{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T08:43:23Z","timestamp":1792226603183,"version":"4.4.0"},"reference-count":22,"publisher":"Baycinar Tibbi Yayincilik","issue":"4","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Agri"],"accepted":{"date-parts":[[2026,7,25]]},"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The aim of this study was to culturally adapt the Abbey Pain Scale (APS-TR) into Turkish and to evaluate the validity and reliability of the scale in dementia patients.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Patients and Methods:<\/jats:bold>\n                    Between September 16, 2020 and April 16, 2023, a total of 103 dementia patients aged \u2265 65 who were admitted to the intensive care units of a university hospital were included in the study. Pain levels were assessed 1 min before mobilization or repositioning, during the procedure, and 20 min afterward using the Turkish version of the APS, the Nonverbal Pain Scale (NVPS), and the Verbal Descriptive Scale (VDS). Construct validity was evaluated through exploratory and confirmatory factor analyses. Reliability was assessed using internal consistency analysis with Cronbach\u2019s alpha coefficient, and criterion validity was examined by analyzing correlations between APS-TR and the other pain scales using Pearson correlation analysis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Of a total of 103 patients, 37 were male and 66 were female with a mean age of 71.7 \u00b1 5.67 (range, 65 to 92) years. As a result of linguistic and cultural adaptation, the Turkish version of the scale was found to be appropriate. The content validity index was found to be 0.90. Exploratory factor analysis showed that the items formed a single-factor structure, and factor loadings ranged from 0.489 to 0.855. Confirmatory factor analysis fit indices (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    \/df = 1.21, root mean square error of approximation [RMSEA] = 0.046, standardized root mean square residual [SRMR] = 0.045, [comparative fit index] = 0.989) indicated that the model was acceptable. The Cronbach's alpha coefficient of the scale was calculated as 0.777, and positive and significant relationships were found between APS-TR and NVPS and VDS at all measurement times.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Our study results suggest that the Turkish version of the APS is a valid, reliable, and unidimensional measurement instrument which can be used to assess pain in dementia patients receiving treatment in intensive care.\n                  <\/jats:p>","DOI":"10.5606\/agri.2026.97","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T08:31:27Z","timestamp":1792225887000},"page":"257-263","source":"Crossref","is-referenced-by-count":0,"title":["Cross-cultural adaptation and psychometric validation of the Turkish version of Abbey Pain Scale in dementia patients"],"prefix":"10.5606","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6519-864X","authenticated-orcid":false,"given":"Sevilay","family":"Erden","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1371-9458","authenticated-orcid":false,"given":"\u0130lknur","family":"Tura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8185-175X","authenticated-orcid":false,"given":"P\u0131nar","family":"Kaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1939-2986","authenticated-orcid":false,"given":"Song\u00fcl","family":"Karada\u011f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3570","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Donkor DM, Marfo E, Bockarie A, Tettevi EJ, Antwi MH, Dogah J, et al. Genetic and environmental risk factors for dementia in African adults: A systematic review. Alzheimers Dement 2025;21:e70220. doi: 10.1002\/alz.70220.","DOI":"10.1002\/alz.70220"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Rashid F, Khan KM, Saiprakash S, Ahmed G, Sultana R, Parvez F, et al. Epidemiological evidence on the associations of metal exposure with Alzheimer's disease and related dementias among elderly women. J Clin Med 2025;14:3776. doi: 10.3390\/jcm14113776.","DOI":"10.3390\/jcm14113776"},{"key":"ref-3","unstructured":"World Health Organization. Dementia [Internet]. 2023. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/dementia. [Accessed: July 24, 2026]"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Wimo A, Seeher K, Cataldi R, Cyhlarova E, Dielemann JL, Frisell O, et al. The worldwide costs of dementia in 2019. Alzheimers Dement 2023;19:2865-73. doi: 10.1002\/alz.12901.","DOI":"10.1002\/alz.12901"},{"key":"ref-5","unstructured":"Keystone Clinic & Surgery. Dementia [Internet]. 