Identification of pain in neonates: the adults’ visual perception of neonatal facial features
Objective To verify the visual attention of adults when assessing neonatal pain. Study design 143 adults (59% health professionals) evaluated 20 pictures (2 pictures of 10 neonates’ faces: at rest; during a painful procedure). Tobii-TX300 tracked the participants’ eyes movement. For each picture, ad...
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Veröffentlicht in: | Journal of perinatology 2021-09, Vol.41 (9), p.2304-2308 |
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creator | Barros, Marina Carvalho de Moraes Thomaz, Carlos Eduardo da Silva, Giselle Valério Teixeira do Carmo Azevedo Soares, Juliana Carlini, Lucas Pereira Heiderich, Tatiany Marcondes Orsi, Rafael Nobre Balda, Rita de Cassia Xavier Silva, Pedro Augusto Santos Orona Sanudo, Adriana Andreoni, Solange Guinsburg, Ruth |
description | Objective
To verify the visual attention of adults when assessing neonatal pain.
Study design
143 adults (59% health professionals) evaluated 20 pictures (2 pictures of 10 neonates’ faces: at rest; during a painful procedure). Tobii-TX300 tracked the participants’ eyes movement. For each picture, adults scored pain intensity (0 = no pain; 10 = maximum). Latent classes analysis was applied by cognitive diagnosis models—GDINA with two attributes (knowledge of pain presence/absence). Variables associated with belonging to the class of adults that correctly identified pictures of newborns with/without pain were identified by logistic regression.
Results
To identify neonatal pain, adults look at the mouth, eyes, and forehead in facial pictures. The latent class analysis identified four classes of adults: those that identify painful/painless neonates (YY-Class;
n
= 80); only painful neonates (
n
= 28); only painless neonates (
n
= 34) and none (
n
= 1). Being a health professional (OR: 2.29; 95% CI: 1.16–4.51), and each look at the nasolabial furrow (2.07; 1.19–3.62) increased the chance of belonging to the YY-class.
Conclusions
Being a health professional and the visual fixation at the nasolabial furrow helped to identify the presence/absence of neonatal pain. |
doi_str_mv | 10.1038/s41372-021-01143-1 |
format | Article |
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To verify the visual attention of adults when assessing neonatal pain.
Study design
143 adults (59% health professionals) evaluated 20 pictures (2 pictures of 10 neonates’ faces: at rest; during a painful procedure). Tobii-TX300 tracked the participants’ eyes movement. For each picture, adults scored pain intensity (0 = no pain; 10 = maximum). Latent classes analysis was applied by cognitive diagnosis models—GDINA with two attributes (knowledge of pain presence/absence). Variables associated with belonging to the class of adults that correctly identified pictures of newborns with/without pain were identified by logistic regression.
Results
To identify neonatal pain, adults look at the mouth, eyes, and forehead in facial pictures. The latent class analysis identified four classes of adults: those that identify painful/painless neonates (YY-Class;
n
= 80); only painful neonates (
n
= 28); only painless neonates (
n
= 34) and none (
n
= 1). Being a health professional (OR: 2.29; 95% CI: 1.16–4.51), and each look at the nasolabial furrow (2.07; 1.19–3.62) increased the chance of belonging to the YY-class.
