A Systematic Integrative Review of Infant Pain Assessment Tools

Duhn, Lenora; Medves, Jennifer

doi:10.1016/j.adnc.2004.04.005

Cited by 203 publications

(151 citation statements)

References 52 publications

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“…In a recent review of pain scales available for use in infants, none of the existing tools appear to be ideal for all situations and many have had limited psychometric testing (Duhn and Medves, 2004). Of the unidimensional scales, the Neonatal Facial Coding System is the most well developed (Grunau and Craig, 1987).…”

Section: Discussionmentioning

confidence: 99%

“…A number of scales have been developed for assessing acute pain in preterm infants; few have had adequate validation (Duhn and Medves, 2004). Currently, the two scales used most widely are the Neonatal Infant Pain Scale (NIPS; Lawrence et al, 1993) and the PIPP .…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, although sucrose reduces pain behavior, varying effects on different physiologic indices have been found (e.g. Boyer et al, 2004; reviewed by Stevens et al, 2004).In a recent review of pain scales available for use in infants, none of the existing tools appear to be ideal for all situations and many have had limited psychometric testing (Duhn and Medves, 2004). Of the unidimensional scales, the Neonatal Facial Coding System is the most (Grunau and Craig, 1987).…”

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confidence: 99%

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Initial validation of the Behavioral Indicators of Infant Pain (BIIP)

Holsti

Grunau²

2007

Pain

154

117

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Accurate pain assessment in preterm infants in the neonatal intensive care unit (NICU) is complex. Infants who are born at early gestational ages (GA), and who have had greater early pain exposure, have dampened facial responses which may lead to under-treatment. Since behavioral and physiological responses to pain in infants are often dissociated, using multidimensional scales which combine these indicators into a single score may limit our ability to determine the effects of interventions on each system. Our aim was to design a unidimensional scale which would combine the relatively most specific, individual, behavioral indicators for assessing acute pain in this population.The Behavioral Indicators of Infant Pain (BIIP) combines sleep/wake states, 5 facial actions and 2 hand actions. Ninety two infants born between 23-32 weeks GA were assessed during 3, one minute Phases of blood collection. Outcome measures included changes in BIIP and in Neonatal Infant Pain Scale (NIPS) scores coded in real time from continuous bedside video recordings; changes in heart rate (HR) were obtained using custom physiological processing software.Scores on the BIIP changed significantly across Phases of blood collection (p < 0.01). Internal consistency (0.82) and inter-rater reliability (0.80-0.92) were high. Correlations between the BIIP and NIPS were modest (r = 0.64, p < 0.01) as were correlations between the BIIP and mean heart rate (r = 0.45, p < 0.01). In this initial study, the BIIP has been shown to be a reliable, valid scale for assessing acute pain in preterm infants in the NICU. Keywordspremature; infant; pain; assessment IntroductionPreterm infants undergo repeatedly painful diagnostic and therapeutic procedures to ensure their survival. In order to provide appropriate pain management in this population, accurate assessment of pain is necessary (Anand et al., 2005), yet complex because we are limited to indirect measures of pain responses. And although infant pain responses have both behavioralCorresponding author: Dr. Liisa Holsti, Centre for Community Child Health Research, F611, 4480 Oak Street, Vancouver, British Columbia, V6H 3V4. Canada, Phone: 604-875-2000, local 5200, Fax: 604-875-2384, E-mail address: lholsti@cw.bc.ca. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. and physiological components, dissociations between behavioral and physiological pain responses are common (Barr, 1998;Morison et al., 2001). Furthermore, facial actions are the relatively most specific behavioral pain indicators in preterm infants, yet these responses may be dampened. Grunau et al...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Initial validation of the Behavioral Indicators of Infant Pain (BIIP)

Holsti

Grunau²

2007

Pain

154

117

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“…This study evaluated the interobserver consistency, which is the measurement of agreement between two or more observers assessing the same individuals 20,21 . It was measured in the original interview and in its revision by means of the video recorded interviews.…”

Section: Discussionmentioning

confidence: 99%

Translation and validation of Autism Diagnostic Interview-Revised (ADI-R) for autism diagnosis in Brazil

Becker¹,

Wagner

Bosa

et al. 2012

Arq. Neuro-Psiquiatr.

