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Stress Numerical Rating Scale-11: Validation in Pediatric Inpatient and Outpatient Pain Settings
Brynn M LiaBraaten1, Nina Linneman2, Michelle L Czarnecki3
1Department of Anesthesiology, Medical College of Wisconsin, and Jane B. Pettit Pain and Headache Center, Children's Wisconsin, Milwaukee, Wisconsin.
Insights
The Stress Numeric Rating Scale-11 (SNRS-11) effectively measures pediatric patient stress in hospitals and clinics. This quick, free tool demonstrates validity, aiding timely stress management for children with acute or chronic pain.
Area of Science:
- Pediatric Psychology
- Clinical Measurement
- Pain Management
Background:
- Stress is prevalent in pediatric chronic and acute pain populations.
- Clinical settings face time constraints, limiting stress assessment opportunities.
- Validated, brief stress measures are needed for pediatric care.
Purpose of the Study:
- To evaluate the validity of the Stress Numeric Rating Scale-11 (SNRS-11).
- To assess SNRS-11 utility in both inpatient and outpatient pediatric settings.
- To determine if SNRS-11 can be a reliable tool for measuring pediatric stress.
Main Methods:
- The study assessed the Stress Numeric Rating Scale-11 (SNRS-11), a 0-10 scale measuring stress.
- Validity was examined in pediatric patients across inpatient and outpatient environments.
- Discriminative, convergent, and discriminant validity were analyzed.
Main Results:
- SNRS-11 demonstrated discriminative validity in the inpatient sample.
- Convergent and discriminant validity were confirmed in both inpatient and outpatient samples.
- 40-50% of pediatric patients reported moderate-to-severe stress post-operatively.
Conclusions:
- The SNRS-11 is a valid and reliable measure for pediatric stress.
- Its ease of use and cost-effectiveness make it suitable for busy clinical settings.
- The SNRS-11 can facilitate timely identification and management of pediatric stress.
Abstract:
Stress is a commonly reported issue in pediatric populations of chronic and acute pain. Both outpatient and inpatient settings impose time constraints, which decreases opportunities to measure and address patient stress. The aim of these studies was to evaluate the validity of the Stress Numeric Rating Scale-11 (SNRS-11) in both inpatient and outpatient settings. The SNRS-11 is a single item stress measure ranging from 0 to 10 with endpoint anchors: 0 = "No stress" and 10 = "Highest stress possible". Results showed discriminative validity in the inpatient sample and convergent and discriminant validity in both outpatient and inpatient samples. Additionally, approximately 40% to 50% of the sample reported moderate-severe stress on all post-operative days. The SNRS-11 shows promise as a quick, easy, and free stress measure to be used in both inpatient and outpatient settings.
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