Behavioral Pain Indicators for Adults with an Intellectual Disability: a Scoping Review Protocol

Overview

Journal JBI Evid Synth

Publisher Wolters Kluwer

Specialty Health Services

Date 2022 Aug 24

PMID 36000781

Authors

Morgane Gilliand

Beatrice Perrenoud

Thierry Lecerf

Magali Serex

Anne Breaud

Philip Larkin

Affiliations

Soon will be listed here.

Abstract

Objective: This scoping review aims to identify and map the behavioral pain indicators observed when adults with an intellectual disability experience pain.

Introduction: Adults with an intellectual disability have more health problems than the general population. The likelihood that this population will experience pain is high, but intellectual disability can obstruct the verbal expression of pain. Adults with an intellectual disability express pain via behavioral pain indicators; however, because no behavioral pain scale exists for this population, observers may misinterpret the pain experienced by adults with an intellectual disability.

Inclusion Criteria: The review will examine literature about behavioral pain indicators for adults with any type of intellectual disability who are suffering from any type of pain in any country or care setting.

Methods: The review will be conducted according to the JBI recommendations for scoping reviews. A preliminary search focusing on the concepts of intellectual disability and pain measurement was conducted for PubMed and CINAHL in March 2022. Once the protocol is validated, searches will also be carried out in Embase, JBI EBP Database, the Cochrane Database of Systematic Reviews, ProQuest Dissertations and Theses, PsycINFO, Web of Science Core Collection, ERIC, Google Scholar, MedNar, and the websites of relevant professional associations. Titles and abstracts, and then full-text studies, will be selected independently by 2 researchers and assessed against the inclusion criteria. Relevant information will be imported into a data chart. Any behavioral pain indicators identified will be classified into 14 behavioral categories.

Review Registration Number: Open Science Framework osf.io/8xckf.

References

Peters M, Marnie C, Tricco A, Pollock D, Munn Z, Alexander L . Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020; 18(10):2119-2126. DOI: 10.11124/JBIES-20-00167. View

Wallace R, Beange H . On the need for a specialist service within the generic hospital setting for the adult patient with intellectual disability and physical health problems. J Intellect Dev Disabil. 2008; 33(4):354-61. DOI: 10.1080/13668250802259264. View

Jacobson D, Lowing K, Tedroff K . Health-related quality of life, pain, and fatigue in young adults with cerebral palsy. Dev Med Child Neurol. 2019; 62(3):372-378. DOI: 10.1111/dmcn.14413. View

Munn Z, Aromataris E, Tufanaru C, Stern C, Porritt K, Farrow J . The development of software to support multiple systematic review types: the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information (JBI SUMARI). Int J Evid Based Healthc. 2018; 17(1):36-43. DOI: 10.1097/XEB.0000000000000152. View

Shinde S, Danov S, Chen C, Clary J, Harper V, Bodfish J . Convergent validity evidence for the Pain and Discomfort Scale (PADS) for pain assessment among adults with intellectual disability. Clin J Pain. 2013; 30(6):536-43. PMC: 3989463. DOI: 10.1097/AJP.0000000000000020. View

Riquelme I, Pades Jimenez A, Montoya P . Parents and Physiotherapists Recognition of Non-Verbal Communication of Pain in Individuals with Cerebral Palsy. Health Commun. 2017; 33(12):1448-1453. DOI: 10.1080/10410236.2017.1358243. View

Astor R . Detecting pain in people with profound learning disabilities. Nurs Times. 2002; 97(40):38-9. View

Foley D, McCutcheon H . Detecting pain in people with an intellectual disability. Accid Emerg Nurs. 2004; 12(4):196-200. DOI: 10.1016/j.aaen.2004.06.002. View

Benromano T, Pick C, Granovsky Y, Defrin R . Increased Evoked Potentials and Behavioral Indices in Response to Pain Among Individuals with Intellectual Disability. Pain Med. 2017; 18(9):1715-1730. DOI: 10.1093/pm/pnw349. View

10.

Jahnsen R, Villien L, Aamodt G, Stanghelle J, Holm I . Musculoskeletal pain in adults with cerebral palsy compared with the general population. J Rehabil Med. 2004; 36(2):78-84. DOI: 10.1080/16501970310018305. View

11.

Benromano T, Pick C, Merick J, Defrin R . Physiological and Behavioral Responses to Calibrated Noxious Stimuli Among Individuals with Cerebral Palsy and Intellectual Disability. Pain Med. 2016; 18(3):441-453. DOI: 10.1093/pm/pnw155. View

12.

Gabre P, Sjoquist K . Experience and assessment of pain in individuals with cognitive impairments. Spec Care Dentist. 2003; 22(5):174-80. DOI: 10.1111/j.1754-4505.2002.tb00267.x. View

13.

. Challenge of pain in the cognitively impaired. Lancet. 2000; 356(9245):1867-8. DOI: 10.1016/S0140-6736(00)03253-0. View

14.

Herr K, Coyne P, McCaffery M, Manworren R, Merkel S . Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Manag Nurs. 2011; 12(4):230-50. DOI: 10.1016/j.pmn.2011.10.002. View

15.

Schalock R, Luckasson R, Tasse M . An Overview of Intellectual Disability: Definition, Diagnosis, Classification, and Systems of Supports (12th ed.). Am J Intellect Dev Disabil. 2021; 126(6):439-442. DOI: 10.1352/1944-7558-126.6.439. View

16.

Webber R, Bowers B, Bigby C . Hospital experiences of older people with intellectual disability: responses of group home staff and family members. J Intellect Dev Disabil. 2010; 35(3):155-64. DOI: 10.3109/13668250.2010.491071. View

17.

van der Putten A, Vlaskamp C . Pain assessment in people with profound intellectual and multiple disabilities; a pilot study into the use of the Pain Behaviour Checklist in everyday practice. Res Dev Disabil. 2011; 32(5):1677-84. DOI: 10.1016/j.ridd.2011.02.020. View

18.

McKinnon C, Meehan E, Harvey A, Antolovich G, Morgan P . Prevalence and characteristics of pain in children and young adults with cerebral palsy: a systematic review. Dev Med Child Neurol. 2018; 61(3):305-314. DOI: 10.1111/dmcn.14111. View

19.

Latina R, Di Maglie V, Sili A, DAngelo D, Marucci A, Di Ettore B . [Pain assessment in Down Syndrome patients: a narrative review of the literature]. Prof Inferm. 2019; 71(4):209-220. DOI: 10.7429/pi.2018.714209. View

20.

Maulik P, Mascarenhas M, Mathers C, Dua T, Saxena S . Prevalence of intellectual disability: a meta-analysis of population-based studies. Res Dev Disabil. 2011; 32(2):419-36. DOI: 10.1016/j.ridd.2010.12.018. View