Observational studyJNMA; journal of the Nepal Medical Association2025
Evaluation of Preference of Pain Scale in Children using Novel Animated Emoji Scale in Nepal: An Observational Study.
Observational study in JNMA; journal of the Nepal Medical Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Pain is a common concern for pediatrics patients, maybe challenging because the child cannot properly explain the extent of pain they are experiencing. Several pain assessment tools have been developed and introduced in dentistry that facilitate self-report of pain in children. Three such pain rating scales Animated Emoji Scale, Visual Analogue Scale and Wong-Baker Faces Pain Rating Scale were used in this study to evaluate the pain perception among pediatric patients. This study was aimed to evaluate the preference of pain scale among these three scales in pediatrics patients. Methods: This hospital based cross sectional study was carried out from January till June in 182 children aged between 3-14 years divided into three groups on the basis of age: Group A (3-6 years, Group B 7-10 years, and Group C 11-14 years). Ethical clearance was taken (Reference number: UCMS/IRC/02/25). Pain score was recorded among these children using Animated Emoji Scale (AES), Visual Analogue Scale (VAS) and Wong-Baker Faces Pain Rating Scale (WBFPS). The data were entered into Excel and analyzed using IBM SPSS Statistics for Windows, version 26 (IBM Corp., Armonk, N.Y., USA). Results: Spearman's rank correlation coefficient evaluated a positive correlation among the three pain rating scales. Chi-square test showed statistically significant association between age group and preferred pain scale (p<0.001). Conclusions: AES was most preferred in younger age groups from age 3-10 years whereas elder children 11-14 years relied more on VAS as a self-reporting tool.
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