Hecker Eva, Baer Gillian D, Stark Christina, Herkenrath Peter, Hadders-Algra Mijna
UniReha GmbH (Ms Hecker), University Hospital of Cologne, Cologne, Germany; Department of Physiotherapy (Dr Baer), School of Health Science, Queen Margaret University, Edinburgh, Scotland; Children's Hospital (Ms Stark), University of Cologne, and HSD Hochschule Döpfer, University of Applied Sciences, Cologne, Germany; Department of Neuropediatrics (Dr Herkenrath), Children's Hospital of Cologne, University of Cologne, Cologne, Germany; Department of Pediatrics-Division of Developmental Neurology (Dr Hadders-Algra), University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Pediatr Phys Ther. 2016 Summer;28(2):217-22. doi: 10.1097/PEP.0000000000000244.
To investigate inter- and intrarater reliability scoring the Infant Motor Profile (IMP).
A total of 20 infants at risk for motor developmental delay were assessed using the IMP. Six infants were born at term (gestational age: 38-42 weeks), and 14 infants were preterm (gestational age: 24-35 weeks). Videos were analyzed twice with an interval of 1 month by 4 assessors after 2 days of IMP training.
Spearman rank scores demonstrated strong interrater and intrarater reliability for total IMP scores (inter: r = 0.80-0.96; intra: r = 0.85-0.97) and the domain of performance (r = 0.95-0.99). Reliability for the domains of variation, variability, and fluency was satisfactory (inter: r = 0.15-0.85; intra: r = 0.30-0.92). The weakest agreement was found in the domain of symmetry (inter: r = 0.20-0.69; intra: r = 0.33-0.65).
Therapists naive to the IMP demonstrate good intra and interrater reliability (after 2 days of training) for most domains with the exception of symmetry.
研究对婴儿运动量表(IMP)评分的评估者间和评估者内信度。
使用IMP对20名有运动发育迟缓风险的婴儿进行评估。6名婴儿为足月儿(胎龄:38 - 42周),14名婴儿为早产儿(胎龄:24 - 35周)。在IMP培训2天后,由4名评估者对视频进行两次分析,间隔1个月。
Spearman等级评分显示,IMP总分(评估者间:r = 0.80 - 0.96;评估者内:r = 0.85 - 0.97)以及表现领域(r = 0.95 - 0.99)具有很强的评估者间和评估者内信度。变化、变异性和流畅性领域的信度令人满意(评估者间:r = 0.15 - 0.85;评估者内:r = 0.30 - 0.92)。在对称性领域发现的一致性最差(评估者间:r = 0.20 - 0.69;评估者内:r = 0.33 - 0.65)。
对IMP不熟悉的治疗师在经过2天培训后,除对称性外,大多数领域的评估者内和评估者间信度良好。