Agreement Between Tele- and Face-to-Face Assessment of Neuromotor Development in High-Risk Children
Background: Early interventions in high-risk children seek to improve prognosis, minimize developmental delays, and prevent functional deterioration. The objective of this study was to evaluate the level of agreement between the face-to-face assessment and tele-assessment of neuromotor development i...
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2025-01-01
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| author | Ana Isabel Rubio-López Marie Carmen Valenza Julia Raya-Benítez Geraldine Valenza-Peña Irene Cabrera-Martos Laura López-López Ángela Benítez-Feliponi |
| author_facet | Ana Isabel Rubio-López Marie Carmen Valenza Julia Raya-Benítez Geraldine Valenza-Peña Irene Cabrera-Martos Laura López-López Ángela Benítez-Feliponi |
| author_sort | Ana Isabel Rubio-López |
| collection | DOAJ |
| description | Background: Early interventions in high-risk children seek to improve prognosis, minimize developmental delays, and prevent functional deterioration. The objective of this study was to evaluate the level of agreement between the face-to-face assessment and tele-assessment of neuromotor development in high-risk children between 0 and 18 months of age. Methods: Forty-five children at high risk of developmental delays were included in this study (33% female, mean gestational age of 35.31 ± 4.03 weeks). The patients were included in a face-to-face and a tele-assessment using the Alberta Infant Motor Scale (AIMS) and the level of motor evolution (<i>Niveaux d’Évolution Motrice</i>, NEM) assessments. Results: The analysis showed excellent interrater reliability (ρ ≥ 0.99) for the AIMS. The NEM assessment showed almost perfect reliability (kappa ≥ 0.81) for most items. Seven of them showed substantial reliability (kappa = 0.61–0.80), one moderate reliability (kappa = 0.568), and one fair reliability (kappa = 0.338). Conclusions: This study reveals an excellent/substantial interrater reliability for most of the items assessed. The results are promising to increase the accessibility to a clinical diagnosis and a rehabilitation approach to minimize the development of neuromotor delays in children at high risk. |
| format | Article |
| id | doaj-art-c2fe70644ee74e48aac38fd360b2ed7a |
| institution | Kabale University |
| issn | 2076-3417 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
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| series | Applied Sciences |
| spelling | doaj-art-c2fe70644ee74e48aac38fd360b2ed7a2025-01-24T13:20:36ZengMDPI AGApplied Sciences2076-34172025-01-0115272310.3390/app15020723Agreement Between Tele- and Face-to-Face Assessment of Neuromotor Development in High-Risk ChildrenAna Isabel Rubio-López0Marie Carmen Valenza1Julia Raya-Benítez2Geraldine Valenza-Peña3Irene Cabrera-Martos4Laura López-López5Ángela Benítez-Feliponi6Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Nursing, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainBackground: Early interventions in high-risk children seek to improve prognosis, minimize developmental delays, and prevent functional deterioration. The objective of this study was to evaluate the level of agreement between the face-to-face assessment and tele-assessment of neuromotor development in high-risk children between 0 and 18 months of age. Methods: Forty-five children at high risk of developmental delays were included in this study (33% female, mean gestational age of 35.31 ± 4.03 weeks). The patients were included in a face-to-face and a tele-assessment using the Alberta Infant Motor Scale (AIMS) and the level of motor evolution (<i>Niveaux d’Évolution Motrice</i>, NEM) assessments. Results: The analysis showed excellent interrater reliability (ρ ≥ 0.99) for the AIMS. The NEM assessment showed almost perfect reliability (kappa ≥ 0.81) for most items. Seven of them showed substantial reliability (kappa = 0.61–0.80), one moderate reliability (kappa = 0.568), and one fair reliability (kappa = 0.338). Conclusions: This study reveals an excellent/substantial interrater reliability for most of the items assessed. The results are promising to increase the accessibility to a clinical diagnosis and a rehabilitation approach to minimize the development of neuromotor delays in children at high risk.https://www.mdpi.com/2076-3417/15/2/723assessmentchildchild developmentphysical therapytelerehabilitation |
| spellingShingle | Ana Isabel Rubio-López Marie Carmen Valenza Julia Raya-Benítez Geraldine Valenza-Peña Irene Cabrera-Martos Laura López-López Ángela Benítez-Feliponi Agreement Between Tele- and Face-to-Face Assessment of Neuromotor Development in High-Risk Children Applied Sciences assessment child child development physical therapy telerehabilitation |
| title | Agreement Between Tele- and Face-to-Face Assessment of Neuromotor Development in High-Risk Children |
| title_full | Agreement Between Tele- and Face-to-Face Assessment of Neuromotor Development in High-Risk Children |
| title_fullStr | Agreement Between Tele- and Face-to-Face Assessment of Neuromotor Development in High-Risk Children |
| title_full_unstemmed | Agreement Between Tele- and Face-to-Face Assessment of Neuromotor Development in High-Risk Children |
| title_short | Agreement Between Tele- and Face-to-Face Assessment of Neuromotor Development in High-Risk Children |
| title_sort | agreement between tele and face to face assessment of neuromotor development in high risk children |
| topic | assessment child child development physical therapy telerehabilitation |
| url | https://www.mdpi.com/2076-3417/15/2/723 |
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