[Validity and reliability of the Korean version of the pain assessment checklist for seniors with limited ability to communicate]

J Korean Acad Nurs. 2014 Aug;44(4):398-406. doi: 10.4040/jkan.2014.44.4.398.
[Article in Ko]


Purpose: This study was done to develop and test the validity and reliability of the Korean version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-K) in assessing pain of elders with dementia living in long-term care facilities.

Methods: The PACSLAC-K was developed through forward-backward translation techniques. Survey data were collected from 307 elders with dementia living in 5 long-term care facilities in Korea. Data were analyzed using descriptive statistics, Pearson correlation, Spearman's rho, paired t-test, ROC (receiver operation characteristic) curve with the SPSS/WIN (20.0) program.

Results: The PACSLAC-K showed high internal consistency (.90), inter-rater reliability (.86), intra-rater reliability (.93), and high concurrent validity (.74) in paired t-test with PAINAD. Discriminant validity also showed a significant difference compared with no pain. The PACSLAC-K showed a sensitivity of .93, specificity of .88, and Area Under the Curve of .95 in the ROC curve.

Conclusion: The findings of this study demonstrate that PACSLAC-K is useful in assessing pain for elders with dementia living in long-term care facilities.

Keywords: Dementia; Elders; Pain; Reliability; Validity.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Area Under Curve
  • Checklist
  • Dementia / physiopathology*
  • Female
  • Geriatric Assessment / methods*
  • Humans
  • Long-Term Care / methods*
  • Male
  • Pain Measurement*
  • ROC Curve
  • Republic of Korea
  • Surveys and Questionnaires