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The screening Hand Assessment for Infants: Feasibility, validity, and reliability based on parents' recordings
Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden.
Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden.
Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Children's and Women's Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus. Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden.ORCID iD: 0000-0002-8189-4098
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2025 (English)In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749Article in journal (Refereed) Epub ahead of print
Abstract [en]

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 coefficient2,1. 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.

Place, publisher, year, edition, pages
WILEY , 2025.
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Pediatrics
Identifiers
URN: urn:nbn:se:liu:diva-213021DOI: 10.1111/dmcn.16318ISI: 001459322500001PubMedID: 40183769Scopus ID: 2-s2.0-105002156741OAI: oai:DiVA.org:liu-213021DiVA, id: diva2:1952907
Note

Funding Agencies|Stiftelsen Frimurare Barnhuset i Stockholm; Stockholm laens landsting; Knut och Alice Wallenbergs Stiftelse; Linnea och Josef Carlssons Stiftelse; Stiftelsen Promobilia

Available from: 2025-04-16 Created: 2025-04-16 Last updated: 2025-04-16

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Sundelin, Heléne
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Division of Children's and Women's HealthFaculty of Medicine and Health SciencesH.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus
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Developmental Medicine & Child Neurology
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