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

Autor: Xavier Gironès, Jorge Ruiz-Moreno, Lluís Miquel Riu-Gispert, Dean V. Sculley, Carles Escalona-Marfil, Alexandra Turnbull, Andrea Coda
Rok vydání: 2020
Předmět:
Male
Visual Analog Scale
020205 medical informatics
Intraclass correlation
02 engineering and technology
0302 clinical medicine
Quality of life
Pain assessment
0202 electrical engineering
electronic engineering
information engineering

Medicine
pain
Child
mHealth
Pain Measurement
lcsh:Public aspects of medicine
Pain scale
Middle Aged
symptom
Mobile Applications
Telemedicine
lcsh:R858-859.7
Female
Adult
medicine.medical_specialty
Adolescent
Visual analogue scale
digital health
Health Informatics
lcsh:Computer applications to medicine. Medical informatics
electronic visual analog scale
Young Adult
03 medical and health sciences
mobile app
Humans
Aged
Original Paper
reliability
business.industry
Reproducibility of Results
lcsh:RA1-1270
Cross-Sectional Studies
Pain Clinics
Quality of Life
Physical therapy
eHealth
Observational study
Electronics
business
030217 neurology & neurosurgery
Zdroj: Journal of Medical Internet Research, Vol 22, Iss 9, p e18284 (2020)
Journal of Medical Internet Research
ISSN: 1438-8871
DOI: 10.2196/18284
Popis: 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.
Databáze: OpenAIRE