Evidence map›Paper›PMID 38875686›Full record

ArticleJMIR AI2024

Health Care Professionals' and Parents' Perspectives on the Use of AI for Pain Monitoring in the Neonatal Intensive Care Unit: Multisite Qualitative Study.

Nicole Racine, Cheryl Chow, Lojain Hamwi, Oana Bucsea, Carol Cheng, Hang Du, Lorenzo Fabrizi, Sara Jasim, Lesley Johannsson, Laura Jones and 7 more

Abstract read
In one paragraph

Article in JMIR AI, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Nicole Racine *School of Psychology, University of Ottawa, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.ORCID https://orcid.org/0000-0002-6371-6570
Cheryl Chow *Department of Psychology, York University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-4395-685X
Lojain HamwiDepartment of Psychology, York University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-5591-7583
Oana BucseaDepartment of Psychology, York University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-1957-2434
Carol ChengDepartment of Nursing, Mount Sinai Hospital, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-3376-3015
Hang DuDepartment of Mathematics and Statistics, York University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-0178-9408
Lorenzo FabriziDepartment of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-9582-0727
Sara JasimDepartment of Psychology, York University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-4509-3357
Lesley JohannssonMount Sinai Hospital, Toronto, ON, Canada.ORCID https://orcid.org/0009-0009-9830-2288
Laura JonesDepartment of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0001-5755-4977
Maria Pureza Laudiano-DrayDepartment of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0001-8222-9391
Judith MeekNeonatal Care Unit, University College London Hospitals, London, United Kingdom.ORCID https://orcid.org/0009-0006-7443-3046
Neelum MistryDepartment of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom.ORCID https://orcid.org/0009-0001-1327-0769
Vibhuti ShahDepartment of Pediatrics, Mount Sinai Hospital, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-8685-2447
Ian StedmanSchool of Public Policy and Administration, York University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-7121-8184
Xiaogang WangDepartment of Mathematics and Statistics, York University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-3349-7896
Rebecca Pillai RiddellDepartment of Psychology, York University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-3990-3680

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of artificial intelligence (AI) for pain assessment has the potential to address historical challenges in infant pain assessment. There is a dearth of information on the perceived benefits and barriers to the implementation of AI for neonatal pain monitoring in the neonatal intensive care unit (NICU) from the perspective of health care professionals (HCPs) and parents. This qualitative analysis provides novel data obtained from 2 large tertiary care hospitals in Canada and the United Kingdom.

objectiveThe aim of the study is to explore the perspectives of HCPs and parents regarding the use of AI for pain assessment in the NICU.

methodsIn total, 20 HCPs and 20 parents of preterm infants were recruited and consented to participate from February 2020 to October 2022 in interviews asking about AI use for pain assessment in the NICU, potential benefits of the technology, and potential barriers to use.

resultsThe 40 participants included 20 HCPs (17 women and 3 men) with an average of 19.4 (SD 10.69) years of experience in the NICU and 20 parents (mean age 34.4, SD 5.42 years) of preterm infants who were on average 43 (SD 30.34) days old. Six themes from the perspective of HCPs were identified: regular use of technology in the NICU, concerns with regard to AI integration, the potential to improve patient care, requirements for implementation, AI as a tool for pain assessment, and ethical considerations. Seven parent themes included the potential for improved care, increased parental distress, support for parents regarding AI, the impact on parent engagement, the importance of human care, requirements for integration, and the desire for choice in its use. A consistent theme was the importance of AI as a tool to inform clinical decision-making and not replace it.

conclusionsHCPs and parents expressed generally positive sentiments about the potential use of AI for pain assessment in the NICU, with HCPs highlighting important ethical considerations. This study identifies critical methodological and ethical perspectives from key stakeholders that should be noted by any team considering the creation and implementation of AI for pain monitoring in the NICU.

Indexed as

acceptanceadoptionAIartificial intelligenceassessmentattitudeattitudesbabiesbabydigital healthexperienceexperiencesHCPhealth care professionalhealth care professionalshealth technologieshealth technologyinfantinfantsintensive careinterviewinterviewsneonatalneonatal intensive care unitneonateneonatesnewbornnewbornsNICUopinionpainpain managementpain monitoringparentparentspediatricpediatricsperceptionperceptionsperspectiveperspectivesprematurepretermpreterm infantwillingness

Identifiers

PMID38875686
PMCPMC11041412

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.