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A Protocol of Manual Tests to Measure Sensation and Pain in Humans

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VACS: VAccination disComfort Scale.

Manolis Wallace¹, Stavros Antonopoulos², Vassilis Poulopoulos¹

¹ΓAΒ LAB-Knowledge and Uncertainty Research Laboratory, University of Peloponnese, 221 31 Tripoli, Greece.

Clinics and Practice

|December 22, 2022

Summary

A new tool, VACS (Vaccination Discomfort Scale), quantifies children's vaccination discomfort. Findings reveal a significant gap between children's and doctors' tolerance for discomfort, highlighting a need for better pain management strategies.

Keywords:

crying discomfort scale vaccination

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Area of Science:

Pediatrics
Child Psychology
Medical Technology

Background:

Childhood vaccination is vital for public health.
Vaccination can cause significant distress and discomfort for children.
Objective measurement of vaccination-related discomfort is lacking.

Purpose of the Study:

To develop and validate a tool (VACS) to measure children's discomfort during vaccination.
To compare children's and healthcare providers' perceptions of acceptable discomfort levels.
To identify factors influencing vaccination discomfort in children.

Main Methods:

Development of the Vaccination Discomfort Scale (VACS) based on children's experiences.
Application of VACS to assess discomfort in 40 children aged 2-12 during vaccination.
Analysis of VACS scores in relation to child demographics and vaccination history.

Main Results:

VACS quantifies discomfort on a 0-25 scale, with 11 being the threshold for suffering in children.
Approximately 60% of children experienced some level of discomfort during vaccination.
Doctors tolerated higher discomfort levels (up to 19) than children (11).
Gender, vaccination history, and program completion were poor predictors of discomfort; age may be a factor.

Conclusions:

VACS provides a standardized method for assessing vaccination discomfort in children.
A notable discrepancy exists between children's and doctors' perception of tolerable pain.
Further research is needed to validate age as a predictor and to develop interventions for pain mitigation.