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; Mary Ersek

doi:10.1016/j.pmn.2018.11.062

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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, Vol.20(3), pp.253-260

06/01/2019

DOI: 10.1016/j.pmn.2018.11.062

PMCID: PMC6713270

PMID: 31085096

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https://www.ncbi.nlm.nih.gov/pmc/articles/6713270View

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Abstract

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.

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

Details

Title: Subtitle: Psychometric Evaluation of the MOBID Dementia Pain Scale in U.S. Nursing Homes
Creators: Keela Herr - University of Iowa
Justine S Sefcik - University of Pennsylvania
Moni Blazej Neradilek - The Mountain-Whisper-Light Statistics, Seattle, Washington.
Michelle M Hilgeman - University of Alabama at Birmingham
Princess Nash - Tuscaloosa VA Medical Center
Mary Ersek - University of Pennsylvania
Resource Type: Journal article
Publication Details: Pain management nursing, Vol.20(3), pp.253-260
DOI: 10.1016/j.pmn.2018.11.062
PMID: 31085096
PMCID: PMC6713270
NLM abbreviation: Pain Manag Nurs
ISSN: 1524-9042
eISSN: 1532-8635
Grant note: I01 HX000507 / HSRD VA IK2 RX001824 / RRD VA T32 NR009356 / NINR NIH HHS
Language: English
Date published: 06/01/2019
Academic Unit: Nursing
Record Identifier: 9984370642302771

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