• J Pain · Jul 2019

    Review

    Do Pain Measurement Instruments Detect the Effect of Pain-Reducing Interventions in Neonates? A Systematic Review on Responsiveness.

    • Naomi Meesters, Tinne Dilles, Sinno Simons, and Monique van Dijk.
    • Department of Pediatrics, Division of Neonatology, Erasmus MC-Sophia Children's Hospital, Rotterdam, the Netherlands.. Electronic address: n.meesters@erasmusmc.nl.
    • J Pain. 2019 Jul 1; 20 (7): 760-770.

    AbstractThe effectiveness of pain-reducing interventions in newborns can only be determined if pain measurement instruments are responsive; that is, able to detect a decrease in pain intensity after the pain-reducing intervention. This review assesses the methodologic quality of studies on this measurement property-the responsiveness. We searched the literature published until January 2018 for validation studies of pain measurement instruments focusing on responsiveness to pain-reducing treatment in neonates. The methodologic quality of the included studies was rated using the COnsensus-based Standards for the selection of health Measurement INstruments checklist. Nine studies were included involving 10 pain measurement instruments. These studies differed with respect to the population, setting and type of pain-reducing intervention. In all studies, pain scores were significantly lower after a pain-reducing intervention and the instrument used was therefore considered responsive. We rated 4 studies as having poor methodologic quality, 5 as fair quality, and none as good quality. In conclusion, the responsiveness was studied for only 10 of the 43 existing pain measurement instruments for the use in neonates. Because this is an important property of a pain instrument, more research on this topic is needed, with attention for blinding and formulating a specific hypothesis before start of data collection. PERSPECTIVE: This review focuses on the property of measurement instruments to detect changes in pain intensity after a pain-reducing intervention in neonates. We concluded that this property-the responsiveness-is under studied and that the methodologic quality of the included studies was low. Future high-quality validation studies should focus on responsiveness.Copyright © 2018 the American Pain Society. Published by Elsevier Inc. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…