Development and assessment of an efficient pediatric affect and cooperation scale

Kennedy, Kristin M.; Wang, Ellen; Rodríguez, Samuel; Qian, Jimmy; Khoury, Michael; Kist, Madison N; Jackson, Christian; Yun, Romy; Caruso, Thomas J.

doi:10.1016/j.jclinane.2021.110569

Cited by 7 publications

(4 citation statements)

References 20 publications

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“…Inter‐rater and intra‐rater reliability for both mask induction and cooperativity ranged from moderate to almost perfect. Strong correlations to mYPAS and OSBD were observed during anesthesia mask induction 17 . Similar findings were demonstrated during preoperative IV placement by nurses.…”

Section: Clinically Focused Pediatric Perioperative Scalessupporting

confidence: 78%

“…Strong correlations to mYPAS and OSBD were observed during anesthesia mask induction. 17 Similar findings were demonstrated during preoperative IV placement by nurses.…”

Section: Scared-csupporting

confidence: 63%

“…The HRAD± scale (Happy, Relaxed, Anxious, Distressed, with a yes/no answer to cooperation) is an observational affect scale, scored from 0 to 3, that is rapidly completed with an assessment of compliance (Table 2). 17 Pediatric anesthesiologists, through a national survey, chose happy, relaxed, anxious, and distressed as affect descriptors, based off the PANAS. Inter‐rater and intra‐rater reliability for both mask induction and cooperativity ranged from moderate to almost perfect.…”

Section: Clinically Focused Pediatric Perioperative Scalesmentioning

confidence: 99%

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Assessing pediatric perioperative affect: A concise review of research and clinically relevant scales

Yun

Hess

Kennedy

et al. 2022

Pediatric Anesthesia

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Perioperative anxiety and distress are common in pediatric patients undergoing general anesthesia and increase the risk for immediate and long‐term postoperative complications. This concise review outlines key research and clinically‐relevant scales that measure pediatric perioperative affect. Strengths and weaknesses of each scale are highlighted. A literature review identified 11 articles with the following inclusion criteria: patients less than or equal to 18 years, perioperative anxiety or distress, and original studies with reliability or validity data. Although robust research‐based assessment tools to measure anxiety have been developed, such as the Modified Yale Preoperative Anxiety Scale, they are too complex and time‐consuming to complete by clinicians also providing anesthesia. Clinically‐based anxiety measurement scales tend to be easier to use, however they require further testing before widespread standard utilization. The HRAD ± scale (Happy, Relaxed, Anxious, Distressed, with a yes/no answer to cooperation) may be a promising observational anxiety scale that is efficient and includes an assessment of compliance. Further studies are needed to refine a clinically‐relevant anxiety assessment tool and appraise interventions that reduce perioperative distress.

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Section: Clinically Focused Pediatric Perioperative Scalessupporting

confidence: 78%

“…Strong correlations to mYPAS and OSBD were observed during anesthesia mask induction. 17 Similar findings were demonstrated during preoperative IV placement by nurses.…”

Section: Scared-csupporting

confidence: 63%

Section: Clinically Focused Pediatric Perioperative Scalesmentioning

confidence: 99%

See 1 more Smart Citation

Assessing pediatric perioperative affect: A concise review of research and clinically relevant scales

Yun

Hess

Kennedy

et al. 2022

Pediatric Anesthesia

Self Cite

View full text Add to dashboard Cite

show abstract

“…The HRAD± scale (Happy, Relaxed, Anxious, Distressed with a yes/no answer to Cooperation) is an observational anxiety scale that can be rapidly completed with a measure of compliance. 9 The HRAD± scale demonstrated a strong correlation to mYPAS and OSBD and substantial inter- and intra-observer reliability amongst physicians and nurses. The scale addresses timeliness, inclusivity with the extended care team, and patient cooperation.…”

Section: Selected Clinical Perioperative Anxiety Measuresmentioning

confidence: 86%