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...
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Wiley
2016-01-01
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Series: | Behavioural Neurology |
Online Access: | http://dx.doi.org/10.1155/2016/3123402 |
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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 |
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