scholarly journals Comparison of a Mobile Health Electronic Visual Analog Scale App With a Traditional Paper Visual Analog Scale for Pain Evaluation: Cross-Sectional Observational Study (Preprint)

2020 ◽  
Author(s):  
Alexandra Turnbull ◽  
Dean Sculley ◽  
Carles Escalona-Marfil ◽  
Lluís Riu-Gispert ◽  
Jorge Ruiz-Moreno ◽  
...  

BACKGROUND Accurate quantification of pain in a clinical setting is vital. The use of an electronic pain scale enables data to be collected, analyzed, and utilized much faster compared with traditional paper-based scales. The advancement of smart technology in pediatric and adult pain evaluation may offer opportunities to introduce easy-to-use and reliable pain assessment methods within different clinical settings. If promptly introduced within different pediatric and adult pain clinic services, validated and easily accessible mobile health pain apps may lead to early pain detection, promoting improvement in patient’s quality of life and leading to potentially less time off from school or work. OBJECTIVE This cross-sectional observational study aimed to investigate the interchangeability of an electronic visual analog scale (eVAS) app with a traditional paper visual analog scale (pVAS) among Australian children, adolescents, and adults for pain evaluation. METHODS Healthy participants (age range 10-75 years) were recruited from a sporting club and a secondary school in Melbourne (Australia). The data collection process involved application of pressure (8.5 kg/cm<sup>2</sup>) from a Wagner Force Dial FDK 20 to the midpoint of the thumb. The pressure was applied twice with a 5-minute interval. At each pressure application, participants were asked to randomly record their pain perception using the “eVAS” accessible via the “Interactive Clinics” app and the traditional pVAS. Statistical analysis was conducted to determine intermethod and intramethod reliabilities. RESULTS Overall, 109 healthy participants were recruited. Adults (mean age 42.43 years, SD 14.50 years) had excellent reliability, with an intraclass correlation coefficient (ICC) of 0.94 (95% CI 0.91-0.96). Children and adolescents (mean age 13.91 years, SD 2.89 years) had moderate-to-good intermethod and intramethod reliabilities, with an ICC of 0.80 (95% CI 0.70-0.87) and average ICC of 0.80 (95% CI 0.69-0.87), respectively. CONCLUSIONS The eVAS app appears to be interchangeable compared with the traditional pVAS among children, adolescents, and adults. This pain evaluation method may offer new opportunities to introduce user-friendly and validated pain assessment apps for patients, clinicians, and allied health professionals.

10.2196/18284 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e18284
Author(s):  
Alexandra Turnbull ◽  
Dean Sculley ◽  
Carles Escalona-Marfil ◽  
Lluís Riu-Gispert ◽  
Jorge Ruiz-Moreno ◽  
...  

Background Accurate quantification of pain in a clinical setting is vital. The use of an electronic pain scale enables data to be collected, analyzed, and utilized much faster compared with traditional paper-based scales. The advancement of smart technology in pediatric and adult pain evaluation may offer opportunities to introduce easy-to-use and reliable pain assessment methods within different clinical settings. If promptly introduced within different pediatric and adult pain clinic services, validated and easily accessible mobile health pain apps may lead to early pain detection, promoting improvement in patient’s quality of life and leading to potentially less time off from school or work. Objective This cross-sectional observational study aimed to investigate the interchangeability of an electronic visual analog scale (eVAS) app with a traditional paper visual analog scale (pVAS) among Australian children, adolescents, and adults for pain evaluation. Methods Healthy participants (age range 10-75 years) were recruited from a sporting club and a secondary school in Melbourne (Australia). The data collection process involved application of pressure (8.5 kg/cm2) from a Wagner Force Dial FDK 20 to the midpoint of the thumb. The pressure was applied twice with a 5-minute interval. At each pressure application, participants were asked to randomly record their pain perception using the “eVAS” accessible via the “Interactive Clinics” app and the traditional pVAS. Statistical analysis was conducted to determine intermethod and intramethod reliabilities. Results Overall, 109 healthy participants were recruited. Adults (mean age 42.43 years, SD 14.50 years) had excellent reliability, with an intraclass correlation coefficient (ICC) of 0.94 (95% CI 0.91-0.96). Children and adolescents (mean age 13.91 years, SD 2.89 years) had moderate-to-good intermethod and intramethod reliabilities, with an ICC of 0.80 (95% CI 0.70-0.87) and average ICC of 0.80 (95% CI 0.69-0.87), respectively. Conclusions The eVAS app appears to be interchangeable compared with the traditional pVAS among children, adolescents, and adults. This pain evaluation method may offer new opportunities to introduce user-friendly and validated pain assessment apps for patients, clinicians, and allied health professionals.


10.2196/13468 ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. e13468 ◽  
Author(s):  
Carles Escalona-Marfil ◽  
Andrea Coda ◽  
Jorge Ruiz-Moreno ◽  
Lluís Miquel Riu-Gispert ◽  
Xavier Gironès

Background Accurate measurement of pain is required to improve its management and in research. The visual analog scale (VAS) on paper format has been shown to be an accurate, valid, reliable, and reproducible way to measure pain intensity. However, some limitations should be considered, some of which can be implemented with the introduction of an electronic VAS version, suitable to be used both in a tablet and a smartphone. Objective This study aimed to validate a new method of recording pain level by comparing the traditional paper VAS with the pain level module on the newly designed Interactive Clinics app. Methods A prospective observational cross-sectional study was designed. The sample consisted of 102 participants aged 18 to 65 years. A Force Dial FDK 20 algometer (Wagner Instruments) was employed to induce mild pressure symptoms on the participants’ thumbs. Pain was measured using a paper VAS (10 cm line) and the app. Results Intermethod reliability estimated by ICC(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, indicating good reliability. Intramethod reliability estimated by ICCa(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, also indicating good reliability. Bland-Altman analysis showed a difference of 0.175 (0.49), and limits of agreement ranged from –0.79 to 1.14. Conclusions The pain level module on the app is highly reliable and interchangeable with the paper VAS version. This tool could potentially help clinicians and researchers precisely assess pain in a simple, economic way with the use of a ubiquitous technology.


