Table 2.

Infant assessment scale (adapted from Ruppenthal and Sackett, 1992; Schneider and Suomi, 1992)

1. Predominant state in capture unit

0 = alert, awake, and aware

1 = alert, but somewhat agitated

2 = extremely agitated (body jerks and screams)

3 = freezing behavior, hanging from mesh

2. Infant contact with the mother in capture unit

0 = on mother

1 = 50% of time on mother

2 = off mother

3. Degree to which infant clings to tester before and after blood draw

0 = passive/no cling

1 = moderate cling

2 = moderate cling with slight grasps and releases

3 = tight cling or frantic intermittent grasps and releases

4. Infant's response during blood draw:

0 = no resistance (passive or compliant)

1 = moderate resistance

2 = constantly resists tester's hold

5. Ease with which infant was consoled or calmed:

0 = not necessary to console

1 = easy to console

2 = consoles with difficulty

3 = cannot be consoled

6. Occurrence of distress coos or screams

0 = no obvious distress vocalization

1 = one coo or one scream

2 = 2 coos, 3 or fewer screams

3 = many coos and/or screams

7. Occurrence of body jerks or tantrums

0 = no obvious jerks or tantrums

1 = one body jerk or tantrum

2 = two to four body jerks or tantrums

3 = many body jerks or tantrums