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艾伯塔婴儿运动量表:在台湾用于早产儿时的信度与效度

Alberta infant motor scale: reliability and validity when used on preterm infants in Taiwan.

作者信息

Jeng S F, Yau K I, Chen L C, Hsiao S F

机构信息

School and Graduate Institute of Physical Therapy, College of Medicine, No. 7 Chun-Shan S Rd, Taipei, Taiwan.

出版信息

Phys Ther. 2000 Feb;80(2):168-78.

Abstract

BACKGROUND AND PURPOSE

The goal of this study was to examine the reliability and validity of measurements obtained with the Alberta Infant Motor Scale (AIMS) for evaluation of preterm infants in Taiwan.

SUBJECTS

Two independent groups of preterm infants were used to investigate the reliability (n=45) and validity (n=41) for the AIMS.

METHODS

In the reliability study, the AIMS was administered to the infants by a physical therapist, and infant performance was videotaped. The performance was then rescored by the same therapist and by 2 other therapists to examine the intrarater and interrater reliability. In the validity study, the AIMS and the Bayley Motor Scale were administered to the infants at 6 and 12 months of age to examine criterion-related validity.

RESULTS

Intraclass correlation coefficients (ICCs) for intrarater and interrater reliability of measurements obtained with the AIMS were high (ICC=.97-.99). The AIMS scores correlated with the Bayley Motor Scale scores at 6 and 12 months (r=.78 and.90), although the AIMS scores at 6 months were only moderately predictive of the motor function at 12 months (r=.56).

CONCLUSION AND DISCUSSION

The results suggest that measurements obtained with the AIMS have acceptable reliability and concurrent validity but limited predictive value for evaluating preterm Taiwanese infants.

摘要

背景与目的

本研究的目的是检验用艾伯塔婴儿运动量表(AIMS)对台湾早产儿进行评估时所获测量结果的信度和效度。

对象

两组独立的早产儿被用于调查AIMS的信度(n = 45)和效度(n = 41)。

方法

在信度研究中,由一名物理治疗师对婴儿进行AIMS评估,并对婴儿的表现进行录像。然后由同一名治疗师以及另外两名治疗师对表现重新评分,以检验评分者内信度和评分者间信度。在效度研究中,在婴儿6个月和12个月大时对其进行AIMS和贝利运动量表评估,以检验效标关联效度。

结果

用AIMS获得的测量结果的评分者内和评分者间信度的组内相关系数(ICC)很高(ICC = 0.97 - 0.99)。AIMS评分与6个月和12个月时的贝利运动量表评分相关(r = 0.78和0.90),尽管6个月时的AIMS评分对12个月时的运动功能仅有中等程度的预测性(r = 0.56)。

结论与讨论

结果表明,用AIMS获得的测量结果具有可接受的信度和同时效度,但对评估台湾早产儿的预测价值有限。

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