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The authors would like to thank the nursing team and all the members of staff at the 12 de Octubre Neonatal University Hospital for their participation. We are also grateful to the Hospital 12 de Octubre Research Institute (imas12) for its support. We would also like to thank Dr Pallas, Esther Cabanes, and Patricia Melchor for their feedback. RICORS is funded by the Recovery, Transformation, and Resilience Plan 2017-2020, the ISCIII, and the European Union-Next Generation EU (ref. RD21/0012/0009). R.A.' s research is supported by the Spanish Ministry of Science, Innovation, and Universities (PID2019-111510RB-I00), the Rey Juan Carlos University, Banco Santander (Call COVID-19, 2020), and the Spanish Gastroenterology Association (AEG, Call 2021).

Analysis of institutional authors

Abalo, RaquelAuthorCid-Exposito, Maria-GemaAuthor
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Cultural Adaptation and Validation of the Premature Infant Pain Profile-Revised (PIPP-R) Pain Measurement Scale: Research Protocol

Publicated to:International Journal Of Environmental Research And Public Health. 19 (19): 12338- - 2022-10-01 19(19), DOI: 10.3390/ijerph191912338

Authors: Nunez-Lopez, Irene; Collados-Gomez, Laura; Abalo, Raquel; Martinez-Perez, Patricia; Moreno-Vicente, Alvaro; Cid-Exposito, Maria-Gema

Affiliations

CSIC, R&D&I Unit Associated Inst Med Chem IQM, Madrid 28006, Spain - Author
Hosp Univ 12 Octubre, Neonatal Intens Care Dept, Madrid H12O, Madrid 28041, Spain - Author
Inst Invest Sanitaria Hosp 12 Octubre imas12, Invecuid Care Res Grp, Madrid 28041, Spain - Author
Rey Juan Carlos Univ URJC, Fac Hlth Sci, Dept Basic Hlth Sci, Alcorcon 28922, Spain - Author
Rey Juan Carlos Univ URJC, High Performance Res Grp Pathophysiol & Pharmacol, Alcorcon 28922, Spain - Author
Rey Juan Carlos Univ URJC, Int PhD Sch, Doctoral Program Hlth Sci, Madrid 28008, Spain - Author
Rey Juan Carlos Univ URJC, Sch Hlth Sci, Dept Nursing, Madrid 28922, Spain - Author
Spanish Pain Soc Working Grp Basic Sci Pain & Ana, Madrid 28046, Spain - Author
Spanish Pain Soc Working Grp Cannabinoids, Madrid 28046, Spain - Author
Univ Europea Madrid, Fac Biomed & Nursing, Dept Nutr, Madrid 28670, Spain - Author
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Abstract

Introduction: The main objective of this study is to validate the PIPP-R scale (Premature Infant Pain Profile-Revised) for measuring neonatal pain in the Spanish hospital setting. Materials and Methods: The original scale will be translated from English into Spanish and a consensus translation will be prepared by the research team, which will be back-translated from Spanish into English. The content validity of the Spanish version of the scale will be measured using the Delphi method. Subsequently, a multicenter observational study will be conducted to assess construct validity, internal consistency, and intra-observer and inter-observer agreement. Pain will be assessed by comparing scores for a specific non-painful procedure with those for a specific painful procedure. The sample will include 300 subjects in intensive care and intermediate care units, who will be equally distributed among the participating hospitals. The subjects will be stratified into three groups by gestational age. Discussion: The original version of the PIPP-R scale is useful for objectively assessing neonatal acute and procedural pain from a gestational age of 25 weeks and over. It is important to culturally adapt the original validated scale and to test its validity and reliability in the Spanish healthcare context. The results of this study may represent significant progress in pain management.

Keywords
AnalgesiaArticleChild healthContent validityCultureDelphi studyElectrocardiographyFemaleHospital sectorHospitalizationHumanHumansInfantInfant, newbornInfant, prematureInfant, premature, diseasesIntensive careMeasurement methodMulticenter studies as topicMulticenter studyMulticenter study (topic)NeonateNewbornObservational studies as topicObservational studyPainPain measurementPipp-rPremature birthPrematurityProceduresProspective studyPsychometricsPsychometryPulse oximetryQuestionnaireReproducibilityReproducibility of resultsResearchSpainValidationValidation study

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal International Journal Of Environmental Research And Public Health due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Health, Toxicology and Mutagenesis.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.07, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions May 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-05-15, the following number of citations:

  • WoS: 2
  • Scopus: 2
  • Europe PMC: 1
  • OpenCitations: 2
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-15:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 33.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 33 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 3 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author () and Last Author (Cid Expósito, María Gema).