Siegle Cristhina Bonilha Huster, Dos Santos Cardoso de Sá Cristina
Federal University of São Paulo, Brazil.
Infant Behav Dev. 2018 Feb;50:198-206. doi: 10.1016/j.infbeh.2018.01.005. Epub 2018 Feb 2.
Exposure to HIV during pregnancy is a risks to development. Exposed child should have assessed its development since birth. Alberta Infant Motor Scale is a tool which assess gross motor skills, with easy application and low cost. Up to now, this scale had not proven its validity for the population exposed to HIV. It's necessary to compare its with a gold standard tool, Bayley scale, which assess gross and fine motor skills, has a high cost and longer application time required. Studies compare results of Alberta with Bayley's total motor score (gross + fine). However, it's also necessary to compare Alberta's result with only Bayley's gross motor result, because it's what both evaluate in common.
to verify the concurrent validity of AIMS in infants exposed to HIV; to verify the correlation of AIMS and BSITD III for this population and to compare if these coefficients differ in the central age groups and extremities of the AIMS.
82 infants exposed to HIV evaluated in 1st, 2nd, 3rd, 4th, 8th, 12th, 15th, 16th, 17th and 18th months, with Alberta Infant Motor Scale and Bayley Scale (motor subscale). For analysis of concurrent validity, results of raw scores of the scales were compared with the correlation analysis. First analysis: Alberta's score with Bayley's total (gross + fine) motor score. Second analysis: Alberta's score with Bayley's gross motor score.
In the first correlation analysis, results were: r = 0.62 in 1 st month, r = 0.64 in 2nd month, r = 0.08 in 3rd month, r = 0.45 in 4th month; r = 0.62 in 8th month, r = 0.60 in the 12th month. In the second correlation analysis, results were: r = 0.69 in 1 st month; r = 0.58 in 2nd month; r = 0.25 in 3rd month; r = 0.45 in the 4th month; r = 0.77 in 8th month; r = 0.73 in 12th month. Analyzes of the 15th, 16th, 17th and 18th months couldn't be performed because at these ages all the children had already reached the maximum score in the AIMS. Results were significant and indicate correlation between scales. Found results agree with other studies that found high correlations between the scales in premature and risk groups. However, these studies compare results of gross motor skills assessments with gross and fine motor skills assessments. Our results show that correlation only between the gross motor skills have higher coefficient values, and we believe this is the best way to compare the scales, with what both assessed in common.
Alberta scale has correlation with Bayley scale in assessing of children exposed to HIV, and can be a substitute to Bayley in assessing of these children. Results are stronger when comparing only what both scales assess in common.
孕期暴露于艾滋病毒会对发育造成风险。受暴露影响的儿童自出生起就应评估其发育情况。艾伯塔婴儿运动量表是一种评估粗大运动技能的工具，应用简便且成本低廉。到目前为止，该量表尚未在暴露于艾滋病毒的人群中验证其有效性。有必要将其与金标准工具贝利量表进行比较，贝利量表可评估粗大和精细运动技能，成本高且所需应用时间更长。以往研究比较了艾伯塔量表与贝利量表的总运动得分（粗大 + 精细）。然而，也有必要将艾伯塔量表的结果仅与贝利量表的粗大运动结果进行比较，因为这是二者共同评估的内容。
验证艾伯塔婴儿运动量表（AIMS）在暴露于艾滋病毒的婴儿中的同时效度；验证该量表与贝利婴儿发展量表第三版（BSITD III）在该人群中的相关性，并比较这些系数在艾伯塔量表中心年龄组和两端年龄组中是否存在差异。
82名暴露于艾滋病毒的婴儿在第1、2、3、4、8、12、15、16、17和18个月时接受艾伯塔婴儿运动量表和贝利量表（运动分量表）评估。为分析同时效度，将量表原始分数的结果与相关性分析进行比较。首次分析：艾伯塔量表得分与贝利量表总（粗大 + 精细）运动得分。第二次分析：艾伯塔量表得分与贝利量表粗大运动得分。
在首次相关性分析中，结果如下：第1个月时r = 0.62，第2个月时r = 0.64，第3个月时r = 0.08，第4个月时r = 0.45；第8个月时r = 0.62，第12个月时r = 0.60。在第二次相关性分析中，结果如下：第1个月时r = 0.69；第2个月时r = 0.58；第3个月时r = 0.25；第4个月时r = 0.45；第8个月时r = 0.77；第12个月时r = 0.73。无法对第15、16、17和18个月的数据进行分析，因为在这些年龄所有儿童在艾伯塔量表中都已达到最高分。结果具有显著性，表明量表之间存在相关性。所得结果与其他研究一致，其他研究发现在早产儿和风险人群中量表之间存在高度相关性。然而，这些研究比较的是粗大运动技能评估结果与粗大和精细运动技能评估结果。我们的结果表明，仅粗大运动技能之间的相关性具有更高的系数值，并且我们认为这是比较量表的最佳方式，因为这是二者共同评估的内容。
艾伯塔量表在评估暴露于艾滋病毒的儿童时与贝利量表存在相关性，并且在评估这些儿童时可替代贝利量表。仅比较二者共同评估的内容时，结果更为显著。
