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Telemonitoring of motor skills using the Alberta Infant Motor Scale for at-risk infants in the first year of life

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Gambaro Lima, Camila Resende ; Verderio, Bruna Nayara ; Ferraz de Abreu, Raissa Wanderley ; Brugnaro, Beatriz Helena ; dos Santos, Adriana Neves ; dos Santos, Mariana Martins ; Cicuto Ferreira Rocha, Nelci Adriana
Total Authors: 7
Document type: Journal article
Source: JOURNAL OF TELEMEDICINE AND TELECARE; v. N/A, p. 10-pg., 2022-06-06.

Introduction Remote assessment creates opportunities for monitoring child development at home. Determining the possible barriers to and facilitators of the quality of telemonitoring motor skills allows for safe and effective practices. We aimed to: (1) determine the quality, barriers and facilitators of Alberta Infant Motor Scale (AIMS) home videos made by mothers; (2) verify interrater reliability; (3) determine the association between contextual factors and the quality of assessments. Methods Thirty infants at biological risk aged between three and ten months, of both sexes, and their mothers were included. Assessments were based on asynchronous home videos, where motor skills were evaluated by mothers at home according to AIMS guidelines. The following were analyzed: video quality; stimulus quality; camera position; and physical environment. The video characteristics were analyzed descriptively. The intraclass correlation coefficient was used to calculate interrater reliability and the regression model to determine the influence of contextual factors on the outcome variables. Significance was set at 5%. Results Remote assessment of AIMS exhibited high image and stimulus quality, and a suitable physical environment. Interrater reliability was high for all domains: prone (r = 0.976); supine (r = 0.965); sitting (r = 0.987); standing (r = 0.945) and total score (r = 0.980). The contextual factors had no relation with assessment quality. Discussion Assessments conducted remotely by the mothers showed high video quality and interrater reliability, and represent a promising assessment tool for telemedicine in at-risk infants in the first year of life. (AU)

FAPESP's process: 19/13716-0 - Determinants of participation in home, at school and at community settings of children and adolescents with Down Syndrome
Grantee:Beatriz Helena Brugnaro
Support Opportunities: Scholarships in Brazil - Doctorate (Direct)
FAPESP's process: 20/02818-4 - Tele-care in times of social isolation: effect of a home intervention protocol directed at activity, participation and the environmental context on the functionality of infants at biological risk: randomized controlled clinical trial
Grantee:Camila Resende Gâmbaro Lima
Support Opportunities: Scholarships in Brazil - Doctorate