Implementing PainChek and PARO to Support Pain Assessment and Management in Residents with Dementia: A Qualitative Study

Lihui Pu; Michel W. Coppieters; Martin Smalbrugge; Cindy Jones; Joshua Byrnes; Michael Todorovic; Wendy Moyle

doi:10.1016/j.pmn.2023.04.001

Implementing PainChek and PARO to Support Pain Assessment and Management in Residents with Dementia: A Qualitative Study

Lihui Pu^*, Michel W. Coppieters, Martin Smalbrugge, Cindy Jones, Joshua Byrnes, Michael Todorovic, Wendy Moyle

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

3 Citations (Scopus)

Abstract

BACKGROUND: Pain is a common problem but often undiagnosed and untreated in people with dementia.

AIMS: This study explored the experiences of residents with dementia, family, andformal carers with (1) pain assessment and management for residents with dementia; (2) the use of the PainChek app for pain assessment, and (3) the use of a social robot PARO for pain management in residents with dementia.

DESIGN: A qualitative study.

SETTINGS/PARTICIPANTS: Interviews were conducted with 13 residents withdementia, three family members, and 18 formal carers from a residential aged carefacility.

METHOD: Residents with dementia interacted with PARO for 15 mins, five days perweek for three weeks. The PainChek app assessed pain levels before and after eachsession. After three-week intervention, individual interviews were conducted withresidents, family, and formal carers who experienced or observed the use of PainChekapp and PARO for residents. Interviews were audio-recorded, transcribed, andanalyzed using thematic analysis.

RESULTS: Four themes were identified regarding pain in residents with dementia: (1) the impact, challenges and strategies of pain assessment and management; (2) benefits and barriers of using PainChek app to assess pain; (3) benefits of interacting with PARO to manage pain and behavioral symptoms; and (4) implementing PainChek app and PARO to support pain assessment and management in dementia care.

CONCLUSIONS: Technology, such as PainChek and PARO, is promising to improve painassessment and reduce pain for people with dementia. Barriers to using technologyinclude limited staff training and the implementation of person-centered care.

Original language	English
Pages (from-to)	1-8
Number of pages	8
Journal	Pain Management Nursing
Early online date	25 Apr 2023
DOIs	https://doi.org/10.1016/j.pmn.2023.04.001 https://doi.org/10.1016/j.pmn.2023.04.001
Publication status	E-pub ahead of print - 25 Apr 2023

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@article{c0ca17bd086d4e168bc11d3780cecd7f,

title = "Implementing PainChek and PARO to Support Pain Assessment and Management in Residents with Dementia: A Qualitative Study",

abstract = "BACKGROUND: Pain is a common problem but often undiagnosed and untreated in people with dementia.AIMS: This study explored the experiences of residents with dementia, family, andformal carers with (1) pain assessment and management for residents with dementia; (2) the use of the PainChek app for pain assessment, and (3) the use of a social robot PARO for pain management in residents with dementia.DESIGN: A qualitative study.SETTINGS/PARTICIPANTS: Interviews were conducted with 13 residents withdementia, three family members, and 18 formal carers from a residential aged carefacility.METHOD: Residents with dementia interacted with PARO for 15 mins, five days perweek for three weeks. The PainChek app assessed pain levels before and after eachsession. After three-week intervention, individual interviews were conducted withresidents, family, and formal carers who experienced or observed the use of PainChekapp and PARO for residents. Interviews were audio-recorded, transcribed, andanalyzed using thematic analysis.RESULTS: Four themes were identified regarding pain in residents with dementia: (1) the impact, challenges and strategies of pain assessment and management; (2) benefits and barriers of using PainChek app to assess pain; (3) benefits of interacting with PARO to manage pain and behavioral symptoms; and (4) implementing PainChek app and PARO to support pain assessment and management in dementia care.CONCLUSIONS: Technology, such as PainChek and PARO, is promising to improve painassessment and reduce pain for people with dementia. Barriers to using technologyinclude limited staff training and the implementation of person-centered care.",

author = "Lihui Pu and Coppieters, {Michel W.} and Martin Smalbrugge and Cindy Jones and Joshua Byrnes and Michael Todorovic and Wendy Moyle",

note = "Funding Information: This research was supported by a Menzies Health Institute Queensland Collaborative Interdisciplinary Grant 2021. In addition, Dr. Lihui Pu is supported by a 2020 Griffith University Postdoctoral Fellowship. Publisher Copyright: {\textcopyright} 2023 American Society for Pain Management Nursing",

year = "2023",

month = apr,

day = "25",

doi = "10.1016/j.pmn.2023.04.001",

language = "English",

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journal = "Pain Management Nursing",

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T1 - Implementing PainChek and PARO to Support Pain Assessment and Management in Residents with Dementia: A Qualitative Study

AU - Pu, Lihui

AU - Coppieters, Michel W.

