Pain Clinical Trial
Official title:
Systematic Pain Assessment in Nursing Home Residents With Advanced Dementia; Effect on Pain Management and Patient Outcomes
Verified date | April 2019 |
Source | Oslo and Akershus University College of Applied Sciences |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
It is estimated that 45-80 % of nursing home residents have substantial pain at any given time. Residents with impaired cognition have been found to report chronic pain more often, more frequent and more severe, compared to residents with normal cognition. Approximately 3/4 of permanent residents in nursing homes in Norway have developed dementia. The burden of dementia is often compounded by painful conditions. Despite over a decade of research on the subject, inadequate pain assessment and management remain significant problems among institutionalized older adults, with and without dementia. The poor pain management in patients with dementia has been attributed, at least in part, to difficulties with, and lack of, pain assessment in this population. Therefore, this study seek to determine the effect of regular pain assessment.
Status | Completed |
Enrollment | 112 |
Est. completion date | March 17, 2018 |
Est. primary completion date | June 1, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - = 65 years old - Dementia diagnosis - Severe language impairment/non-communicative - Clinically significant pain and/or behavioral symptoms: a score of at least 44 on the Norwegian version of the Cohen-Mansfield Agitation Inventory (CMAI), - or a score of at least 4 (frequency × severity) on items of the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH), - or an indication of clinically significant pain (= 5) according to the DOLOPLUS-2 at baseline Exclusion Criteria: - Short term stay, < 4 weeks - Primary psychiatric diagnosis - Delirium |
Country | Name | City | State |
---|---|---|---|
Norway | Faculty of Helath Science, Department of Nursing and Health Promotion | Oslo | PB 4 Saint Olavs Plass |
Lead Sponsor | Collaborator |
---|---|
Oslo and Akershus University College of Applied Sciences |
Norway,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in analgesic intake measured in Defined Daily Dose (DDD) or a similar measure from baseline to 12 weeks. Will be assessed in both the Intervention and Control group. | 12 weeks | ||
Primary | Change in pain score on the Dolplus-2 pain scale, and change in proportion scoring = 5 on the Doloplus-2 scale from baseline to 12 week. Will be assessed in both the Intervention and Control group. | 12 weeks | ||
Secondary | Change in psychotropic drug use from baseline to 12 weeks. Will be assessed in both the Intervention and Control group | 12 weeks | ||
Secondary | Change in NPS from baseline to 4, 8, 12 weeks. Will be assessed in both the Intervention and Control group | 4, 8, 12 weeks | ||
Secondary | Change in agitation measured with Brief Agitation Rating Scale (BARS) from baseline to 4 to 8 to 12 weeks. Will be assessed in both the Intervention and Control group. | 4, 8, 12 weeks | ||
Secondary | Change in QoL measured with QUALID from baseline to 12 weeks. Will be assessed in both the Intervention and Control group. | 12 weeks | ||
Secondary | Change in personal activity of daily living measured with the Physical Self Management Scale from baseline to 12 weeks. Will be assessed in both the Intervention and Control group. | 12 weeks | ||
Secondary | Nurses evaluation of systematic pain assessment tools by using a questionnaire developed for this study. Will be assessed in both the Intervention and Control group | 12 weeks | ||
Secondary | Pain management intervention applied when pain is detected with pain assessment tool Doloplus-2. Will be assessed for the Intervention group | 12 weeks | ||
Secondary | Validity and reliability of the Doloplus-2 pain scale. | 12 weeks | ||
Secondary | Convergent validity of three pain scales: the Doloplus-2, the Mobid-2 and the Checklist for non-verbal pain behavior. | Baseline - 12 weeks | ||
Secondary | Association between variables; pain, agitation, NPS, depression, ADL, QoL, analgesic use, psychotropic use Will be assessed in both the Intervention and Control group. | Baseline and 12 weeks |
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