*
dc.identifier.pubmedID34158307es_ES
dc.format.volume11es_ES
dc.format.number6es_ES
dc.format.pagee049211es_ES
dc.identifier.doi10.1136/bmjopen-2021-049211es_ES
dc.contributor.funderRegional Government of Andalusia (España) es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn2044-6055es_ES
dc.relation.publisherversionhttps://doi.org/10.1136/bmjopen-2021-049211es_ES
dc.identifier.journalBMJ Openes_ES
dc.repisalud.centroISCIII::Unidad de Investigación en Cuidados de Salud (Investén-isciii)es_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES


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Atribución-NoComercial 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Atribución-NoComercial 4.0 Internacional