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Updated: Mar 25, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Measurement of neonatal abstinence syndrome: Evaluation of short forms
Hendrée E Jones1, Carl Seashore2, Elisabeth Johnson3
1Executive Director, UNC Horizons, and Professor, Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Adjunct Professor, Departments of Psychiatry and Obstetrics and Gynecology, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Objectives:
1) How well do the short forms previously developed from the Maternal Opioid Treatment: Human Experimental Research (MOTHER) neonatal abstinence syndrome (NAS) scale (MNS) discriminate between neonates untreated and treated for NAS? (2) Can a short form be developed that is superior to other short forms in discriminating between the two groups?
Design/Participants:
This secondary analysis study used data from 131 delivered neonates in the MOTHER study, a randomized controlled trial comparing neonatal and maternal outcomes in opioid-dependent pregnant women administered buprenorphine or methadone.
Setting:
Comprehensive care was provided at seven university hospitals.
Outcome Measures:
A 19-item instrument measuring neonatal abstinence signs.
Results:
A five-item index proved superior to the previous indices (ps < 0.01) and discriminated between the treated and untreated NAS groups as well as did the MNS total score (p=0.09).
Conclusions:
A short form developed from the MNS shows promise as a possible screening measure.
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