A critical review of visual analogue scales in the measurement of clinical phenomena
Research in Nursing & HealthPublished 1 August 1990
Mary Ellen Wewers, Nancy K. Lowe
Citations2,579
SJR quartileQ1
SJR score0.90
SNIP1.00
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TL;DR
The VAS method has potential utility for the measurement of a variety of clinical phenomena of interest to nurse investigators and conceptual, psychometric, and statistical aspects of the VAS are considered.
Abstract
Visual analogue scales (VAS) have been used in the social and behavioral sciences to measure a variety of subjective phenomena. The VAS method has potential utility for the measurement of a variety of clinical phenomena of interest to nurse investigators. In this review a description of the various forms of the VAS and an historical overview of their development are presented. In addition, conceptual, psychometric, and statistical aspects of the VAS are considered. Finally, strengths and limitations of the VAS method are addressed.
Keywords
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Psychological BulletinConvergent and discriminant validation by the multitrait-multimethod matrix.
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Annals of the Rheumatic DiseasesStudies with pain rating scales.
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It was concluded that this was due to a shift in either perception, cognition or scoring between the two sessions, and it was recommended that authors using the visual analogue scale have valid reason in their own setting for using a transformation and present the distribution, or at least the medians and ranges of their raw scores.
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The purpose was to search for relationships between the patients subjective assessment of pain, communication of pain and the reaction of the nursing staff evaluated in terms of the treatment given for pam rehef.
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