A smartphone version of the Faces Pain Scale‐Revised and the Color Analog Scale for postoperative pain assessment in children

Sun, Terri; West, Nicholas; Ansermino, J. Mark; Montgomery, Carolyne J.; Myers, Dorothy; Dunsmuir, Dustin; Lauder, Gillian; Baeyer, Carl L. von

doi:10.1111/pan.12790

Cited by 51 publications

(51 citation statements)

References 29 publications

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“…Nevertheless, there is no consensus on the ideal time interval between PRO administrations when carrying out test–retest validation: intervals have ranged from 1 min to 7 years . Other studies have also used 30 min as a washout period . In order to reduce patient time and travel burden, as well as to ensure disease severity did not fluctuate between administrations, the shorter washout period of 30 min was used.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the paper‐based and electronic versions of the Dermatology Life Quality Index: evidence of equivalence

et al. 2017

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What's already known about this topic? The use of patient reported outcome measures (PROs) in electronic format has been increasing.  Electronic formats are usually not validated or compared to their original paper-based formats, but are assumed without evidence to be comparable.  The benefits of using electronic PROs include portability, real-time monitoring of patients' quality of life and improved data capture. What does this study add? There is equivalence between completing the DLQI on paper and in an electronic format.  Patients prefer the electronic format to the paper version: the electronic format takes slightly longer to complete.  This equivalence testing of the electronic format of the DLQI with the paper version will reassure and encourage such use in clinical and research settings. ABSTRACT BackgroundThe use of patient-reported outcome measures in electronic format has been increasing. However, these formats are usually not validated or compared to the original paper-based formats, so there is no evidence that they are completed in the same way.

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Section: Discussionmentioning

confidence: 99%

Comparison of the paper‐based and electronic versions of the Dermatology Life Quality Index: evidence of equivalence

et al. 2017

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“…The app incorporated digital self‐report pain scales designed for use with children: the Faces Pain Scale Revised (FPS‐R) for children aged 4 years and older and the Color Analogue Scale (CAS) for children aged 5 years and older . Good agreement between the digital and the original paper‐based versions of the FPS‐R and CAS on a mobile device have previously been shown; the digital versions were preferred by children . The app also incorporated two simplified pain scales, designed and evaluated by our team, which may be more appropriate for self‐report assessments of pain in younger children (4 years of age): the Simplified Faces Pain Scale (S‐FPS) and Simplified Concrete Ordinal Scale (S‐COS) …”

Section: Methodsmentioning

confidence: 99%

“…To address this issue, we have developed a prototype smartphone app called Panda , designed to aid parents/guardians in assessing postoperative pain and managing analgesic medications at home. The app includes pediatric pain scales, scheduling of reminder notifications for pain assessments and medication administration, and tracking of the resulting pain scores and administered medication. The aims of this study were to evaluate the usability and feasibility of the Panda app.…”

Section: Introductionmentioning

confidence: 99%

In‐hospital usability and feasibility evaluation of Panda, an app for the management of pain in children at home

Sun

Dunsmuir

Miao

et al. 2018

Pediatric Anesthesia

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Summary Background Postoperative pain in children is often poorly managed at home, leading to slower functional recovery, poor oral intake, sleep disturbances, and behavioral changes. Panda is a smartphone application (app) designed to support parents in assessing their child's pain and managing medications. Aims The aim of this study was to evaluate the Panda app's usability and feasibility in hospital prior to testing the app at home. Methods The study comprised two phases. Phase I evaluated Panda's usability with nurses, parents, and adolescents using simulated scenarios. Usability was measured by task completion rate, user error rates, and the Computer Systems Usability Questionnaire. Phase II evaluated Panda's feasibility by observing parents/guardians of pediatric patients using the app on the postsurgical ward. Feasibility was measured using response frequency and delay following app notifications from an audit trail of app function, and parental satisfaction from an interview. Feedback was used to guide iterative app improvements. Results In Phase I, 13 nurses, 12 parents, and 5 adolescents evaluated the app. A total of 103 usability issues were identified, analyzed, and addressed. In Phase II, 29 parents responded to a total of 151 app notifications, with 84% responding within 1 hour in the final round of testing; 93% of participants reported the app was easy to use, and rated the app with a median [interquartile range] Computer Systems Usability Questionnaire score of 2 [1‐4]. Significant barriers to use included lack of flexibility in the medication scheduling, low volume of alert sounds, and the extra time spent on medication safety checks. Conclusion Panda's usability was improved and its feasibility demonstrated in the controlled hospital environment. The next step is to evaluate its feasibility for use at home.

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“…Terri et al found electronic versions of the Faces Pain Scale-Revised (FPS-R) and the Color Analog Scale (CAS) on a smartphone demonstrated good agreement with the original paper and plastic versions of these scales. [41]. Pawar et al found Software version of Roland Morris Disability questionnaire was comparable to the paper version in patients with low back pain [42].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness and Safety of Utilizing Mobile Phone–Based Programs for Rehabilitation After Lumbar Spinal Surgery: Multicenter, Prospective Randomized Controlled Trial (Preprint)

Hou¹,

Yang²,

Yang³

et al. 2018

Preprint

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Background:Rehabilitation is very important for postoperative patients with low back pain. However, the promotion of traditional clinic-based program is limited in developing countries like China, due to the maldistribution of medical resources. Smartphones may be a potential substitute for those who have no access to traditional rehabilitation. Objective:The aim of this study was to examine the efficacy of a smartphone based rehabilitation system in patients accepted lumbar spinal operation. Methods:Postoperative patients with low back pain were recruited and randomized to rehabilitation treatment provide by smartphone based e-health program (EH) or usual care treatment (UC) as control group. Primary outcomes were function and pain status assessed by Oswestry Disability Index (ODI) and visual analogue scale (VAS). Secondary outcomes were general mental health and life status (Likert scales, EQ-5D and SF-36). All the patients were assessed pre-operatively and then at 3, 6, 12 and 24 months post-operatively. ResultsA total of 168 of the 863 eligible patients were included and randomized in this study. The analysis showed that the improvement in EH group was superior to UC group at 24 months postoperatively (mean difference: ODI 7.02, SD 3.1, P<0.05; VAS 7.59, SD 3.42, P<0.05). No significant difference of primary outcomes was found at the other time points. Subgroup analysis showed that the improvements of the primary outcomes were more significant in those considered as high compliance in the EH group throughout the trial, compared with the UC group at 6, 12 and 24 months. Conclusion:This research demonstrated that E-health, a smart phone based tele-rehabilitation system can be an effective rehabilitation tool in self-management for postoperative patient with low back pain.The effectiveness of E-health was more evident in high adherent participants. Still, more researches are needed to understand factors associated with patients' adherence.Trial Registration: Chinese clinical trial registry, ChiCTR-TRC-13003314,

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A smartphone version of the Faces Pain Scale‐Revised and the Color Analog Scale for postoperative pain assessment in children

Abstract: The Panda smartphone application can be used in lieu of the original FPS-R and CAS for assessment of pain in children. Children's preference for Panda may translate to improved cooperation with self-report of pain.

Cited by 51 publications

References 29 publications

Comparison of the paper‐based and electronic versions of the Dermatology Life Quality Index: evidence of equivalence

Comparison of the paper‐based and electronic versions of the Dermatology Life Quality Index: evidence of equivalence

In‐hospital usability and feasibility evaluation of Panda, an app for the management of pain in children at home

The Effectiveness and Safety of Utilizing Mobile Phone–Based Programs for Rehabilitation After Lumbar Spinal Surgery: Multicenter, Prospective Randomized Controlled Trial (Preprint)

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