{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:30:51Z","timestamp":1791217851176,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T00:00:00Z","timestamp":1679961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to investigate psychometric properties, reliability and validity, of Astrid Lindgren and Lund Children's Hospitals Pain and Stress Assessment Scale for Preterm and Sick Newborn Infants (ALPS\u2010Neo), as a measure for procedural pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This observational, prospective study with a repeated measures design, explored inter\u2010rater reliability by two raters assessing 21 neonates during non\u2010pain and pain events. Construct validity was explored, that is, ability to discriminate between non\u2010pain and pain, and criterion validity by correlating ALPS\u2010Neo with Premature Infant Pain Profile\u2010Revised (PIPP\u2010R) and Skin Conductance Algesimeter (SCA) in 54 neonates without ventilator support and sedation undergoing routine heel\u2010stick procedure in a tertiary neonatal intensive care unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean gestational and assessment age of 54 infants was 33.8\u2009weeks and 12.7\u2009days respectively. Inter\u2010rater reliability from baseline, skin wiping, heel\u2010stick events for 21 infants demonstrated intraclass correlations with 95% confidence intervals (CI) of 0.49 (\u22120.27 to 0.79), 0.86 (0.65\u20130.94) and 0.73 (0.34\u20130.89) respectively. ALPS\u2010Neo discriminated significantly between baseline, non\u2010pain and heel\u2010stick (mean differences from pain event \u22122.3 and \u22121.0 respectively) and correlated during heel\u2010stick with PIPP\u2010R (<jats:italic>r<\/jats:italic>\u2009=\u20090.56, 95% CI: 0.34\u20130.72), not with SCA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ALPS\u2010Neo may be used as a measure for procedural pain.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16759","type":"journal-article","created":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T09:44:09Z","timestamp":1679305449000},"page":"1220-1225","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["<scp>ALPS<\/scp>\u2010<scp>N<\/scp>eo pain and stress assessment scale for neonates\u2014A measure for procedural pain"],"prefix":"10.1111","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7540-5972","authenticated-orcid":false,"given":"Bente Johanne","family":"Vederhus","sequence":"first","affiliation":[{"name":"Department of Paediatric and Adolescent Medicine Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merete Susan","family":"Olsen","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Adolescent Medicine Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geir Egil","family":"Eide","sequence":"additional","affiliation":[{"name":"The Faculty of Health and Social Sciences Western Norway University of Applied Sciences  Bergen Norway"},{"name":"Centre for Clinical Research Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanne","family":"Storm","sequence":"additional","affiliation":[{"name":"The Skills Simulation Centre The Acute Clinic, Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans J\u00f8rgen","family":"Guthe","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Adolescent Medicine Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9020244"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.757"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2014.09.018"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2006.02.007"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2006.08.026"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2012.07.008"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.expneurol.2015.06.020"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.155.2.173"},{"key":"e_1_2_12_10_1","unstructured":"\u00a9 IAftSoPI.IASP terminology. 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