Inter-observer reliability using the General Movement Assessment is influenced by rater experience.

General Movement Assessment High-risk infants Infant assessment inter-observer reliability

Journal

Early human development
ISSN: 1872-6232
Titre abrégé: Early Hum Dev
Pays: Ireland
ID NLM: 7708381

Informations de publication

Date de publication:
10 2021
Historique:
received: 22 03 2021
revised: 26 06 2021
accepted: 23 07 2021
pubmed: 11 8 2021
medline: 5 4 2022
entrez: 10 8 2021
Statut: ppublish

Résumé

To describe the inter-observer reliability of the General Movement Assessment (GMA) among a sample of infants at high-risk of cerebral palsy (CP) among raters with various levels of experience. Video assessments of 150 high-risk infants at 10-15 weeks corrected age were rated by three Prechtl GMA-certified observers with varied experience using the assessment. Videos were scored based on temporal organization of fidgety movements (FMs), presence of abnormal FMs, or absence of FMs. Inter-observer agreements were analyzed with Gwet's AC1 statistic. We found fair to moderate agreement when subcategories of normal FMs (continuous and intermittent) were included (AC Caution may be warranted when the GMA is used to differentiate "continuous and intermittent" FMs temporal organization. The GMA is highly reliable among experienced raters when comparing normal FMs to other FMs categorizations.

Identifiants

pubmed: 34375936
pii: S0378-3782(21)00135-3
doi: 10.1016/j.earlhumdev.2021.105436
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

105436

Informations de copyright

Copyright © 2021 Elsevier B.V. All rights reserved.

Auteurs

C Peyton (C)

Department of Physical Therapy and Human Movement Science, Northwestern University, Feinberg School of Medicine, 645 N. Michigan Ave, Chicago, IL 60611, USA; Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA. Electronic address: colleen.peyton1@northwestern.edu.

A Pascal (A)

Department of Rehabilitation Sciences, Ghent University, 9000 Gent, Belgium. Electronic address: aurelie.pascal@ugent.be.

L Boswell (L)

Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA. Electronic address: lboswell@luriechildrens.org.

R deRegnier (R)

Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA; Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA. Electronic address: r-deregnier@northwestern.edu.

T Fjørtoft (T)

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway; Clinic of Clinical Services, St. Olavs Hospital, Trondheim University Hospital, 7006 Trondheim, Norway. Electronic address: toril.fjortoft@stolav.no.

R Støen (R)

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway; Department of Neonatology, St. Olavs Hospital, Trondheim University Hospital, 7006 Trondheim, Norway. Electronic address: Ragnhild.stoen@ntnu.no.

L Adde (L)

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway; Clinic of Clinical Services, St. Olavs Hospital, Trondheim University Hospital, 7006 Trondheim, Norway. Electronic address: lars.adde@ntnu.no.

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