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Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants

AIM: To validate and evaluate the psychometric properties of the ALPS-Neo, a new pain assessment scale created for the continuous evaluation of pain and stress in preterm and sick term infants. METHODS: A unidimensional scale for continuous pain, Astrid Lindgren Children's Hospital Pain Scale (...

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Autores principales: Lundqvist, Pia, Kleberg, Agneta, Edberg, Anna-Karin, Larsson, Björn A, Hellström-Westas, Lena, Norman, Elisabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BlackWell Publishing Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4368370/
https://www.ncbi.nlm.nih.gov/pubmed/24813238
http://dx.doi.org/10.1111/apa.12672
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author Lundqvist, Pia
Kleberg, Agneta
Edberg, Anna-Karin
Larsson, Björn A
Hellström-Westas, Lena
Norman, Elisabeth
author_facet Lundqvist, Pia
Kleberg, Agneta
Edberg, Anna-Karin
Larsson, Björn A
Hellström-Westas, Lena
Norman, Elisabeth
author_sort Lundqvist, Pia
collection PubMed
description AIM: To validate and evaluate the psychometric properties of the ALPS-Neo, a new pain assessment scale created for the continuous evaluation of pain and stress in preterm and sick term infants. METHODS: A unidimensional scale for continuous pain, Astrid Lindgren Children's Hospital Pain Scale (ALPS 1), was developed further to assess continuous pain and stress in infants treated in the neonatal intensive care unit (NICU). The pain scale includes observations of five behaviours. A manual was created, clarifying the scoring criteria. An internal and an external panel assessed face validity. Psychometric properties were evaluated in three different steps. Inter-rater reliability was estimated from video-based assessments (n = 625) using weighted kappa statistics (test I). Inter-rater reliability was further evaluated in test II (n = 125) and test III (n = 96) by real-time assessments using the intraclass correlation coefficient (ICC) and Cronbach's alpha. RESULTS: The final inter-rater reliability (test III) was assessed as good with ICC 0.91 for the total score and 0.62–0.81 for the five items. Cronbach's alpha showed 0.95 for the total score. CONCLUSION: ALPS-Neo is a new assessment tool for optimising the management of pain and stress in newborn infants in the NICU. It has proved easy to implement and user-friendly, permitting fast, reliable observations with high inter-rater reliability.
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spelling pubmed-43683702015-03-25 Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants Lundqvist, Pia Kleberg, Agneta Edberg, Anna-Karin Larsson, Björn A Hellström-Westas, Lena Norman, Elisabeth Acta Paediatr Regular Articles AIM: To validate and evaluate the psychometric properties of the ALPS-Neo, a new pain assessment scale created for the continuous evaluation of pain and stress in preterm and sick term infants. METHODS: A unidimensional scale for continuous pain, Astrid Lindgren Children's Hospital Pain Scale (ALPS 1), was developed further to assess continuous pain and stress in infants treated in the neonatal intensive care unit (NICU). The pain scale includes observations of five behaviours. A manual was created, clarifying the scoring criteria. An internal and an external panel assessed face validity. Psychometric properties were evaluated in three different steps. Inter-rater reliability was estimated from video-based assessments (n = 625) using weighted kappa statistics (test I). Inter-rater reliability was further evaluated in test II (n = 125) and test III (n = 96) by real-time assessments using the intraclass correlation coefficient (ICC) and Cronbach's alpha. RESULTS: The final inter-rater reliability (test III) was assessed as good with ICC 0.91 for the total score and 0.62–0.81 for the five items. Cronbach's alpha showed 0.95 for the total score. CONCLUSION: ALPS-Neo is a new assessment tool for optimising the management of pain and stress in newborn infants in the NICU. It has proved easy to implement and user-friendly, permitting fast, reliable observations with high inter-rater reliability. BlackWell Publishing Ltd 2014-08 2014-05-26 /pmc/articles/PMC4368370/ /pubmed/24813238 http://dx.doi.org/10.1111/apa.12672 Text en ©2014 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Regular Articles
Lundqvist, Pia
Kleberg, Agneta
Edberg, Anna-Karin
Larsson, Björn A
Hellström-Westas, Lena
Norman, Elisabeth
Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants
title Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants
title_full Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants
title_fullStr Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants
title_full_unstemmed Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants
title_short Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants
title_sort development and psychometric properties of the swedish alps-neo pain and stress assessment scale for newborn infants
topic Regular Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4368370/
https://www.ncbi.nlm.nih.gov/pubmed/24813238
http://dx.doi.org/10.1111/apa.12672
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