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Related Experiment Videos

The Functional Pain Scale: reliability, validity, and responsiveness in an elderly population.

F M Gloth1, A A Scheve, C V Stober

  • 1Division of Geriatrics, The Union Memorial Hospital, The Johns Hopkins University School of Medicine, and The Hopkins Bayview Medical Center, Baltimore, Maryland, USA. michaelg@helix.org

Journal of the American Medical Directors Association
|June 19, 2003
PubMed
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The Functional Pain Scale (FPS) effectively assesses pain in older adults, demonstrating superior reliability, validity, and responsiveness compared to other tools. This makes FPS a valuable instrument for accurately measuring pain changes in the elderly population.

Area of Science:

  • Geriatric Medicine
  • Pain Management
  • Clinical Assessment Tools

Background:

  • Assessing pain in frail older patients presents significant challenges.
  • Existing pain assessment tools lack standardization for the elderly population.

Purpose of the Study:

  • To develop and evaluate the Functional Pain Scale (FPS) for pain assessment in older adults.
  • To determine the reliability, validity, and responsiveness of the FPS.

Main Methods:

  • One hundred subjects over 65 years old participated in the study.
  • The Functional Pain Scale (FPS) was tested for validity, reliability, and responsiveness against established scales (VAS, PPI, MPQ-SF, NPS).
  • Reliability was assessed using test-retest format and correlation matrix; validity was established through criterion-related comparisons; responsiveness was evaluated using five distinct techniques.

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Main Results:

  • Interrater reliability for all tested instruments exceeded 0.95.
  • The Functional Pain Scale (FPS) demonstrated high correlations in validity testing (r = 0.62 to 0.90).
  • The FPS showed superior responsiveness compared to VAS, PPI, MPQ-SF, and NPS, indicated by the lowest cumulative responsiveness index score (7).

Conclusions:

  • The Functional Pain Scale (FPS) is a reliable, valid, and highly responsive instrument for pain assessment in older adults.
  • FPS exhibits superior responsiveness in detecting pain changes compared to other commonly used pain assessment tools.
  • The FPS is recommended as an acceptable and effective tool for assessing pain in the elderly population.