Orofacial Pain during Mastication in People with Dementia: Reliability Testing of the Orofacial Pain Scale for Non-Verbal Individuals

Objectives. The aim of this study was to establish the reliability of the “chewing” subscale of the OPS-NVI, a novel tool designed to estimate presence and severity of orofacial pain in nonverbal patients. Methods. The OPS-NVI consists of 16 items for observed behavior, classified into four categori...

Full description

Saved in:
Bibliographic Details
Main Authors: Merlijn W. de Vries, Corine Visscher, Suzanne Delwel, Jenny T. van der Steen, Marjoleine J. C. Pieper, Erik J. A. Scherder, Wilco P. Achterberg, Frank Lobbezoo
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2016/3123402
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832547283031293952
author Merlijn W. de Vries
Corine Visscher
Suzanne Delwel
Jenny T. van der Steen
Marjoleine J. C. Pieper
Erik J. A. Scherder
Wilco P. Achterberg
Frank Lobbezoo
author_facet Merlijn W. de Vries
Corine Visscher
Suzanne Delwel
Jenny T. van der Steen
Marjoleine J. C. Pieper
Erik J. A. Scherder
Wilco P. Achterberg
Frank Lobbezoo
author_sort Merlijn W. de Vries
collection DOAJ
description Objectives. The aim of this study was to establish the reliability of the “chewing” subscale of the OPS-NVI, a novel tool designed to estimate presence and severity of orofacial pain in nonverbal patients. Methods. The OPS-NVI consists of 16 items for observed behavior, classified into four categories and a subjective estimate of pain. Two observers used the OPS-NVI for 237 video clips of people with dementia in Dutch nursing homes during their meal to observe their behavior and to estimate the intensity of orofacial pain. Six weeks later, the same observers rated the video clips a second time. Results. Bottom and ceiling effects for some items were found. This resulted in exclusion of these items from the statistical analyses. The categories which included the remaining items (n=6) showed reliability varying between fair-to-good and excellent (interobserver reliability, ICC: 0.40–0.47; intraobserver reliability, ICC: 0.40–0.92). Conclusions. The “chewing” subscale of the OPS-NVI showed a fair-to-good to excellent interobserver and intraobserver reliability in this dementia population. This study contributes to the validation process of the OPS-NVI as a whole and stresses the need for further assessment of the reliability of the OPS-NVI with subjects that might already show signs of orofacial pain.
format Article
id doaj-art-4fec6309077d40a590a26f33a8095382
institution Kabale University
issn 0953-4180
1875-8584
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Behavioural Neurology
spelling doaj-art-4fec6309077d40a590a26f33a80953822025-02-03T06:45:26ZengWileyBehavioural Neurology0953-41801875-85842016-01-01201610.1155/2016/31234023123402Orofacial Pain during Mastication in People with Dementia: Reliability Testing of the Orofacial Pain Scale for Non-Verbal IndividualsMerlijn W. de Vries0Corine Visscher1Suzanne Delwel2Jenny T. van der Steen3Marjoleine J. C. Pieper4Erik J. A. Scherder5Wilco P. Achterberg6Frank Lobbezoo7Department of Oral Health Sciences, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Research Institute MOVE Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, NetherlandsDepartment of Oral Health Sciences, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Research Institute MOVE Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, NetherlandsDepartment of Oral Health Sciences, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Research Institute MOVE Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, NetherlandsDepartment of General Practice & Elderly Care Medicine, VU University Medical Center (VUmc), Van der Boechorststraat 7, 1081 BT Amsterdam, NetherlandsDepartment of Public Health and Primary Care (PHEG), Leiden University Medical Center (LUMC), Hippocratespad 21, 2300 RC Leiden, NetherlandsDepartment of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorstraat 1, 