AU - Smalbrugge, Martin

AU - Jones, Cindy

AU - Byrnes, Joshua

AU - Todorovic, Michael

AU - Moyle, Wendy

N1 - Funding Information: This research was supported by a Menzies Health Institute Queensland Collaborative Interdisciplinary Grant 2021. In addition, Dr. Lihui Pu is supported by a 2020 Griffith University Postdoctoral Fellowship. Publisher Copyright: © 2023 American Society for Pain Management Nursing

PY - 2023/4/25

Y1 - 2023/4/25

N2 - BACKGROUND: Pain is a common problem but often undiagnosed and untreated in people with dementia.AIMS: This study explored the experiences of residents with dementia, family, andformal carers with (1) pain assessment and management for residents with dementia; (2) the use of the PainChek app for pain assessment, and (3) the use of a social robot PARO for pain management in residents with dementia.DESIGN: A qualitative study.SETTINGS/PARTICIPANTS: Interviews were conducted with 13 residents withdementia, three family members, and 18 formal carers from a residential aged carefacility.METHOD: Residents with dementia interacted with PARO for 15 mins, five days perweek for three weeks. The PainChek app assessed pain levels before and after eachsession. After three-week intervention, individual interviews were conducted withresidents, family, and formal carers who experienced or observed the use of PainChekapp and PARO for residents. Interviews were audio-recorded, transcribed, andanalyzed using thematic analysis.RESULTS: Four themes were identified regarding pain in residents with dementia: (1) the impact, challenges and strategies of pain assessment and management; (2) benefits and barriers of using PainChek app to assess pain; (3) benefits of interacting with PARO to manage pain and behavioral symptoms; and (4) implementing PainChek app and PARO to support pain assessment and management in dementia care.CONCLUSIONS: Technology, such as PainChek and PARO, is promising to improve painassessment and reduce pain for people with dementia. Barriers to using technologyinclude limited staff training and the implementation of person-centered care.

AB - BACKGROUND: Pain is a common problem but often undiagnosed and untreated in people with dementia.AIMS: This study explored the experiences of residents with dementia, family, andformal carers with (1) pain assessment and management for residents with dementia; (2) the use of the PainChek app for pain assessment, and (3) the use of a social robot PARO for pain management in residents with dementia.DESIGN: A qualitative study.SETTINGS/PARTICIPANTS: Interviews were conducted with 13 residents withdementia, three family members, and 18 formal carers from a residential aged carefacility.METHOD: Residents with dementia interacted with PARO for 15 mins, five days perweek for three weeks. The PainChek app assessed pain levels before and after eachsession. After three-week intervention, individual interviews were conducted withresidents, family, and formal carers who experienced or observed the use of PainChekapp and PARO for residents. Interviews were audio-recorded, transcribed, andanalyzed using thematic analysis.RESULTS: Four themes were identified regarding pain in residents with dementia: (1) the impact, challenges and strategies of pain assessment and management; (2) benefits and barriers of using PainChek app to assess pain; (3) benefits of interacting with PARO to manage pain and behavioral symptoms; and (4) implementing PainChek app and PARO to support pain assessment and management in dementia care.CONCLUSIONS: Technology, such as PainChek and PARO, is promising to improve painassessment and reduce pain for people with dementia. Barriers to using technologyinclude limited staff training and the implementation of person-centered care.

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U2 - 10.1016/j.pmn.2023.04.001

DO - 10.1016/j.pmn.2023.04.001

M3 - Article

C2 - 37105837

AN - SCOPUS:85153583851

SN - 1524-9042

SP - 1

EP - 8

JO - Pain Management Nursing

JF - Pain Management Nursing

ER -

Implementing PainChek and PARO to Support Pain Assessment and Management in Residents with Dementia: A Qualitative Study

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