Development and Validation of The Japanese Version

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Geriatr Gerontol Int 2009

ORIGINAL ARTICLE

Abbey Pain Scale: Development


and validation of the Japanese
version
1
Yukari Takai, Noriko Yamamoto-Mitani, 1 Yumi Chiba, 2 Yuri Nishikawa, 3

Kunihiko Hayashi 4 and Yuichi Sugai 5


1
Department of Gerontological Nursing, Graduate School of Health Care Sciences, Tokyo Medical and
Dental University, Tokyo, 2Department of Nursing, Faculty of Health Care Sciences, Chiba Prefectural
University of Health Sciences, Chiba, 3Tokyo Medical and Dental University Hospital, 4Graduate
School ofMedicine, Gunma University, Gunma, and 5Tokyo Dementia Care Research and Training
Center, Tokyo, Japan
Aim: The purpose of this study was to develop and validate the Japanese version of the
Abbey Pain Scale (APS-J), to assess pain of older adults who live in nursing homes in Japan.
Methods: In this study, the data were collected from residents in two nursing
homes in Japan to include: demographics, the Barthel Index, Folstein Mini-
Mental Examination (MMSE), APS-J and Verbal Descriptor Scale (VDS) for
pain. Two researchers independently assessed the residents’ pain using the APS-
J while the residents walked or were transferred from bed to wheelchair.
Intraclass correlation coefficients (ICC) for inter-rater and test–retest reliability,
Chronbach’s -value of the APS-J, and correlation between the APS-J and other
α

variables were examined.

Results: Data were obtained from 171 residents. The ICC for inter-rater and
test–retest reliability were 0.824 and 0.657, respectively. Internal consistency was
0.645 for the total sample and 0.719 for those with an MMSE score of 0 (n 58). =

Multiple regression analysis showed that contractures (P 0.001), previous


<

injuries (P 0.001), the MMSE (P 0.003) and paralysis (P 0.018) were


< = =

independently associated with the APS-J. The APS-J and VDS were
moderately correlated (r 0.49; P 0.01). The APS-J total score and subscales,
= <

“change in body language” and “physical changes”, were significantly different


among subjects with different MMSE score groups.
Conclusion: Findings show some evidence for the reliability and validity of APS-J.

Keywords: dementia, instrument development, nursing homes, older


adults, pain assessment.

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