1081 BT Amsterdam, NetherlandsDepartment of Public Health and Primary Care (PHEG), Leiden University Medical Center (LUMC), Hippocratespad 21, 2300 RC Leiden, NetherlandsDepartment of Oral Health Sciences, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Research Institute MOVE Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, NetherlandsObjectives. The aim of this study was to establish the reliability of the “chewing” subscale of the OPS-NVI, a novel tool designed to estimate presence and severity of orofacial pain in nonverbal patients. Methods. The OPS-NVI consists of 16 items for observed behavior, classified into four categories and a subjective estimate of pain. Two observers used the OPS-NVI for 237 video clips of people with dementia in Dutch nursing homes during their meal to observe their behavior and to estimate the intensity of orofacial pain. Six weeks later, the same observers rated the video clips a second time. Results. Bottom and ceiling effects for some items were found. This resulted in exclusion of these items from the statistical analyses. The categories which included the remaining items (n=6) showed reliability varying between fair-to-good and excellent (interobserver reliability, ICC: 0.40–0.47; intraobserver reliability, ICC: 0.40–0.92). Conclusions. The “chewing” subscale of the OPS-NVI showed a fair-to-good to excellent interobserver and intraobserver reliability in this dementia population. This study contributes to the validation process of the OPS-NVI as a whole and stresses the need for further assessment of the reliability of the OPS-NVI with subjects that might already show signs of orofacial pain.http://dx.doi.org/10.1155/2016/3123402
spellingShingle Merlijn W. de Vries
Corine Visscher
Suzanne Delwel
Jenny T. van der Steen
Marjoleine J. C. Pieper
Erik J. A. Scherder
Wilco P. Achterberg
Frank Lobbezoo
Orofacial Pain during Mastication in People with Dementia: Reliability Testing of the Orofacial Pain Scale for Non-Verbal Individuals
Behavioural Neurology
title Orofacial Pain during Mastication in People with Dementia: Reliability Testing of the Orofacial Pain Scale for Non-Verbal Individuals
title_full Orofacial Pain during Mastication in People with Dementia: Reliability Testing of the Orofacial Pain Scale for Non-Verbal Individuals
title_fullStr Orofacial Pain during Mastication in People with Dementia: Reliability Testing of the Orofacial Pain Scale for Non-Verbal Individuals
title_full_unstemmed Orofacial Pain during Mastication in People with Dementia: Reliability Testing of the Orofacial Pain Scale for Non-Verbal Individuals
title_short Orofacial Pain during Mastication in People with Dementia: Reliability Testing of the Orofacial Pain Scale for Non-Verbal Individuals
title_sort orofacial pain during mastication in people with dementia reliability testing of the orofacial pain scale for non verbal individuals
url http://dx.doi.org/10.1155/2016/3123402
work_keys_str_mv AT merlijnwdevries orofacialpainduringmasticationinpeoplewithdementiareliabilitytestingoftheorofacialpainscalefornonverbalindividuals
AT corinevisscher orofacialpainduringmasticationinpeoplewithdementiareliabilitytestingoftheorofacialpainscalefornonverbalindividuals
AT suzannedelwel orofacialpainduringmasticationinpeoplewithdementiareliabilitytestingoftheorofacialpainscalefornonverbalindividuals
AT jennytvandersteen orofacialpainduringmasticationinpeoplewithdementiareliabilitytestingoftheorofacialpainscalefornonverbalindividuals
AT marjoleinejcpieper orofacialpainduringmasticationinpeoplewithdementiareliabilitytestingoftheorofacialpainscalefornonverbalindividuals
AT erikjascherder orofacialpainduringmasticationinpeoplewithdementiareliabilitytestingoftheorofacialpainscalefornonverbalindividuals
AT wilcopachterberg orofacialpainduringmasticationinpeoplewithdementiareliabilitytestingoftheorofacialpainscalefornonverbalindividuals
AT franklobbezoo orofacialpainduringmasticationinpeoplewithdementiareliabilitytestingoftheorofacialpainscalefornonverbalindividuals