COMFORTneo scale: a reliable and valid instrument to measure prolonged pain in neonates?

Objective We studied the reliability and validity of the COMFORTneo scale, designed to measure neonatal prolonged pain. Study design This prospective observational study evaluated four clinimetric properties of the COMFORTneo scale from NICU nurses’ assessments of neonates’ pain. Intra-rater reliabi...

Full description

Saved in:
Bibliographic Details
Published in:Journal of perinatology 2023-05, Vol.43 (5), p.595-600
Main Authors: Meesters, Naomi J., Dilles, Tinne, van Rosmalen, Joost, van den Bosch, Gerbrich E., Simons, Sinno H. P., van Dijk, Monique
Format: Article
Language:English
Subjects:
692/700/1720
692/700/565/411
Correlation coefficient
Correlation coefficients
Evaluation
Humans
Infant, Newborn
Medical personnel
Medicine
Medicine & Public Health
Neonatal care
Neonates
Newborn babies
Nurses
Pain
Pain - diagnosis
Pain Measurement
Patient assessment
Pediatric Surgery
Pediatrics
Physical examinations
Prospective Studies
Quantitative psychology
Questionnaires
Reliability analysis
Reproducibility of Results
Video data
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective We studied the reliability and validity of the COMFORTneo scale, designed to measure neonatal prolonged pain. Study design This prospective observational study evaluated four clinimetric properties of the COMFORTneo scale from NICU nurses’ assessments of neonates’ pain. Intra-rater reliability was determined from three video fragments at two time points. Inter-rater reliability and construct validity were determined in five neonates per nurse with the COMFORTneo and numeric rating scales (NRS) for pain and distress. Pain scores using N-PASS were correlated with COMFORTneo scores to further evaluate construct validity. Result Intra-rater reliability: Twenty-two nurses assessed pain twice with an intraclass correlation coefficient (ICC) of 0.70. Inter-rater reliability: The ICC for 310 COMFORTneo scores together with 62 nurses was 0.93. Construct validity: Correlation between COMFORTneo and NRS pain, distress, and N-PASS was 0.34, 0.72, and 0.70, respectively. Conclusion The COMFORTneo can be used to reliably and validly assess pain in NICU patients.
ISSN:0743-8346
1476-5543
DOI:10.1038/s41372-023-01628-1