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

Acta Paediatrica, 2014-08, Vol.103 (8), p.833-839 [Peer Reviewed Journal]

2014 The Authors. published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. ;2014 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. ;Copyright © 2014 Foundation Acta Pædiatrica ;2014 The Authors. published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. 2014 ;ISSN: 0803-5253 ;ISSN: 1651-2227 ;EISSN: 1651-2227 ;DOI: 10.1111/apa.12672 ;PMID: 24813238

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Title:
Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants
Author: Lundqvist, Pia ; Kleberg, Agneta ; Edberg, Anna-Karin ; Larsson, Björn A ; Hellström-Westas, Lena ; Norman, Elisabeth
Subjects: Clinical Medicine ; Developmental care ; erfarenhet ; experience ; gastric bypass ; Health Sciences ; Humans ; Hälsovetenskap ; Hälsovetenskaper ; Infant, Extremely Premature - psychology ; Infant, Newborn ; Infant, Newborn, Diseases - psychology ; Intensive Care Units, Neonatal ; Intensive Care, Neonatal - methods ; Klinisk medicin ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Nursing ; Observer Variation ; Omvårdnad ; Pain ; Pain assessment ; Pain management ; Pain Measurement - methods ; Pediatrics ; Pediatrik ; perception ; Psychometrics ; psychosocial changes ; psyokosociala förändringar ; Regular ; Stress ; Stress, Psychological - diagnosis
Is Part Of: Acta Paediatrica, 2014-08, Vol.103 (8), p.833-839
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.
Publisher: Norway: Blackwell Publishing Ltd
Language: English
Identifier: ISSN: 0803-5253
ISSN: 1651-2227
EISSN: 1651-2227
DOI: 10.1111/apa.12672
PMID: 24813238
Source: MEDLINE
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Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants

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