2020 ◽  
Author(s):  
Jofrid Kollltveit ◽  
Malin Osaland ◽  
Marianne Reimers ◽  
Magnus Berle

BackgroundPain is a subjective sensation; self-reporting is important for quantifying pain intensity. There are several different validated tools for this, such as Visual Analog Scale and Numeric Rating Scale. In the clinic, these terms are often used as equivalent. The objective of this study was to examine correlation and agreement between the pain registration tools in triage in an emergency department.Materials and MethodsThe study was performed in the Department of Emergency Medicine at Haukeland University Hospital in the period June-August 2019. We registered the pain score with two tools in 200 unselected patients in emergency admission with pain. In addition, we registrered gender, age, triage and general department affiliation.ResultsWe found a strong correlation between the pain registration tools by Spearmans correlation test (rho=0,930, p<0,001). There were no significant difference between the pain registration tools within the subgroups. Bland-Altman analysis show agreement between the two pain registration tools.ConclusionsIn an Emergency Department triage is it acceptable to use Visual Analog Scale and Numeric Rating Scale as equivalent, as long as the correct terminology is used.


Author(s):  
Merav Ben Natan ◽  
Yaniv Steinfeld ◽  
Sara Badash ◽  
Galina Shmilov ◽  
Milena Abramov ◽  
...  

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
YousefD Alqurashi ◽  
Aleksander Dawidziuk ◽  
Abdullah Alqarni ◽  
Julia Kelly ◽  
James Moss ◽  
...  

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
M. Fadel Dikaprio ◽  
Muhammad Fadhol Romdhoni ◽  
Refni Riyanto Riyanto ◽  
Susiyadi

Circumcision could be painful before, during, and after the surgery. The local anesthesia is often used in medical practice in order to reduce pain during circumcision. Topical anesthesia works by eliminating pain sensation after direct application on skin. This study aimed to investigate the effect of additional of topical anesthesia agent for circumcision on the visual analog scale (VAS). It was a cross sectional study using the data of medical records from a Circumcision Clinic (Rumah Sunatan) in Purwokerto, Central Java conducted from July 2019 to March 2020. As a result, there were 127 subjects (70.6%) belong to Mild Category VAS, while 26 subjects (14.4%) got Moderate, and 27 subjects (15.0%) fall under Severe Category. The application of topical anesthesia for circumcision could reduce the VAS value by 70.6 %.


2015 ◽  
Vol 8 (6) ◽  
pp. 196 ◽  
Author(s):  
Negin Masoudi Alavi ◽  
Mahla Madani ◽  
Zohre Sadat ◽  
Hamed Haddad Kashani ◽  
Mohammad Reza Sharif

<p><strong>INTRODUCTION: </strong>Given that nurses are among professions with frequent <strong>‎</strong>problems of fatigue, and given the nature of their profession that <strong>‎</strong>provides little exposure to sunlight and the subsequent deficiency of vitamin D, the <strong>‎</strong>present study examined the relation between fatigue and circulating vitamin D levels <strong>‎</strong>in female nurses working in Shahid Beheshti Hospital, Kashan, Iran in 2013. <strong>‎</strong></p><p><strong>MATERIAL &amp; METHODS: </strong>This cross-sectional study was conducted in 200 female nurses working in Shahid Beheshti Hospital. To measure fatigue, fatigue questionnaire containing 9 <strong>‎</strong>questions eliciting the subject’s feeling in scales of 1 to 7, getting a possible score of 9 to <strong>‎‎</strong>63, and Visual Analogue Scale <strong>‎</strong>in which nurses specified their fatigue in a band of zero to 10 were used. <strong>‎</strong>The 25-hydroxyvitamin D, which is the most important vitamin D metabolite, also was determined. The data was analyzed by SPSS-16. The Pearson’s correlation of coefficients, t-test, and multiple regression analysis were used in this study.<strong>‎</strong></p><p><strong>RESULTS: </strong>The mean fatigue score of nurses was 38.76±12.66 in questionnaire and 5.73±2.12 in Visual Analog Scale. The 89 per cent of nurses suffered from vitamin D deficiency, <strong>‎‎</strong>9.5 percent of them had normal level and 1.5 per cent had toxicity level of vitamin D.<strong>‎</strong> There was a significant relationship between vitamin D level and fatigue scores (P&lt;0.0001), and visual fatigue scores (P&lt;0.0001). According to multivariate regression analysis, vitamin D level accounted for 13 per cent <strong>‎</strong>of the fatigue based on data on questionnaire and<strong>‎</strong> <strong>‎</strong>18.6 per cent of <strong>‎</strong>fatigue according to Visual Analog Scale. <strong>‎</strong></p><p><strong>CONCLUSION: </strong>High prevalence of fatigue among nurses could be attributed to vitamin D <strong>‎</strong>deficiency.</p>


2002 ◽  
Vol 18 (5) ◽  
pp. 310-316 ◽  
Author(s):  
Monique van Dijk ◽  
Hans M. Koot ◽  
Huda Huijer Abu Saad ◽  
Dick Tibboel ◽  
Jan Passchier

Spine ◽  
2010 ◽  
Vol 35 (21) ◽  
pp. E1115-E1119 ◽  
Author(s):  
Antònia Matamalas ◽  
Manuel Ramírez ◽  
Sergi Mojal ◽  
Ana García De Frutos ◽  
Antonio Molina ◽  
...  

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