Centre de Pharmacologie Clinique, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Inserm, Clermont-Ferrand, France.
Pain Med. 2018 Feb 1;19(2):252-261. doi: 10.1093/pm/pnw356.
Acute pain is frequent and underestimated in older persons, especially when they suffer from cognitive impairment. Algoplus is an observational scale for acute pain evaluation, validated in French in older persons with communication disorders. We present the validation by an international expert team of the Algoplus scale in five languages: English, Spanish, Italian, Portuguese, and Turkish.
A total of 181 older consecutive patients were included in five countries (Spain, Australia, Italy, Portugal, and Turkey). Test-retest and inter-rater reliabilities were determined by weighted kappa coefficient for each item and internal consistency by Kuder-Richardson-20 (KD).
Regarding test-retest reliability, the kappa coefficient for the five items ranged from 0.68 to 0.84. Inter-rater reliability kappa values ranged from 0.64 to 0.82. Internal consistency was indicated at a KD greater than 0.6. Satisfaction was good to excellent for all teams. Results show that reliability tests are good to excellent for all items of Algoplus.
This study shows evidence that Algoplus is an acceptable, reproducible, reliable, and easy-to-use tool. It provides a unique opportunity to include the translated Algoplus scale in daily assessment of older persons with communication disorders in many countries.
急性疼痛在老年人中很常见，但往往被低估，尤其是当他们认知受损时。Algoplus 是一种用于评估急性疼痛的观察量表，在有沟通障碍的老年人中经过法语验证。我们展示了由一个国际专家团队对 Algoplus 量表进行的 5 种语言（英语、西班牙语、意大利语、葡萄牙语和土耳其语）的验证。
在五个国家（西班牙、澳大利亚、意大利、葡萄牙和土耳其），共纳入了 181 名连续的老年患者。对每个项目进行加权 Kappa 系数评估，对内部一致性进行 Kuder-Richardson-20（KD）评估，以确定测试-重测和组内信度。
关于测试-重测信度，五个项目的 Kappa 系数范围为 0.68 至 0.84。组内信度 Kappa 值范围为 0.64 至 0.82。KD 值大于 0.6 表明内部一致性良好。所有团队的满意度均为良好至优秀。结果表明，Algoplus 的所有项目的可靠性测试均为良好至优秀。
这项研究表明，Algoplus 是一种可接受、可重复、可靠且易于使用的工具。它为在许多国家对有沟通障碍的老年人进行日常评估提供了一个独特的机会，可以纳入翻译后的 Algoplus 量表。
