The screening Hand Assessment for Infants: Feasibility, validity, and reliability based on parents' recordings

IF 4.3 2区医学 Q1 CLINICAL NEUROLOGY Developmental Medicine and Child Neurology Pub Date : 2025-04-04 DOI:10.1111/dmcn.16318

Johanna Kembe, Linda Holmström, Eva Broström, Heléne Sundelin, Ann-Christin Eliasson

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Abstract

Aim

To evaluate the concurrent validity and interrater reliability of remote screening Hand Assessment for Infants (s-HAI) in infants aged 3.5 to 12 months at risk of unilateral cerebral palsy (CP), and to assess the feasibility of parents administering and recording the s-HAI play session using a smartphone app.

Method

In this observational study, 30 infants (10 females) at risk of unilateral CP were assessed with remote s-HAI, administered by their parents, and compared with the HAI conducted in a clinical setting. The quality of the s-HAI recordings was assessed and parents' experiences were collected using a questionnaire. The Spearman's rank correlation coefficient (r_s) was calculated for the Each Hand Sum score of s-HAI and the corresponding six-item HAI. The interrater reliability of the s-HAI recordings was calculated using the intraclass correlation coefficient_2,1.

Results

Parents recorded the s-HAI play session with good quality and found it feasible. A strong correlation of r_s = 0.86 (p < 0.001) was found between the s-HAI and the six-item HAI. Interrater reliability was 0.96 (95% confidence interval [CI] = 0.92–0.99) for the affected hand, 0.95 (95% CI = 0.90–0.98) for the non-affected hand, and moderate to excellent for individual items.

Interpretation

The s-HAI measures the same construct as the six-item HAI, demonstrating reliable scoring between raters when administered remotely by parents, making the s-HAI a viable tool for the early identification of infants at risk of unilateral CP.

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婴儿手部筛查评估：基于家长记录的可行性、有效性和可靠性。

目的：评价3.5 ~ 12月龄单侧脑瘫（CP）患儿远程筛查幼儿手性评估（s-HAI）的并发效度和互信度，并评价家长使用智能手机app管理和记录s-HAI游戏过程的可行性。在这项观察性研究中，30名有单侧CP风险的婴儿（10名女性）被父母用远程s-HAI进行评估，并与临床环境中进行的HAI进行比较。评估s-HAI记录的质量，并使用问卷收集家长的经验。s-HAI的每手和得分与相应的六项HAI计算Spearman等级相关系数（rs）。s-HAI记录的间信度采用类内相关系数2,1计算。结果：家长对s-HAI游戏环节的记录质量较好，具有可行性。解释：s-HAI测量与六项HAI相同的结构，当父母远程管理时，在评分者之间显示可靠的评分，使s-HAI成为早期识别有单侧CP风险的婴儿的可行工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Medicine and Child Neurology 医学-临床神经学

CiteScore

7.80

自引率

13.20%

发文量

338

审稿时长

3-6 weeks

期刊介绍： Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.