@article{01JKX5G0PT0S61V3FBS9VHZQEQ,
  abstract     = {{Background: About one in five adolescents undergoing major surgery develops chronic postsurgical pain (CPSP). Various risk and resilience factors for recovery and CPSP have been
identified, including parental processes. However, research commonly relies on nomothetic
data, while the psychometric properties of diaries assessing pediatric post-surgical recovery in
everyday life are understudied. Therefore, this study aimed to evaluate the preliminary
reliability, validity, and variability of diary data in adolescents, and their parents, after spinal
fusion surgery.
Methods: Adolescents with Idiopathic Scoliosis (AIS) undergoing spinal fusion surgery, and
their parents, were asked to complete daily diaries for seven consecutive days at five time
points, i.e., before surgery (T0), at 3-week (T1), 6-week (T2), 6-month (T3) and 12-month (T4)
post-surgery. Diaries were developed based on validated questionnaires measuring relevant
constructs of pediatric post-surgical recovery. Internal consistency, test-retest reliability,
convergent, divergent and concurrent criterion validity, and variability were examined.
Results: The sample comprised n=95 adolescents and n=95 parents. Overall compliance rate
was approximately 80 % in both adolescents and parents, with a total of 5282 diary entries
analysed. Internal consistency for multi-item variables ranged from good to excellent (α=.82-
.93) for adolescent data and acceptable to excellent (α=.74-.93) for parent data. All test-retest
correlations were significant, and large (ρ=.60-.76) for adolescent data, and medium to large
for parent data (ρ=.57-.80). Regarding validity, all but three correlations between diary
variables were significant. Furthermore, diary variables generally correlated significantly with
corresponding questionnaire data. Variability was low in some variables.
Conclusion: The results provide the first evidence for the psychometric properties, with regard
to reliability, validity and variability, for diary measures to monitor processes of post-surgical
recovery in everyday life in adolescents undergoing spinal fusion surgery. However, replication
is suggested, for refinement and further validation, with particular attention to variability and
evaluation of sensitivity to change.}},
  articleno    = {{123744}},
  author       = {{Thorsell Cederberg, Jenny and Zetterqvist, Vendela and Wicksell, Rikard K. and Goubert, Liesbet and Bartels, Sara Laureen}},
  issn         = {{1878-8750}},
  journal      = {{WORLD NEUROSURGERY}},
  keywords     = {{surgery,chronic post-surgical pain (CPSP),adolescents,predictors,recovery,diary,validation}},
  language     = {{eng}},
  pages        = {{13}},
  title        = {{Preliminary validation of a diary approach to monitor daily adolescent and parental predictors of postoperative recovery : a longitudinal diary study in adolescents undergoing spinal fusion surgery}},
  url          = {{http://doi.org/10.1016/j.wneu.2025.123744}},
  volume       = {{195}},
  year         = {{2025}},
}

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