Looking at neonatal facial features of pain: do health and non-health professionals differ?
Objective: To analyze the regions that trigger the attention of adults’ gaze when assessing pain in newborn infants’ pictures and to verify if there are differences between health and non-health professionals. Method: Experimental study with 84 health professionals and 59 non-health professionals, w...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-07-01
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| Series: | Jornal de Pediatria |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0021755721001613 |
| _version_ | 1811193003003346944 |
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| author | Juliana do Carmo Azevedo Soares Marina Carvalho de Moraes Barros Giselle Valério Teixeira da Silva Lucas Pereira Carlini Tatiany Marcondes Heiderich Rafael Nobre Orsi Rita de Cássia Xavier Balda Pedro Augusto Santos Orona Silva Carlos Eduardo Thomaz Ruth Guinsburg |
| author_facet | Juliana do Carmo Azevedo Soares Marina Carvalho de Moraes Barros Giselle Valério Teixeira da Silva Lucas Pereira Carlini Tatiany Marcondes Heiderich Rafael Nobre Orsi Rita de Cássia Xavier Balda Pedro Augusto Santos Orona Silva Carlos Eduardo Thomaz Ruth Guinsburg |
| author_sort | Juliana do Carmo Azevedo Soares |
| collection | DOAJ |
| description | Objective: To analyze the regions that trigger the attention of adults’ gaze when assessing pain in newborn infants’ pictures and to verify if there are differences between health and non-health professionals. Method: Experimental study with 84 health professionals and 59 non-health professionals, who evaluated two images of 10 neonates, one at rest and the other during a painful procedure. Each image was shown for 7 seconds on a computer screen, while eye movements were tracked by the Tobii TX300 EyeTracker. After evaluating each image, participants gave a score from 0 (absent pain) to 10 (maximum pain), according to their perception of neonatal pain. For each image, the number and total time of gaze fixations in the forehead, eyes, nasolabial furrow, and mouth were studied. Comparisons between both groups of adults were made by an intraclass correlation coefficient, Student's t-test, and Bland Altman graphic. Results: Health professionals (93% female; 34 ± 9 years old), compared to non-health professionals (64% female; 35 ± 11 years old), gave lower scores for images at rest (0.81 ± 0.50 vs. 1.59 ± 0.76; p = 0.010), with no difference for those obtained during the painful procedure (6.98 ± 1.08 vs. 6.73 ± 0.82). There was a strong or almost perfect correlation for the number of fixations in the mouth, eyes, forehead, and for the total fixation time in the eyes and forehead. Conclusions: Adults, irrespective of their profession, showed a homogeneous gaze pattern when evaluating pictures of neonates at rest or during a painful procedures. |
| first_indexed | 2024-04-12T00:00:02Z |
| format | Article |
| id | doaj.art-e92e4cc45b7f4d38a6e5f6fe7cfc9049 |
| institution | Directory Open Access Journal |
| issn | 0021-7557 |
| language | English |
| last_indexed | 2024-04-12T00:00:02Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Jornal de Pediatria |
| spelling | doaj.art-e92e4cc45b7f4d38a6e5f6fe7cfc90492022-12-22T03:56:15ZengElsevierJornal de Pediatria0021-75572022-07-01984406412Looking at neonatal facial features of pain: do health and non-health professionals differ?Juliana do Carmo Azevedo Soares0Marina Carvalho de Moraes Barros1Giselle Valério Teixeira da Silva2Lucas Pereira Carlini3Tatiany Marcondes Heiderich4Rafael Nobre Orsi5Rita de Cássia Xavier Balda6Pedro Augusto Santos Orona Silva7Carlos Eduardo Thomaz8Ruth Guinsburg9Universidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, BrazilUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil; Corresponding author.Universidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, BrazilCentro Universitario FEI, Department of Electrical Engineering, Image Processing Laboratory, São Bernardo do Campo, SP, BrazilCentro Universitario FEI, Department of Electrical Engineering, Image Processing Laboratory, São Bernardo do Campo, SP, BrazilCentro Universitario FEI, Department of Electrical Engineering, Image Processing Laboratory, São Bernardo do Campo, SP, BrazilUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, BrazilCentro Universitario FEI, Department of Electrical Engineering, Image Processing Laboratory, São Bernardo do Campo, SP, BrazilCentro Universitario FEI, Department of Electrical Engineering, Image Processing Laboratory, São Bernardo do Campo, SP, BrazilUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, BrazilObjective: To analyze the regions that trigger the attention of adults’ gaze when assessing pain in newborn infants’ pictures and to verify if there are differences between health and non-health professionals. Method: Experimental study with 84 health professionals and 59 non-health professionals, who evaluated two images of 10 neonates, one at rest and the other during a painful procedure. Each image was shown for 7 seconds on a computer screen, while eye movements were tracked by the Tobii TX300 EyeTracker. After evaluating each image, participants gave a score from 0 (absent pain) to 10 (maximum pain), according to their perception of neonatal pain. For each image, the number and total time of gaze fixations in the forehead, eyes, nasolabial furrow, and mouth were studied. Comparisons between both groups of adults were made by an intraclass correlation coefficient, Student's t-test, and Bland Altman graphic. Results: Health professionals (93% female; 34 ± 9 years old), compared to non-health professionals (64% female; 35 ± 11 years old), gave lower scores for images at rest (0.81 ± 0.50 vs. 1.59 ± 0.76; p = 0.010), with no difference for those obtained during the painful procedure (6.98 ± 1.08 vs. 6.73 ± 0.82). There was a strong or almost perfect correlation for the number of fixations in the mouth, eyes, forehead, and for the total fixation time in the eyes and forehead. Conclusions: Adults, irrespective of their profession, showed a homogeneous gaze pattern when evaluating pictures of neonates at rest or during a painful procedures.http://www.sciencedirect.com/science/article/pii/S0021755721001613InfantnewbornPain perceptionFacial expressionEye-tracking technologyHealth personnel |
| spellingShingle | Juliana do Carmo Azevedo Soares Marina Carvalho de Moraes Barros Giselle Valério Teixeira da Silva Lucas Pereira Carlini Tatiany Marcondes Heiderich Rafael Nobre Orsi Rita de Cássia Xavier Balda Pedro Augusto Santos Orona Silva Carlos Eduardo Thomaz Ruth Guinsburg Looking at neonatal facial features of pain: do health and non-health professionals differ? Jornal de Pediatria Infant newborn Pain perception Facial expression Eye-tracking technology Health personnel |
| title | Looking at neonatal facial features of pain: do health and non-health professionals differ? |
| title_full | Looking at neonatal facial features of pain: do health and non-health professionals differ? |
| title_fullStr | Looking at neonatal facial features of pain: do health and non-health professionals differ? |
| title_full_unstemmed | Looking at neonatal facial features of pain: do health and non-health professionals differ? |
| title_short | Looking at neonatal facial features of pain: do health and non-health professionals differ? |
| title_sort | looking at neonatal facial features of pain do health and non health professionals differ |
| topic | Infant newborn Pain perception Facial expression Eye-tracking technology Health personnel |
| url | http://www.sciencedirect.com/science/article/pii/S0021755721001613 |
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