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

Naomi J Meesters; Tinne Dilles; Joost van Rosmalen; Gerbrich E van den Bosch; Sinno H P Simons; Monique van Dijk

doi:10.1038/s41372-023-01628-1

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

Naomi J Meesters^*, Tinne Dilles, Joost van Rosmalen, Gerbrich E van den Bosch, Sinno H P Simons, Monique van Dijk

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

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.

Original language	English
Pages (from-to)	595-600
Number of pages	6
Journal	Journal of perinatology
Volume	43
Issue number	5
DOIs	https://doi.org/10.1038/s41372-023-01628-1
Publication status	Published - May 2023
Externally published	Yes

Keywords

Humans
Infant, Newborn
Pain Measurement
Pain/diagnosis
Prospective Studies
Reproducibility of Results

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@article{5562dd3e42f54ff6a8dd521ad9da1dba,

title = "COMFORTneo scale: a reliable and valid instrument to measure prolonged pain in neonates?",

abstract = "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.",

keywords = "Humans, Infant, Newborn, Pain Measurement, Pain/diagnosis, Prospective Studies, Reproducibility of Results",

author = "Meesters, {Naomi J} and Tinne Dilles and {van Rosmalen}, Joost and {van den Bosch}, {Gerbrich E} and Simons, {Sinno H P} and {van Dijk}, Monique",

note = "Publisher Copyright: {\textcopyright} 2023, The Author(s), under exclusive licence to Springer Nature America, Inc.",

year = "2023",

month = may,

doi = "10.1038/s41372-023-01628-1",

language = "English",

volume = "43",

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journal = "Journal of perinatology",

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T1 - COMFORTneo scale

T2 - a reliable and valid instrument to measure prolonged pain in neonates?

AU - Meesters, Naomi J

AU - Dilles, Tinne

AU - van Rosmalen, Joost

AU - van den Bosch, Gerbrich E

AU - Simons, Sinno H P

AU - van Dijk, Monique

PY - 2023/5

Y1 - 2023/5

N2 - 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.

AB - 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.

KW - Humans

KW - Infant, Newborn

KW - Pain Measurement

KW - Pain/diagnosis

KW - Prospective Studies

KW - Reproducibility of Results

U2 - 10.1038/s41372-023-01628-1

DO - 10.1038/s41372-023-01628-1

M3 - Article

C2 - 36746985

SN - 0743-8346

VL - 43

SP - 595

EP - 600

JO - Journal of perinatology

JF - Journal of perinatology

IS - 5

ER -

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

Abstract

Keywords

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