Reliability Study in Five Languages of the Translation of the Pain Observational Scale Algoplus.
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.
Centre de Pharmacologie Clinique, CHU Clermont-Ferrand, Clermont-Ferrand, France.|Inserm, Clermont-Ferrand, France.|Laboratoire de Pharmacologie, Faculté de Médecine, Clermont Université, Clermont-Ferrand, France.
Gisèle
G
Pickering
DIMI Internal Medicine and Medical Specialties, University of Genoa, Genoa, Italy.
Fiammetta
F
Monacelli
HSS Isabel Roig Centres Blauclinic, Barcelona, Spain.
Juan Manuel
JM
Pérez-Castejón Garrote
Hospital Nossa Senhora da Arrábida, Brejos de Azeitão, Portugal.
Hirondina
H
Guarda
Nursing School of Coimbra, Portugal.|Health Sciences Research Unit, Nursing, Coimbra, Portugal.
Luis
L
Batalha
Melbourne Hospital, Melbourne, Australia.
Stephen
S
Gibson
Department of Internal Medicine, Ege University Medical Faculty, Geriatrics Section, Izmir, Turkey.
Sumru
S
Savas
DIMI Internal Medicine and Medical Specialties, University of Genoa, Genoa, Italy.
Patrizio
P
Odetti
DIMI Internal Medicine and Medical Specialties, University of Genoa, Genoa, Italy.
Federica
F
Gandolfo
DIMI Internal Medicine and Medical Specialties, University of Genoa, Genoa, Italy.
Elisa
E
Pastorino
Hospital Center Cova da Beira, EPE, Covilhã, Portugal.
Maria José
MJ
Carrilho Mugeiro
Hospital Center Cova da Beira, EPE, Covilhã, Portugal.
Isabel Pereira
IP
Dias
Department of Internal Medicine, Ege University Medical Faculty, Geriatrics Section, Izmir, Turkey.
Asli
A
Kilavuz
Centre de Pharmacologie Clinique, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Nicolas
N
Macian
Direction Recherche Clinique, Biostatistiques, CHU, Clermont-Ferrand, France.
Bruno
B
Pereira
D059787:Acute Pain / Q000175:diagnosis*; D000368:Aged; D000369:Aged, 80 and over; D003147:Communication Disorders; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D010147:Pain Measurement / Q000379:methods*; D011594:Psychometrics / Q000295:instrumentation; D015203:Reproducibility of Results; D014175:Translating
Acute Pain; Cognitive Impairment; Communication Disorders; Evaluation Scale