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OBJECTIVE: To translate into Brazilian Portuguese the Autism Diagnostic Interview-Revised (ADI-R), an extremely useful diagnostic tool in autism. METHODS: A case-control study was done to validate the ADI-R. After being translated, the interview was applied in a sample of 20 patients with autism and 20 patients with intellectual disability without autism, in order to obtain the initial psychometric properties. RESULTS: The internal consistency was high, with a of Crombach of 0.967. The validity of criterion had sensitivity and specificity of 100%, having as a gold standard the DSM-IV diagnostic criteria. The interview had high discriminant validity, with higher scores in the group of patients with autism, as well as high interobserver consistency, with median kappa of 0.824. CONCLUSION: The final version of ADI-R had satisfactory psychometric characteristics, indicating good preliminary validation properties. The instrument needs to be applied in bigger samples in other areas of the country.

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“…14 However, currently there is no ideal instrument for pain assessment in the neonatal population. 25 The excessive number of published scales reflects the difficulty in appropriately and accurately assess neonatal pain.…”

Section: Discussionmentioning

confidence: 99%

Translation and adaptation of the Premature Infant Pain Profile into Brazilian Portuguese

Bueno

Costa²,

Arantes³

et al. 2013

Texto contexto - enferm.

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fumiko@usp.br ABSTRACT:The study aimed to translate and to adapt a version of the Premature Infant Pain Profile into the Brazilian Portuguese language. This is a cross-sectional and methodological study for the validation of a translated version of a tool. The process was conducted in four stages: initial translation, synthesis, back-translation, and analysis by experts. Four independent versions of the instrument translated into Brazilian Portuguese were produced. Based on these initial translations, a synthesis version was developed. Two back-translated versions were independently produced, and none showed major differences compared to the original instrument. An expert committee reviewed the summary version and the back-translations with respect to semantic and idiomatic equivalence. The committee considered the translation into Brazilian Portuguese as appropriate. Therefore, the Perfil de Dor no Recém-Nascido Pré-termo was considered adapted to Brazilian Portuguese, for research purposes and for clinical practice. It will contribute to the internationalization of research results in Brazil. DESCRIPTORS:Neonate. Pain. Pain assessment. Nursing. TRADUÇÃO E ADAPTAÇÃO DO PREMATURE INFANT PAIN PROFILEPARA A LÍNGUA PORTUGUESA RESUMO: O estudo objetivou traduzir e adaptar a versão do Premature Infant Pain Profile para a língua portuguesa adotada no Brasil. Trata-se de estudo transversal de caráter metodológico para validação de tradução de instrumento. O processo foi conduzido em quatro etapas: tradução inicial, síntese, retrotradução e análise por juízes. Foram elaboradas quatro versões independentes do instrumento traduzido para o português. Posteriormente, uma versão síntese foi produzida com base nas traduções anteriores. A seguir, duas retrotraduções foram elaboradas independentemente e nenhuma destas apresentou discrepâncias importantes em relação ao instrumento original. Um comitê de juízes analisou a versão síntese e as retrotraduções com relação à equivalência semântica e idiomática e julgou adequada a versão do instrumento em língua portuguesa. Assim, o Perfil de Dor no Recém-Nascido Pré-termo foi considerado adaptado à língua portuguesa do Brasil, para aplicação em pesquisa e na prática clínica, o contribuirá, especialmente, para a internacionalização de pesquisas brasileiras. DESCRITORES:Recém-nascido. Dor. Avaliação da dor. Enfermagem. TRADUCIÓN Y ADAPTACIÓN DEL PREMATURE INFANT PAIN PROFILE AL PORTUGUÉSRESUMEN: El objetivo del estudio fue traducir y adaptar la versión del Premature Infant Pain Profile para el portugués de Brasil. Es un estudio transversal y metodológico para validación de la tradición de instrumento. El proceso se llevó a cabo en cuatro etapas: traducción inicial, síntesis, retraducción y análisis por jueces. Se establecieron cuatro versiones distintas del instrumento traducido al portugués y una versión sintética fue producida a partir de traducciones anteriores. Posteriormente, dos versiones fueron retraduccidas independientemente y no mostraron diferencias importantes del original. ...

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A Systematic Integrative Review of Infant Pain Assessment Tools

Cited by 203 publications

References 52 publications

Initial validation of the Behavioral Indicators of Infant Pain (BIIP)

Initial validation of the Behavioral Indicators of Infant Pain (BIIP)

Translation and validation of Autism Diagnostic Interview-Revised (ADI-R) for autism diagnosis in Brazil

Translation and adaptation of the Premature Infant Pain Profile into Brazilian Portuguese

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