ArticleActa paediatrica (Oslo, Norway : 1992)2014
Development and psychometric properties of the Swedish ALPS-Neo pain and stress assessment scale for newborn infants.
Article in Acta paediatrica (Oslo, Norway : 1992), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06344741 (Comparison of Maternal and Neonatal Outcomes of Early and Late Admission to the Delivery Room), which is not on this map. Cited by 27 papers, 8 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Comparison of Maternal and Neonatal Outcomes of Early and Late Admission to the Delivery Room
Who cites it
27 citing papers in PubMed, 8 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Clinical rating scales for assessing pain in newborn infants.The Cochrane database of systematic reviews · 2025Pooled it
- Non-pharmacological interventions for the prevention of pain during endotracheal suctioning in ventilated neonates.The Cochrane database of systematic reviews · 2024Pooled it
- Breastfeeding or breast milk for procedural pain in neonates.The Cochrane database of systematic reviews · 2023Pooled it
- Pharmacological interventions for pain and sedation management in newborn infants undergoing therapeutic hypothermia.The Cochrane database of systematic reviews · 2022Pooled it
- Opioids for newborn infants receiving mechanical ventilation.The Cochrane database of systematic reviews · 2021Pooled it
- Clonidine for pain in non-ventilated infants.The Cochrane database of systematic reviews · 2020Pooled it
- Using Arts-Based Therapies to Improve Mental Health for Children and Young People With Physical Health Long-Term Conditions: A Systematic Review of Effectiveness.Frontiers in psychology · 2020Pooled it
- Clonidine for sedation and analgesia for neonates receiving mechanical ventilation.The Cochrane database of systematic reviews · 2017Pooled it
- Effect of Skin-To-Skin Contact During Caesarean Section on Pain and Stress in Newborns: A Randomized Controlled Trial.Nursing open · 2026Trial
- Comparison of the Effects of Incubator and Radiant Environments on Physiological Criteria and Pain-Stress Levels during Heel Lance in Neonates in the Neonatal Intensive Care Unit: A Randomized Controlled Trial.Saudi medical journal · 2026Trial
- The Effect of Swing on Stress and Comfort in Premature Newborns: A Randomised Controlled Trial.Journal of paediatrics and child health · 2025Trial
- Oral sweet solution to prevent pain during neonatal hip examination: a randomised controlled trial.Acta paediatrica (Oslo, Norway : 1992) · 2019Trial
- Music therapy supported the health-related quality of life for children undergoing haematopoietic stem cell transplants.Acta paediatrica (Oslo, Norway : 1992) · 2018Trial
- Article
- Managing pain in newborns: A multidimensional approach.Paediatrics & child health · 2025Review
- The Effect of Maternal Oxytocin Induction during Birth on Early Neonatal Pain and Stress: A Quasi-Experimental Study.Biological research for nursing · 2025Article
- Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing.Nursing open · 2023Article
- The Effect of Endotracheal Suctioning Using the Four-handed Care on Physiological Criteria and Behavioral Responses of the Preterm Infants: Randomized Crossover Clinical Trial.Journal of caring sciences · 2022Article
- Assessment and Management of Pain in Preterm Infants: A Practice Update.Children (Basel, Switzerland) · 2022Review
- Neonatal pain assessment: Do we have the right tools?Frontiers in pediatrics · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo validate and evaluate the psychometric properties of the ALPS-Neo, a new pain assessment scale created for the continuous evaluation of pain and stress in preterm and sick term infants.
methodsA unidimensional scale for continuous pain, Astrid Lindgren Children's Hospital Pain Scale (ALPS 1), was developed further to assess continuous pain and stress in infants treated in the neonatal intensive care unit (NICU). The pain scale includes observations of five behaviours. A manual was created, clarifying the scoring criteria. An internal and an external panel assessed face validity. Psychometric properties were evaluated in three different steps. Inter-rater reliability was estimated from video-based assessments (n = 625) using weighted kappa statistics (test I). Inter-rater reliability was further evaluated in test II (n = 125) and test III (n = 96) by real-time assessments using the intraclass correlation coefficient (ICC) and Cronbach's alpha.
resultsThe final inter-rater reliability (test III) was assessed as good with ICC 0.91 for the total score and 0.62-0.81 for the five items. Cronbach's alpha showed 0.95 for the total score.
conclusionALPS-Neo is a new assessment tool for optimising the management of pain and stress in newborn infants in the NICU. It has proved easy to implement and user-friendly, permitting fast, reliable observations with high inter-rater reliability.
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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.