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Psychometric Evaluation of the MOBID Dementia Pain Scale in U.S. Nursing Homes
Journal article   Open access   Peer reviewed

Psychometric Evaluation of the MOBID Dementia Pain Scale in U.S. Nursing Homes

Keela Herr, Justine S Sefcik, Moni Blazej Neradilek, Michelle M Hilgeman, Princess Nash and Mary Ersek
Pain management nursing, v 20(3), pp 253-260
Jun 2019
DOI: https://doi.org/10.1016/j.pmn.2018.11.062
PMID: 31085096
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc6713270View
Accepted (AM),  Open

Abstract

Aged Aged, 80 and over Alabama Dementia - psychology Female Georgia Humans Male Middle Aged New Jersey Nursing Homes - organization & administration Nursing Homes - statistics & numerical data Pain Measurement - instrumentation Pain Measurement - standards Pain Measurement - statistics & numerical data Pennsylvania Psychometrics - instrumentation Psychometrics - methods Psychometrics - standards Reproducibility of Results United States
The Mobilization-Observation-Behavior-Intensity-Dementia (MOBID) Pain Scale is an observational tool in which raters estimate pain intensity on a 0-10 scale following five standardized movements. The tool has been shown to be valid and reliable in northern European samples and could be useful in the United States (US) for research and clinical purposes. The goal of this study was to examine the validity and reliability of the MOBID among English-speaking nursing home residents in the US. Cross-sectional study. Sixteen nursing homes in Pennsylvania, New Jersey, Georgia and Alabama. One hundred thirty-eight older adults with dementia and moderate to severe cognitive impairment. Validity was evaluated using Spearman correlations between the MOBID overall pain intensity score and 1) an expert clinician's pain intensity rating (ECPIR), 2) nursing staff surrogate pain intensity ratings, and 3) known correlates of pain. We assessed internal consistency by Cronbach's alpha. MOBID overall scores were significantly associated with expert clinician's rating of current and worst pain in the past week (rho = 0.54, and 0.57; p < .001, respectively). Statistically significant associations also were found between the MOBID overall score and nursing staff current and worst pain intensity ratings as well as the Cornell Scale for Depression in Dementia (rho = 0.29; p < .001). Internal consistency was acceptable (α = 0.83). Result of this study support the use of the MOBID in English-speaking staff and residents in the US. Findings also suggest that the tool can be completed by trained, nonclinical staff.

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11 Record Views
13 citations in Web of Science
13 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Nursing
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