2023. Available from: https:\/\/keystonemedical.com.sg\/dementia\/. [Accessed: July 24, 2026]"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Sampson EL, Davies N, Vickerstaff V. Evaluation of the psychometric properties of PainChek in older general hospital patients with dementia. Age Ageing 2025;54:afaf027. doi: 10.1093\/ageing\/afaf027.","DOI":"10.1093\/ageing\/afaf027"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Tsai YI, Browne G, Inder KJ. The effectiveness of interventions to improve pain assessment and management in people living with dementia: A systematic review and meta-analyses. J Adv Nurs 2021;77:1127-40. doi: 10.1111\/jan.14660.","DOI":"10.1111\/jan.14660"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Liao YJ, Jao YL, Berish D, Hin AS, Wangi K, Kitko L, et al. A systematic review of barriers and facilitators of pain management in persons with dementia. J Pain 2023;24:730-41. doi: 10.1016\/j.jpain.2022.12.014.","DOI":"10.1016\/j.jpain.2022.12.014"},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Abbey J, Piller N, De Bellis A, Esterman A, Parker D, Giles L, et al. The Abbey pain scale: A 1-minute numerical indicator for people with end-stage dementia. Int J Palliat Nurs 2004;10:6-13. doi: 10.12968\/ ijpn.2004.10.1.12013.","DOI":"10.12968\/ijpn.2004.10.1.12013"},{"key":"ref-10","doi-asserted-by":"crossref","unstructured":"Bardak\u00e7\u0131 S, Arslan R. \u00d6l\u00e7ek ve anket uygulamalar\u0131nda \u00f6rneklem problemi. In: K\u0131rba\u015f A, editor. Sosyal bilimlerde g\u00fcncel ara\u015ft\u0131rmalar. Ankara: \u00d6zg\u00fcr Yay\u0131nlar\u0131; 2025. doi: 10.58830\/ozgur.pub916.c3826v","DOI":"10.58830\/ozgur.pub916.c3826"},{"key":"ref-11","doi-asserted-by":"crossref","unstructured":"Herr KA, Mobily PR. Comparison of selected pain assessment tools for use with the elderly. Appl Nurs Res 1993;6:39-46. doi: 10.1016\/ s0897-1897(05)80041-2.","DOI":"10.1016\/S0897-1897(05)80041-2"},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Gregersen M, Melin AS, Nygaard IS, Nielsen CH, Beedholm-Ebsen M. Reliability of the Danish Abbey Pain Scale in severely demented and non-communicative older patients. Int J Palliat Nurs 2016;22:482- 8. doi: 10.12968\/ijpn.2016.22.10.482.","DOI":"10.12968\/ijpn.2016.22.10.482"},{"key":"ref-13","doi-asserted-by":"crossref","unstructured":"Takai Y, Yamamoto-Mitani N, Chiba Y, Kato A. Feasibility and clinical utility of the Japanese version of the Abbey pain scale in Japanese aged care. Pain Manag Nurs 2014;15:439-48. doi: 10.1016\/j. pmn.2012.02.003.","DOI":"10.1016\/j.pmn.2012.02.003"},{"key":"ref-14","doi-asserted-by":"crossref","unstructured":"Odhner M, Wegman D, Freeland N, Steinmetz A, Ingersoll GL. Assessing pain control in nonverbal critically ill adults. Dimens Crit Care Nurs 2003;22:260-7. doi: 10.1097\/00003465-200311000-00010.","DOI":"10.1097\/00003465-200311000-00010"},{"key":"ref-15","doi-asserted-by":"crossref","unstructured":"Kaya P, Erden S. Cross-cultural adaptation, validity and reliability of the Turkish version of Revised Nonverbal Pain Scale. Agri 2019;31:15- 22. doi: 10.5505\/agri.2018.25349.","DOI":"10.5505\/agri.2018.25349"},{"key":"ref-16","doi-asserted-by":"crossref","unstructured":"Folstein MF, Folstein SE, McHugh PR. \u201cMini-mental state\u201d. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-98. doi: 10.1016\/0022-3956(75)90026-6.","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"ref-17","doi-asserted-by":"crossref","unstructured":"Ibrahim SNA, Matore MEEM. The validity of the Malaysian teachers\u2019 global competency level instrument using Cohen kappa, content validity ratio and content validity index analyses. J Appl Sci Eng Technol Educ 2025;7:82-93. doi: 10.35877\/454RI.asci3848.","DOI":"10.35877\/454RI.asci3848"},{"key":"ref-18","doi-asserted-by":"crossref","unstructured":"Yildiz GN, \u015eirin G\u00f6k M, \u00c7ift\u00e7i B. Development and psychometric validation of the comfort scale for injection. BMC Nurs 2024;23:903. doi: 10.1186\/s12912-024-02566-9.","DOI":"10.1186\/s12912-024-02566-9"},{"key":"ref-19","doi-asserted-by":"crossref","unstructured":"Hotz-Boendermaker S, Tirez J, Morf R, Esteve R. Translation, reliability, and validity of the German version of the Activity Patterns Scale (APS) in musculoskeletal pain: A methodological study. BMC Musculoskelet Disord 2024;25:884. doi: 10.1186\/s12891-024-07986-x.","DOI":"10.1186\/s12891-024-07986-x"},{"key":"ref-20","unstructured":"Tegenborg S. Pain or no pain? That is the question: an evaluation of the observational pain assessment instrument Abbey Pain Scale in patients with cancer [doctoral dissertation on the Internet]. Ume\u00e5: Ume\u00e5 University; 2024. Available from: https:\/\/umu.diva-portal. org\/smash\/get\/diva2:1855450\/FULLTEXT01.pdf. [Accessed: July 24, 2026]"},{"key":"ref-21","doi-asserted-by":"crossref","unstructured":"Neville C, Ostini R. A psychometric evaluation of three pain rating scales for people with moderate to severe dementia. Pain Manag Nurs 2014;15:798-806. doi: 10.1016\/j.pmn.2013.08.001.","DOI":"10.1016\/j.pmn.2013.08.001"},{"key":"ref-22","doi-asserted-by":"crossref","unstructured":"Sathyanarayana S, Mohanasundaram T. Fit indices in structural equation modeling and confirmatory factor analysis: reporting guidelines. 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