+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Pilot Evaluation of a Functional Pain Assessment Scale

Pilot Evaluation of a Functional Pain Assessment Scale

Clinical Nurse Specialist Cns 33(1): 12-21

Common pain assessment tools measure intensity, ignoring other dimensions of pain like function. The aim of this study was to test the psychometric properties of a newly developed functional pain assessment scale (FPAS) for use in clinical practice. In this descriptive correlational study, an FPAS was developed and then evaluated against 2 validated pain tools in 68 hospitalized adult patients experiencing acute and/or chronic pain. These tools included the numeric pain rating scale and a 100-mm visual analog scale. The FPAS was significantly correlated (ρ = 0.72-0.87; P < .001) with the numeric pain rating scale and visual analog scale in cognitively intact patients but not the cognitively impaired (ρ = 0.22-0.34; P > .05). Test-retest reliability coefficients for the 3 scales were high (ρ = 0.82-0.94; P < .001), demonstrating stability of the measures. Overall, patients preferred the FPAS; this preference was significantly greater in patients older than 40 years. This pilot study provided support for the reliability and validity of the FPAS in cognitively intact patients experiencing pain. Although more research is needed, clinicians may consider using the FPAS with cognitively intact adults to assess the functional impact of pain on pain intensity. Clinical nurse specialists play a pivotal role in role modeling and guiding the introduction and testing of new assessment approaches into clinical practice settings across the continuum of care.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 065879992

Download citation: RISBibTeXText

PMID: 30499845

DOI: 10.1097/NUR.0000000000000416

Related references

Pragmatic evaluation of an observational pain assessment scale in the emergency department: The Pain Assessment in Advanced Dementia (PAINAD) scale. Australasian Emergency Care 21(4): 131-136, 2019

Procedural Pain Scale Evaluation (PROPoSE) study: protocol for an evaluation of the psychometric properties of behavioural pain scales for the assessment of procedural pain in infants and children aged 6-42 months. Bmj Open 7(9): E016225, 2018

A pain assessment scale for population-based studies: development and validation of the pain module of the Standard Evaluation Questionnaire. Pain 136(1-2): 62-74, 2007

Quantitative pain assessment for routine care of rheumatoid arthritis patients using a pain scale based on activities of daily living and a visual analog pain scale. Arthritis & Rheumatism 30(6): 630-636, 1987

The evaluation of smartphone versions of the visual analogue scale and numeric rating scale as postoperative pain assessment tools: a prospective randomized trial. Canadian Journal of Anaesthesia 2019, 2019

Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care and Research 63 Suppl 11: S240-S252, 2012

Validation of the Pain Assessment in Neonates (PAIN) scale with the Neonatal Infant Pain Scale (NIPS). Neonatal Network 21(6): 15-21, 2002

Evaluation of the Revised Faces Pain Scale, Verbal Descriptor Scale, Numeric Rating Scale, and Iowa Pain Thermometer in older minority adults. Pain Management Nursing 7(3): 117-125, 2006

Pain assessment with the revised nociception coma scale and outcomes of patients with unresponsive wakefulness syndrome: results from a pilot study. Neurological Sciences 39(6): 1073-1077, 2018

Monitoring acute equine visceral pain with the Equine Utrecht University Scale for Composite Pain Assessment (EQUUS-COMPASS) and the Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP): A scale-construction study. Veterinary Journal 206(3): 356-364, 2016

Biopsychosocial assessment criteria for functional chronic visceral pain: a pilot review of concept and practice. Pain Medicine 12(4): 552-564, 2011

A smartphone version of the Faces Pain Scale-Revised and the Color Analog Scale for postoperative pain assessment in children. Paediatric Anaesthesia 25(12): 1264-1273, 2016

HEDEN Pain Scale: A Shortened Behavioral Scale for Assessment of Prolonged Cancer or Postsurgical Pain in Children Aged 2 to 6 Years. Pediatric Hematology and Oncology 32(5): 291-303, 2016

Development and Reliability of the Functional Evaluation Scale for Duchenne Muscular Dystrophy, Gait Domain: A Pilot Study. PhysioTherapy Research International 20(3): 135-146, 2016

Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a Swiss ball: a pilot study. Journal of Manipulative and Physiological Therapeutics 29(7): 550-560, 2006