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Non-verbal cues to osteoarthritic knee and/or hip pain in elders.

Publication ,  Journal Article
Tsai, P-F; Kuo, Y-F; Beck, C; Richards, K; Means, KM; Pate, BL; Keefe, FJ
Published in: Res Nurs Health
June 2011

Behavioral cues are believed to be useful to identify pain among elders who may be experiencing pain but unable to express it. To examine this assumption, we recruited 192 elders who could verbally express pain to determine whether regression models combining behavioral cues (motor and gait patterns) predicted verbal pain reports. In the best model, age (p < .01) and subscales that measured guarding (p < .001) and joint flexion (p < .01) motor patterns were significant predictors of verbal pain reports. The receiver operating characteristic curve indicated that the best cutoff for predictive probability was 40-44%, with a fair to good C statistic of .78 (SD = .04). With a 40% cutoff, sensitivity and specificity were 71.6% and 71.0%, respectively. The investigators concluded that the final model could serve as a building block for the development of a tool using behavioral cues to identify elders' pain.

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Published In

Res Nurs Health

DOI

EISSN

1098-240X

Publication Date

June 2011

Volume

34

Issue

3

Start / End Page

218 / 227

Location

United States

Related Subject Headings

  • Sex Factors
  • Sensitivity and Specificity
  • ROC Curve
  • Pain Measurement
  • Pain
  • Osteoarthritis, Knee
  • Nursing
  • Nonverbal Communication
  • Neuropsychological Tests
  • Male
 

Citation

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ICMJE
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Tsai, P.-F., Kuo, Y.-F., Beck, C., Richards, K., Means, K. M., Pate, B. L., & Keefe, F. J. (2011). Non-verbal cues to osteoarthritic knee and/or hip pain in elders. Res Nurs Health, 34(3), 218–227. https://doi.org/10.1002/nur.20432
Tsai, Pao-Feng, Yong-Fang Kuo, Cornelia Beck, Kathy Richards, Kevin M. Means, Barbara L. Pate, and Francis J. Keefe. “Non-verbal cues to osteoarthritic knee and/or hip pain in elders.Res Nurs Health 34, no. 3 (June 2011): 218–27. https://doi.org/10.1002/nur.20432.
Tsai P-F, Kuo Y-F, Beck C, Richards K, Means KM, Pate BL, et al. Non-verbal cues to osteoarthritic knee and/or hip pain in elders. Res Nurs Health. 2011 Jun;34(3):218–27.
Tsai, Pao-Feng, et al. “Non-verbal cues to osteoarthritic knee and/or hip pain in elders.Res Nurs Health, vol. 34, no. 3, June 2011, pp. 218–27. Pubmed, doi:10.1002/nur.20432.
Tsai P-F, Kuo Y-F, Beck C, Richards K, Means KM, Pate BL, Keefe FJ. Non-verbal cues to osteoarthritic knee and/or hip pain in elders. Res Nurs Health. 2011 Jun;34(3):218–227.
Journal cover image

Published In

Res Nurs Health

DOI

EISSN

1098-240X

Publication Date

June 2011

Volume

34

Issue

3

Start / End Page

218 / 227

Location

United States

Related Subject Headings

  • Sex Factors
  • Sensitivity and Specificity
  • ROC Curve
  • Pain Measurement
  • Pain
  • Osteoarthritis, Knee
  • Nursing
  • Nonverbal Communication
  • Neuropsychological Tests
  • Male