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Development and Validation of EVANpedia for the Assessment of Perioperative Experience in Pediatric Patients

Sophie Bringuier1, Christophe Dadure2, Jean-Noel Evain3

  • 1Department of Anesthesiology and Critical Care Medicine, Montpellier University Hospital, Montpellier, France; Department of Medical Statistics, Montpellier University Hospital, Montpellier, France; and Desbrest Institute of Epidemiology and Public Health, Montpellier University, INSERM, Montpellier, France.

Anesthesiology
|March 16, 2026
PubMed

Insights

A new tool, Evaluation du Vécu de l'Anesthésie Générale en Pédiatrie (EVANpedia), reliably measures children's perioperative experience. This patient-reported outcome measure shows high validity and responsiveness to clinical changes.

Area of Science:

  • Pediatric Anesthesiology
  • Patient-Reported Outcome Measures
  • Perioperative Care

Background:

  • Patient-reported outcome and experience measures are crucial for advancing pediatric patient-centered care.
  • Combining complementary instruments provides a comprehensive evaluation of perioperative care.
  • The Pediatric Scale for Quality of Recovery is a key measure for assessing recovery in children.

Purpose of the Study:

  • To develop and validate the Evaluation du Vécu de l'Anesthésie Générale en Pédiatrie (EVANpedia) self-reported instrument.
  • To assess the perioperative experience in children and adolescents within 24 hours after surgery.
  • To ensure the instrument is psychometrically robust and suitable for clinical use.

Main Methods:

  • A developmental phase generated items, followed by a psychometric validation phase.
  • Factor analysis, Rasch modeling, and McDonald's ω coefficient assessed the instrument's structure and reliability.
  • Convergent and external validity were examined using concurrent self-report instruments and clinical data.

Main Results:

  • The EVANpedia instrument includes 26 items across six dimensions: Anxiety, Thirst/Hunger, Loss of Autonomy, Pain, Nausea/Vomiting, and Confusion.
  • High internal construct validity was demonstrated with excellent fit statistics.
  • Scores correlated with concurrent measures, supporting convergent validity, and showed sensitivity to clinical change.

Conclusions:

  • EVANpedia is a psychometrically robust instrument for assessing perioperative experience in pediatric patients.
  • The instrument provides a multidimensional evaluation of children's recovery and experience post-surgery.
  • EVANpedia can be utilized to improve patient-centered care in the perioperative setting.
Abstract

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