Cultural adaptation of the scale Pain Assessment in Advanced Dementia
					– PAINAD to Brazil

Valera, Gabriela Gallego; Carezzato, Natália Lindemann; Vale, Francisco Assis Carvalho; Hortense, Priscilla

doi:10.1590/S0080-623420140000300011

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Original Article • Rev. esc. enferm. USP 48 (03) • June 2014 • https://doi.org/10.1590/S0080-623420140000300011 copy

Cultural adaptation of the scale Pain Assessment in Advanced Dementia – PAINAD to Brazil^* * Extracted from the dissertation "Tradução e Adaptação Cultural para o Brasil da escala Pain Assessment in Advanced Dementia – PAINAD" to Brazil, Graduate Program, Universidade Federal de São Carlos, 2013.

Adaptación cultural para brasil de la escala Pain Assessment in Advanced Dementia – PAINAD

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: To translate and culturally adapt to Brazil the scale Pain Assessment inAdvanced Dementia(PAINAD).Method: The cultural adaptation process followed the methodology of a theorical reference, in five steps: translation to Brazilian Portuguese, consensual version of translations, back-translation to the original language, revision by a committee of specialists in the field and a equivalency pre-test. The instrument was assessed and applied by 27 health professionals in the last step. Results: The Escala de Avaliação de Dor em Demência Avançada was culturally adapted to Brazil and presented semantic equivalency to the original, besides clarity, applicability and easy comprehension of the instrument items. Conclusion: This process secured the psychometric properties as the reliability and content validity of the referred scale. 

Pain measurement ; Dementia; Validation studies 

IVC	N	%
1	46	61.3%
0.83	16	21.3%
0.67	7	9.3%
0.5	4	5.3%
0.33	2	2.7%
Total	75	100%

Gender	Years	Conditions in the moment of observation	Associated pathology	Pain intensity with PAINAD
F	94	Resting	Renal failure	MILD
F	88	Resting	Skin cancer	MILD
M	81	Resting	Dehydration	MILD
M	66	Resting	Dehydration	MILD
M	76	Resting	None	MILD
M	70	Resting	Pneumonia	MILD
F	82	Resting	Stroke + Acute Pulmonary Edema	MODERATE
F	86	Resting	Infected ulcers	MODERATE
M	67	Resting	Down Syndrome + Urinary tract infection	MODERATE
F	86	Resting	Infected ulcers	MODERATE
F	85	Resting	Abdominal pain	SEVERE
F	81	Resting	Femur fracture	SEVERE
M	84	Receiving hygiene care	None	MILD
F	92	Receiving hygiene care	Stroke	MODERATE
F	93	Receiving hygiene care	Respiratory insufficiency	MODERATE
F	85	Receiving hygiene care	Abdominal pain	MODERATE
F	86	At dressing change	Infected Ulcers	MODERATE
M	84	Transferring to bed	None	MODERATE
F	85	Aspersion bath	Abdominal cancer	SEVERE
F	82	Aspersion bath	Stroke + Acute Pulmonary Edema	SEVERE
F	86	Aspersion bath	Infected Ulcers	SEVERE
F	77	Aspersion bath	Gluteal Abscess	SEVERE
F	78	Aspersion bath	Pulmonary cancer	SEVERE
M	72	Motor physiotherapy	None	MODERATE
F	66	Motor physiotherapy	Stroke	MODERATE
F	91	Respiratory physiotherapy	Pneumonia	MODERATE
F	86	Respiratory physiotherapy	Infected ulcers	SEVERE

Item	Response Alternatives	Nurses (n=9)	Nursing Technicians (n=9)	Physiotherapists (n=9)
What do you generally think about our questionnaire?	Very good	77.8%	88.9%	77.8%
What do you generally think about our questionnaire?	Good	22.2%	11.1%	22.2%
Are the questions comprehensive?	Easy to understand	88.9%	77.8%	100%
Are the questions comprehensive?	Difficult sometimes	11.1%	22.2%
Did you have any difficulty to apply it?	None	100%	88.9%	100%
Did you have any difficulty to apply it?	Some difficulties		11.1%	100%
Are the questions important to assess the patient’s pain?	Very important	100%	100%	100%

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Correspondence: Gabriela Gallego.  Rua Luis Cestari, 984.  CEP 15910-000 - Monte Alto, SP, Brazil