Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review
Abstract Background The Doloplus-2 is a pain assessment scale for assessing pain in older adults with cognitive impairment. It is used in clinical practice and research. However, evidence for its measurement properties, feasibility and clinical utility remain incomplete. This systematic review synth...
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | BMC Geriatrics |
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| Online Access: | http://link.springer.com/article/10.1186/s12877-017-0643-9 |
| _version_ | 1818966927409676288 |
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| author | Hanne Marie Rostad Inger Utne Ellen Karine Grov Martine Puts Liv Halvorsrud |
| author_facet | Hanne Marie Rostad Inger Utne Ellen Karine Grov Martine Puts Liv Halvorsrud |
| author_sort | Hanne Marie Rostad |
| collection | DOAJ |
| description | Abstract Background The Doloplus-2 is a pain assessment scale for assessing pain in older adults with cognitive impairment. It is used in clinical practice and research. However, evidence for its measurement properties, feasibility and clinical utility remain incomplete. This systematic review synthesizes previous research on the measurement properties, feasibility and clinical utility of the scale. Method We conducted a systematic search in three databases (CINAHL, Medline and PsycINFO) for studies published in English, French, German, Dutch/Flemish or a Scandinavian language between 1990 and April 2017. We also reviewed the Doloplus-2 homepage and reference lists of included studies to supplement our search. Two reviewers independently reviewed titles and abstracts and performed the quality assessment and data abstraction. Results A total of 24 studies were included in this systematic review. The quality of the studies varied, but many lacked sufficient detail about the samples and response rates. The Doloplus-2 has been studied using diverse samples in a variety of settings; most study participants were in long-term care and in people with dementia. Sixteen studies addressed various aspects of the scale’s feasibility and clinical utility, but their results are limited and inconsistent across settings and samples. Support for the scale’s reliability, validity and responsiveness varied widely across the studies. Generally, the reliability coefficients reached acceptable benchmarks, but the evidence for different aspects of the scale’s validity and responsiveness was incomplete. Conclusion Additional high-quality studies are warranted to determine in which populations of older adults with cognitive impairment the Doloplus-2 is reliable, valid and feasible. The ability of the Doloplus-2 to meaningfully quantify pain, measure treatment response and improve patient outcomes also needs further investigation. Trial registration PROSPERO reg. no.: CRD42016049697 registered 20. Oct. 2016. |
| first_indexed | 2024-12-20T13:40:41Z |
| format | Article |
| id | doaj.art-9548a70ac5434d64bf60c0dd0c1022b6 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-20T13:40:41Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-9548a70ac5434d64bf60c0dd0c1022b62022-12-21T19:38:49ZengBMCBMC Geriatrics1471-23182017-11-0117112810.1186/s12877-017-0643-9Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic reviewHanne Marie Rostad0Inger Utne1Ellen Karine Grov2Martine Puts3Liv Halvorsrud4Department of Nursing and Health Promotion, Faculty of Health SciencesDepartment of Nursing and Health Promotion, Faculty of Health SciencesDepartment of Nursing and Health Promotion, Faculty of Health SciencesLawrence S Bloomberg Faculty of Nursing, University of TorontoDepartment of Nursing and Health Promotion, Faculty of Health SciencesAbstract Background The Doloplus-2 is a pain assessment scale for assessing pain in older adults with cognitive impairment. It is used in clinical practice and research. However, evidence for its measurement properties, feasibility and clinical utility remain incomplete. This systematic review synthesizes previous research on the measurement properties, feasibility and clinical utility of the scale. Method We conducted a systematic search in three databases (CINAHL, Medline and PsycINFO) for studies published in English, French, German, Dutch/Flemish or a Scandinavian language between 1990 and April 2017. We also reviewed the Doloplus-2 homepage and reference lists of included studies to supplement our search. Two reviewers independently reviewed titles and abstracts and performed the quality assessment and data abstraction. Results A total of 24 studies were included in this systematic review. The quality of the studies varied, but many lacked sufficient detail about the samples and response rates. The Doloplus-2 has been studied using diverse samples in a variety of settings; most study participants were in long-term care and in people with dementia. Sixteen studies addressed various aspects of the scale’s feasibility and clinical utility, but their results are limited and inconsistent across settings and samples. Support for the scale’s reliability, validity and responsiveness varied widely across the studies. Generally, the reliability coefficients reached acceptable benchmarks, but the evidence for different aspects of the scale’s validity and responsiveness was incomplete. Conclusion Additional high-quality studies are warranted to determine in which populations of older adults with cognitive impairment the Doloplus-2 is reliable, valid and feasible. The ability of the Doloplus-2 to meaningfully quantify pain, measure treatment response and improve patient outcomes also needs further investigation. Trial registration PROSPERO reg. no.: CRD42016049697 registered 20. Oct. 2016.http://link.springer.com/article/10.1186/s12877-017-0643-9Cognitive impairmentDementiaDoloplus-2PainOlder adultsSystematic review |
| spellingShingle | Hanne Marie Rostad Inger Utne Ellen Karine Grov Martine Puts Liv Halvorsrud Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review BMC Geriatrics Cognitive impairment Dementia Doloplus-2 Pain Older adults Systematic review |
| title | Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review |
| title_full | Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review |
| title_fullStr | Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review |
| title_full_unstemmed | Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review |
| title_short | Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review |
| title_sort | measurement properties feasibility and clinical utility of the doloplus 2 pain scale in older adults with cognitive impairment a systematic review |
| topic | Cognitive impairment Dementia Doloplus-2 Pain Older adults Systematic review |
| url | http://link.springer.com/article/10.1186/s12877-017-0643-9 |
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