VALIDATION OF THE CHILDREN'S HOSPITAL OF IOWA INFANT PAIN SCALE

这个子项目是利用由NIH/NCRR资助的中心拨款提供的资源的许多研究子项目之一。子项目和调查员(PI)可能从另一个NIH来源获得了主要资金，因此可能会出现在其他CRISE条目中。列出的机构是针对中心的，而不一定是针对调查员的机构。新生儿疼痛的评估和量化是一项困难的工作，已经研究了几十年。对于不同的婴儿亚组，已经开发了许多疼痛评分，但由于各种原因，大多数缺乏临床实用价值。需要一种心理测量学上健康的、临床上可行的、对不同胎龄的婴儿有用的疼痛评估工具，从非常、非常早产(不到26周)到足月新生儿(40周)。早产儿和足月儿的疼痛行为有显著差异。需要一种可用于不同胎龄组的评估工具。爱荷华州儿童医院婴儿疼痛(CHIIP)量表是由爱荷华州儿童医院开发的一种潜在有用的量表。这项工作扩展了CHIIP的效度和信度估计。在UIHC的NICU接受止痛药治疗的婴儿将在服药前和服药后大约30分钟被录像。对医学前或医学后状态视而不见的评分员将使用CHIIP量表对视频进行评分。60名婴儿，每个胎龄组(28周，28到36周，36周)各20名，将被录像。将分析配对视频之间疼痛评分的差异。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The assessment and quantification of neonatal pain is a difficult endeavor that has been studied for several decades. Numerous pain scales have been developed for various subgroups of infants, but most lack clinical utility for various reasons. A pain assessment tool is needed that is psychometrically sound, clinically feasible, and useful with infants of varying gestational ages, from the very, very preterm (less than 26 weeks) to the full term neonate (40 weeks). Pain behaviors of very preterm infants and full term infants differ remarkably. An assessment tool is needed that can be used for widely different gestational age groups. Children's Hospital of Iowa Infant Pain (CHIIP) Scale, developed at Children's Hospital of Iowa, is a potentially useful scale. This work extends the validity and reliability estimations for the CHIIP. Infants in the NICU at UIHC who are receiving pain medication will be videotaped just before the medication and approximately 30 minutes after the medication. Raters who are blind to pre-med or post-med status will score the videos using the CHIIP scale. Sixty babies, with 20 in each gestational age group (<28 weeks, 28 through 36 weeks, and >36 weeks), will be videotaped. Differences in pain scores between paired videos will be analyzed.