ArticlePediatric research2025
Assessing competency in less invasive surfactant administration: simulation-based validity evidence for the LISA-AT scores.
Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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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
1 citing paper in PubMed.
- Can non-pharmacological comfort care replace fentanyl in LISA? The NONA-LISA feasibility study.Pediatric research · 2026Trial
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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Less Invasive Surfactant Administration Assessment Tool (LISA-AT) was developed to support operator training and competence assessment. This study aimed to gather validity evidence in the simulated setting to support using the LISA-AT scores.
methodsValidity evidence was gathered using the Messick framework. The lowest quartile (Q1) for the median of the experts' LISA-AT scores defined the minimum passing score.
resultsTen experts and 23 novices were enrolled in this study. Eight of the original 15 LISA-AT metrics effectively discriminated between novices and experts and demonstrated high test-retest reliability (Spearman's rho = 0.87), high internal consistency, and good inter-rater reliability (Cronbach's alpha = 0.88 and 0.82, respectively). The LISA-AT discriminated between novices' and experts' first two attempts with median [IQR] scores of 29 [26-32] vs 39 [39-40]). The minimum passing score was defined as 39/40 points, and the novices used a median [IQR] of 6 [5-7] attempts, ranging from 4 to 9 attempts, to reach this score. Compared with the expert group, the novices' laryngoscopy skills and time remained significantly different even after attaining the minimum passing score.
conclusionWe found strong validity evidence to support using the LISA-AT scores to train new LISA operators to the minimum passing score to ensure competence in the simulated setting. IMPACT: This study showed robust validity evidence for using the Less Invasive Surfactant Administration Assessment Tool (LISA-AT) to train LISA novices with a high test-retest reliability, high internal consistency, and good inter-rater reliability. Eight of the original 15 LISA-AT metrics effectively discriminated between novices and experts, with a minimum passing score of 39/40 points, corresponding to the lowest quartile (Q1) of the experts' performances. Novices typically needed six attempts in the simulated setting, ranging from four to nine. However, their laryngoscopy skills and duration remained significantly different from experts. Using the LISA-AT score can ensure competence in the simulated setting before advancing to supervised clinical procedures.
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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.