To Know Another's Pain: A Meta-analysis of Caregivers' and Healthcare Providers' Pain Assessment Accuracy

Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine
Mollie A RubenJillian C Shipherd

Abstract

Acute and chronic pain affects millions of adults yet it is often inadequately assessed and treated. The purpose of the present meta-analysis was to examine the overall level of pain assessment accuracy among caregivers and providers and identify patient, observer, and assessment level factors that moderate pain assessment accuracy. A systematic literature search was conducted in PubMed and PsycINFO to identify studies addressing providers' pain assessment accuracy, or studies that compared patients' self-report of pain with observers' (healthcare providers, caregivers, and strangers) assessment of pain. We present two separate meta-analyses examining the overall effect of under-/overestimation of pain and correlational pain assessment accuracy. Seventy-six articles meeting inclusion criteria yielded 94 independent effect sizes for the correlational accuracy meta-analysis. Ninety articles yielded 103 independent effect sizes for the paired comparison meta-analysis. The correlational pain assessment meta-analysis showed that in general, observers were significantly better than chance when assessing pain; however, the paired comparison meta-analysis showed that observers significantly underestimated patients' pain. Patient's age ...Continue Reading

References

Feb 1, 1992·Journal of Pain and Symptom Management·R DarC S Cleeland
Oct 1, 1991·Issues in Comprehensive Pediatric Nursing·L L LaMontagneJ T Hepworth
Jan 1, 1991·International Journal of Nursing Studies·J Reed, S Bond
Jan 1, 1990·Acta Obstetricia Et Gynecologica Scandinavica·G Fridh, F Gaston-Johansson
Apr 1, 1989·Acta Anaesthesiologica Scandinavica·M ForrestB Andersen
Oct 1, 1989·Journal of Advanced Nursing·S Holmes, E Eburn
Nov 1, 1988·Pain·J O'Brien, A Francis
Jan 1, 1987·Journal of Pain and Symptom Management·H Ketovuori
Nov 1, 1985·Diabetes Care·D J CoxJ Pennebaker
Sep 1, 1984·Biofeedback and Self-regulation·J W Pennebaker, C W Hoover
Jan 4, 1996·The New England Journal of Medicine·S Krivo, M M Reidenberg
Feb 1, 1994·Clinical Nursing Research·J M Bowman
Jul 1, 1995·The Journal of Emergency Medicine·J Ducharme, C Barber
Apr 1, 1995·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·R D HaysO Devinsky
Aug 1, 1994·Pain·K M PrkachinS R Mercer
Mar 1, 1994·Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association·G H de BockJ D Mulder
Jan 1, 1994·Southern Medical Journal·L M LewisC B Brooks
Sep 1, 1995·Pharmacotherapy·J K WhippleR K Ausman
Jun 1, 1996·The Journal of Bone and Joint Surgery. American Volume·J R LiebermanG A Finerman
Aug 1, 1996·Annals of Emergency Medicine·T J JantosD M Yealy
Mar 1, 1996·The American Journal of Emergency Medicine·J S JonesM McNinch
Mar 1, 1997·Acta Anaesthesiologica Scandinavica·B SjöströmB Lindström
Jul 23, 1998·Journal of Clinical Epidemiology·K C SneeuwJ H Schornagel
Jan 5, 1999·The Clinical Journal of Pain·C T ChambersG A Finley
Feb 2, 1993·Children's Health Care : Journal of the Association for the Care of Children's Health·E M Schneider, G LoBiondo-Wood
Jul 1, 1999·Journal of Pain and Symptom Management·R A DrayerM Reidenberg
Oct 26, 1999·The American Journal of Emergency Medicine·S H ThomasJ Stein
Dec 1, 1999·Journal of Gerontological Nursing·I Bergh, B Sjöström
Jan 25, 2000·The Journal of Emergency Medicine·V Guru, I Dubinsky

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Citations

Jan 16, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Valérie VitouSophie Bayard
Sep 4, 2020·Journal of Pain and Symptom Management·Reynolds MorrisonKate L Lapane
Jul 15, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Maichou LorMiroslav Backonja
Aug 3, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Katherine A YeagerDrenna Waldrop

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