ArticlePediatrics2004
Specific Newborn Individualized Developmental Care and Assessment Program movements are associated with acute pain in preterm infants in the neonatal intensive care unit.
Article in Pediatrics, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.
- Methodological Issues in the Study of the Development of Pain Responsivity in Preterm Neonates: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Postural support improves distress and pain during diaper change in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2009Trial
- Is it painful or not? Discriminant validity of the Behavioral Indicators of Infant Pain (BIIP) scale.The Clinical journal of pain · 2008Trial
- Behavioral responses to pain are heightened after clustered care in preterm infants born between 30 and 32 weeks gestational age.The Clinical journal of painTrial
- Body movements: an important additional factor in discriminating pain from stress in preterm infants.The Clinical journal of painTrial
- Neonatal delirium: fact or fiction? A study protocol of a prospective, observational study at the Neonatal Intensive Care Unit (NICU).BMJ paediatrics open · 2025Article
- Article
- Changes of Infant- and Family-Centered Care Practices Administered to Extremely Preterm Infants During Implementation of the NIDCAP Program.Frontiers in pediatrics · 2021Article
- The influence of gestational age in the psychometric testing of the Bernese Pain Scale for Neonates.BMC pediatrics · 2019Article
- Pain, Parental Involvement, and Oxytocin in the Neonatal Intensive Care Unit.Frontiers in psychology · 2019Review
- Automatic Infants' Pain Assessment by Dynamic Facial Representation: Effects of Profile View, Gestational Age, Gender, and Race.Journal of clinical medicine · 2018Article
- Preterm Stress Behaviors, Autonomic Indices, and Maternal Perceptions of Infant Colic.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2018Article
- A Ballistographic Approach for Continuous and Non-Obtrusive Monitoring of Movement in Neonates.IEEE journal of translational engineering in health and medicine · 2018Article
- Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study.BMC pediatrics · 2017Observational
- Preterm infants' behaviors and skin conductance responses to nurse handling in the NICU.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2016Observational
- The relationship between nociceptive brain activity, spinal reflex withdrawal and behaviour in newborn infants.Scientific reports · 2015Article
- Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants.Acta paediatrica (Oslo, Norway : 1992) · 2014Article
- Differences between uni-and multidimensional scales for assessing pain in term newborn infants at the bedside.Clinics (Sao Paulo, Brazil) · 2012Article
- Implementation of a neonatal pain management module in the computerized physician order entry system.Annals of intensive care · 2012Article
- Developmental changes in the responses of preterm infants to a painful stressor.Infant behavior & development · 2008Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is widely used in neonatal intensive care units and comprises 85 discrete infant behaviors, some of which may communicate infant distress. The objective of this study was to identify developmentally relevant movements indicative of pain in preterm infants.
methodsForty-four preterm infants were assessed at 32 weeks' gestational age (GA) during 3 phases (baseline, lance/squeeze, and recovery) of routine blood collection in the neonatal intensive care unit. The NIDCAP and Neonatal Facial Coding System (NFCS) were coded from separate continuous bedside video recordings; mean heart rate (mHR) was derived from digitally sampled continuous electrographic recordings. Analysis of variance (phase x gender) with Bonferroni corrections was used to compare differences in NIDCAP, NFCS, and mHR. Pearson correlations were used to examine relationships between the NIDCAP and infant background characteristics.
resultsNFCS and mHR increased significantly to lance/squeeze. Eight NIDCAP behaviors also increased significantly to lance/squeeze. Another 5 NIDCAP behaviors decreased significantly to lance/squeeze. Infants who had lower GA at birth, had been sicker, had experienced more painful procedures, or had greater morphine exposure showed increased hand movements indicative of increased distress.
conclusionsOf the 85 NIDCAP behaviors, a subset of 8 NIDCAP movements were associated with pain. Particularly for infants who are born at early GAs, addition of these movements to commonly used measures may improve the accuracy of pain assessment.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.