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Parental Assessment of Postsurgical Pain in Infants at Home Using Artificial Intelligence-Enabled and Observer-Based
Fatos Sada1, Paola Chivers2,3,4, Sokol Cecelia1,5
1Faculty of Medicine, University of Prishtina, Prishtina, Kosovo.
JMIR Pediatrics and Parenting
|December 3, 2024
Summary
Parents effectively used standardized tools like PainChek Infant and Observer-Administered Visual Analog Scale (ObsVAS) to manage infant pain at home post-surgery. Interventions, including feeding and medication, successfully reduced pain in most cases.
Area of Science:
- Pediatrics
- Pain Management
- Health Informatics
Background:
- Infant pain assessment is challenging due to non-verbal communication.
- Limited data exists on parental home-based pain management using standardized tools.
Purpose of the Study:
- To explore parental assessment and intervention of infant pain at home after same-day surgery.
- To evaluate standardized pain assessment tools for home use.
Main Methods:
- Prospective study of 109 infants undergoing circumcision.
- Parents used PainChek Infant (iOS) or ObsVAS (Android) for 3 days post-surgery.
- Statistical analyses included Chi-square, GEE, and ROC analysis.
Main Results:
- 69 parents completed diaries; 45 used PainChek Infant, 24 used ObsVAS.
- Feeding (alone or with medication) was the primary intervention.
- Interventions significantly reduced pain, with medicinal interventions being most effective.
- PainChek Infant showed higher likelihood of reporting pain reduction.
Conclusions:
- Standardized tools empower parents in infant pain management at home.
- PainChek Infant and ObsVAS demonstrated construct validity and clinical utility.
- Feeding and medication were key parental pain intervention strategies.