Conclusions
Being a health professional and the visual fixation at the nasolabial furrow helped to identify the presence/absence of neonatal pain.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-021-01143-1</identifier><identifier>PMID: 34253842</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/700/139/1735 ; 692/700/1720 ; Adult ; Adults ; Attention ; Cognitive ability ; Diagnosis ; Diseases ; Eye (anatomy) ; Facial expression ; Forehead ; Furrows ; Health aspects ; Humans ; Infant, Newborn ; Infants (Newborn) ; Logistic Models ; Medical personnel ; Medicine ; Medicine & Public Health ; Neonates ; Newborn babies ; Pain ; Pain - diagnosis ; Pain in children ; Pain Measurement ; Pediatric research ; Pediatric Surgery ; Pediatrics ; Physiological aspects ; Pictures ; Psychological aspects ; Visual Perception</subject><ispartof>Journal of perinatology, 2021-09, Vol.41 (9), p.2304-2308</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature America, Inc.</rights><rights>COPYRIGHT 2021 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-76b73bc8853c49603c23c05437c421c768615c8eec02ce6e152b070fa06f5b9f3</citedby><cites>FETCH-LOGICAL-c473t-76b73bc8853c49603c23c05437c421c768615c8eec02ce6e152b070fa06f5b9f3</cites><orcidid>0000-0003-2038-7719 ; 0000-0003-4719-0131 ; 0000-0001-6989-3474 ; 0000-0003-1967-9861 ; 0000-0003-4589-9876</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41372-021-01143-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41372-021-01143-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34253842$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barros, Marina Carvalho de Moraes</creatorcontrib><creatorcontrib>Thomaz, Carlos Eduardo</creatorcontrib><creatorcontrib>da Silva, Giselle Valério Teixeira</creatorcontrib><creatorcontrib>do Carmo Azevedo Soares, Juliana</creatorcontrib><creatorcontrib>Carlini, Lucas Pereira</creatorcontrib><creatorcontrib>Heiderich, Tatiany Marcondes</creatorcontrib><creatorcontrib>Orsi, Rafael Nobre</creatorcontrib><creatorcontrib>Balda, Rita de Cassia Xavier</creatorcontrib><creatorcontrib>Silva, Pedro Augusto Santos Orona</creatorcontrib><creatorcontrib>Sanudo, Adriana</creatorcontrib><creatorcontrib>Andreoni, Solange</creatorcontrib><creatorcontrib>Guinsburg, Ruth</creatorcontrib><title>Identification of pain in neonates: the adults’ visual perception of neonatal facial features</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective
To verify the visual attention of adults when assessing neonatal pain.
Study design
143 adults (59% health professionals) evaluated 20 pictures (2 pictures of 10 neonates’ faces: at rest; during a painful procedure). Tobii-TX300 tracked the participants’ eyes movement. For each picture, adults scored pain intensity (0 = no pain; 10 = maximum). Latent classes analysis was applied by cognitive diagnosis models—GDINA with two attributes (knowledge of pain presence/absence). Variables associated with belonging to the class of adults that correctly identified pictures of newborns with/without pain were identified by logistic regression.
Results
To identify neonatal pain, adults look at the mouth, eyes, and forehead in facial pictures. The latent class analysis identified four classes of adults: those that identify painful/painless neonates (YY-Class;
n
= 80); only painful neonates (
n
= 28); only painless neonates (
n
= 34) and none (
n
= 1). Being a health professional (OR: 2.29; 95% CI: 1.16–4.51), and each look at the nasolabial furrow (2.07; 1.19–3.62) increased the chance of belonging to the YY-class.
Conclusions
Being a health professional and the visual fixation at the nasolabial furrow helped to identify the presence/absence of neonatal pain.</description><subject>692/700/139/1735</subject><subject>692/700/1720</subject><subject>Adult</subject><subject>Adults</subject><subject>Attention</subject><subject>Cognitive ability</subject><subject>Diagnosis</subject><subject>Diseases</subject><subject>Eye (anatomy)</subject><subject>Facial expression</subject><subject>Forehead</subject><subject>Furrows</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infants (Newborn)</subject><subject>Logistic Models</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Pain</subject><subject>Pain - diagnosis</subject><subject>Pain in children</subject><subject>Pain Measurement</subject><subject>Pediatric research</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Physiological aspects</subject><subject>Pictures</subject><subject>Psychological aspects</subject><subject>Visual 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Marina Carvalho de Moraes</creator><creator>Thomaz, Carlos Eduardo</creator><creator>da Silva, Giselle Valério Teixeira</creator><creator>do Carmo Azevedo Soares, Juliana</creator><creator>Carlini, Lucas Pereira</creator><creator>Heiderich, Tatiany Marcondes</creator><creator>Orsi, Rafael Nobre</creator><creator>Balda, Rita de Cassia Xavier</creator><creator>Silva, Pedro Augusto Santos Orona</creator><creator>Sanudo, Adriana</creator><creator>Andreoni, Solange</creator><creator>Guinsburg, Ruth</creator><general>Nature Publishing Group US</general><general>Nature Publishing 