Purpose: This review aims to identify measures suitable for evaluation of physical comfort in a range of clinical settings or specialised areas.
Method: A review of literature included articles that evaluated an intervention, position, equipment or surface for comfort or discomfort. Electronic databases, hand searches and internet sources were used.
Results: In addition to several theoretical papers on comfort, 29 studies were identified that used 'comfort' or 'discomfort' as outcomes. There was a lack of consistency in measurement of comfort and researchers used a wide range of different scales and tools. Objective and subjective measures are described. The impact of symptoms, environmental variables and emotional factors was generally not considered. Two instruments evaluating subjective comfort or discomfort were identified that have been carefully developed and psychometrically tested. Both have potential for use in clinical practice and research - one developed for wheelchair seating and one for wearable computers. Suggestions for clinical evaluation of comfort based on the research and theoretical papers regarding measurement scales are made.
Conclusion: Further work on development and validation of comfort assessment tools for other applications is needed.
Caraceni A, Brunelli C, Martini C, Zecca E, De Conno F. Caraceni A, et al. J Pain Symptom Manage. 2005 May;29(5):507-19. doi: 10.1016/j.jpainsymman.2004.08.014. J Pain Symptom Manage. 2005. PMID: 15904753 Review.
Cole JC, Dubois D, Kosinski M. Cole JC, et al. Clin Ther. 2007;29 Suppl:2580-8. doi: 10.1016/j.clinthera.2007.12.005. Clin Ther. 2007. PMID: 18164923
Coll AM, Ameen JR, Mead D. Coll AM, et al. J Adv Nurs. 2004 Apr;46(2):124-33. doi: 10.1111/j.1365-2648.2003.02972.x. J Adv Nurs. 2004. PMID: 15056325 Review.
Kuijt-Evers LF, Bosch T, Huysmans MA, de Looze MP, Vink P. Kuijt-Evers LF, et al. Appl Ergon. 2007 Sep;38(5):643-54. doi: 10.1016/j.apergo.2006.05.004. Epub 2006 Sep 28. Appl Ergon. 2007. PMID: 17010301
Williamson A, Hoggart B. Williamson A, et al. J Clin Nurs. 2005 Aug;14(7):798-804. doi: 10.1111/j.1365-2702.2005.01121.x. J Clin Nurs. 2005. PMID: 16000093 Review.
Gao PF, Zhi JY, Hu JD, Wang J, Xu YS, Zou R, Ding TC, Yang L. Gao PF, et al. Sci Rep. 2024 Apr 26;14(1):9564. doi: 10.1038/s41598-024-60381-3. Sci Rep. 2024. PMID: 38671037 Free PMC article.
Xu Z, Pan W, Hou Y, He K, Lv J. Xu Z, et al. Int J Environ Res Public Health. 2022 May 25;19(11):6437. doi: 10.3390/ijerph19116437. Int J Environ Res Public Health. 2022. PMID: 35682020 Free PMC article.
Menz HB, Bonanno DR. Menz HB, et al. J Foot Ankle Res. 2021 Dec 7;14(1):63. doi: 10.1186/s13047-021-00500-9. J Foot Ankle Res. 2021. PMID: 34876192 Free PMC article. Review.
Tadesse MG, Loghin C, Dulgheriu I, Loghin E. Tadesse MG, et al. Materials (Basel). 2021 Oct 28;14(21):6466. doi: 10.3390/ma14216466. Materials (Basel). 2021. PMID: 34771993 Free PMC article. Review.
Criner GJ, Criner LH, George SA, Thomas JK, Jacobs MR. Criner GJ, et al. Chronic Obstr Pulm Dis. 2022 Jan 27;9(1):4-14. doi: 10.15326/jcopdf.2021.0236. Chronic Obstr Pulm Dis. 2022. PMID: 34748694 Free PMC article.