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A prospective, observational study of a pediatric affect and cooperation scale (HRAD±) for vascular access procedures.
A prospective, observational study of a pediatric affect and cooperation scale (HRAD±) for vascular access procedures. The journal of vascular access Yun, R., Kennedy, K. M., Titzler, J., Ganesan, A., Yamaguchi, C., Zuniga-Hernandez, M., Renavikar, M., Brinda, R., Jackson, C., Rohovit, S., Caruso, T. J. 2024: 11297298241302897Abstract
Anxiety is common in pediatric patients, especially during vascular access procedures. Most well-studied affect and anxiety scales, including the Observation Scale of Behavioral Distress-Revised (OSBD-r), the modified Yale Preoperative Anxiety Scale (mYPAS), and the modified Induction Compliance Checklist (mICC), are too cumbersome for clinical use outside of research settings. HRAD± (Happy, Relaxed, Anxious, Distressed with yes/no to cooperation) is a clinically-efficient observational scale that evaluates pediatric procedural affect and cooperation. This study examined the clinical utility of HRAD± during vascular access procedures in children. The aims were to investigate the correlation of HRAD± to highly reliable, research-based affect and cooperation scales and to assess inter-rater reliability (IRR) between observers in this setting.This was a prospective, observational study conducted at Lucile Packard Children's Hospital Stanford. Inpatient participants were 1?month to 25?years old and undergoing a peripheral intravenous insertion or phlebotomy. Two trained research assistants (RAs) scored each patient independently during the vascular access procedure using HRAD±, OSBD-r, mYPAS, and mICC. Correlation analyses computed the associations between HRAD± and reference scales. IRR between RAs and vascular access providers was calculated using Fleiss' Kappa.A total of 234 patients were included. HRAD± scores strongly correlated with OSBD-r and mYPAS (p?
View details for DOI 10.1177/11297298241302897
View details for PubMedID 39639512