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of pain in neonates: the adults’ visual perception of neonatal facial features</title><author>Barros, Marina Carvalho de Moraes ; Thomaz, Carlos Eduardo ; da Silva, Giselle Valério Teixeira ; do Carmo Azevedo Soares, Juliana ; Carlini, Lucas Pereira ; Heiderich, Tatiany Marcondes ; Orsi, Rafael Nobre ; Balda, Rita de Cassia Xavier ; Silva, Pedro Augusto Santos Orona ; Sanudo, Adriana ; Andreoni, Solange ; Guinsburg, Ruth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-76b73bc8853c49603c23c05437c421c768615c8eec02ce6e152b070fa06f5b9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/700/139/1735</topic><topic>692/700/1720</topic><topic>Adult</topic><topic>Adults</topic><topic>Attention</topic><topic>Cognitive ability</topic><topic>Diagnosis</topic><topic>Diseases</topic><topic>Eye (anatomy)</topic><topic>Facial expression</topic><topic>Forehead</topic><topic>Furrows</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infants (Newborn)</topic><topic>Logistic Models</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Pain</topic><topic>Pain - diagnosis</topic><topic>Pain in children</topic><topic>Pain Measurement</topic><topic>Pediatric research</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Physiological aspects</topic><topic>Pictures</topic><topic>Psychological aspects</topic><topic>Visual Perception</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barros, Marina Carvalho de Moraes</creatorcontrib><creatorcontrib>Thomaz, Carlos Eduardo</creatorcontrib><creatorcontrib>da Silva, Giselle Valério Teixeira</creatorcontrib><creatorcontrib>do Carmo Azevedo Soares, Juliana</creatorcontrib><creatorcontrib>Carlini, Lucas Pereira</creatorcontrib><creatorcontrib>Heiderich, Tatiany Marcondes</creatorcontrib><creatorcontrib>Orsi, Rafael Nobre</creatorcontrib><creatorcontrib>Balda, Rita de Cassia Xavier</creatorcontrib><creatorcontrib>Silva, Pedro Augusto Santos Orona</creatorcontrib><creatorcontrib>Sanudo, Adriana</creatorcontrib><creatorcontrib>Andreoni, Solange</creatorcontrib><creatorcontrib>Guinsburg, Ruth</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied 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Solange</au><au>Guinsburg, Ruth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identification of pain in neonates: the adults’ visual perception of neonatal facial features</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>41</volume><issue>9</issue><spage>2304</spage><epage>2308</epage><pages>2304-2308</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective
To verify the visual attention of adults when assessing neonatal pain.
Study design
143 adults (59% health professionals) evaluated 20 pictures (2 pictures of 10 neonates’ faces: at rest; during a painful procedure). Tobii-TX300 tracked the participants’ eyes movement. For each picture, adults scored pain intensity (0 = no pain; 10 = maximum). Latent classes analysis was applied by cognitive diagnosis models—GDINA with two attributes (knowledge of pain presence/absence). Variables associated with belonging to the class of adults that correctly identified pictures of newborns with/without pain were identified by logistic regression.
Results
To identify neonatal pain, adults look at the mouth, eyes, and forehead in facial pictures. The latent class analysis identified four classes of adults: those that identify painful/painless neonates (YY-Class;
n
= 80); only painful neonates (
n
= 28); only painless neonates (
n
= 34) and none (
n
= 1). Being a health professional (OR: 2.29; 95% CI: 1.16–4.51), and each look at the nasolabial furrow (2.07; 1.19–3.62) increased the chance of belonging to the YY-class.
Conclusions
Being a health professional and the visual fixation at the nasolabial furrow helped to identify the presence/absence of neonatal pain.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>34253842</pmid><doi>10.1038/s41372-021-01143-1</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-2038-7719</orcidid><orcidid>https://orcid.org/0000-0003-4719-0131</orcidid><orcidid>https://orcid.org/0000-0001-6989-3474</orcidid><orcidid>https://orcid.org/0000-0003-1967-9861</orcidid><orcidid>https://orcid.org/0000-0003-4589-9876</orcidid></addata></record> |
fulltext | fulltext |
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ispartof | Journal of perinatology, 2021-09, Vol.41 (9), p.2304-2308 |
issn | 0743-8346 1476-5543 |
language | eng |
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source | MEDLINE; SpringerLink Journals |
subjects | 692/700/139/1735 692/700/1720 Adult Adults Attention Cognitive ability Diagnosis Diseases Eye (anatomy) Facial expression Forehead Furrows Health aspects Humans Infant, Newborn Infants (Newborn) Logistic Models Medical personnel Medicine Medicine & Public Health Neonates Newborn babies Pain Pain - diagnosis Pain in children Pain Measurement Pediatric research Pediatric Surgery Pediatrics Physiological aspects Pictures Psychological aspects Visual Perception |
title | Identification of pain in neonates: the adults’ visual perception of neonatal facial features |
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