Department of Pediatrics, Oita University Faculty of Medicine, Oita 879-5593, Japan.
Division of Neonatology, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Int J Environ Res Public Health. 2021 Dec 20;18(24):13428. doi: 10.3390/ijerph182413428.
To investigate the accuracy of fidgety movements (FMs) assessment in Japanese assessors. Sixty specialists participated in the first survey. Of the participants, 18 were assessors certified by the GMs basic-training course. The surveys were composed of FMs assessment of 20 video clips. The correct assessment rates (CARs) were investigated. The survey videos were judged into three types: normal (F + +, F +), abnormal (AF) and absent (F + -, F -). After the first survey, each participant performed a self-learning exercise using clips of the first survey. The follow-up survey was conducted three months after the first survey. The median CAR of the first survey was 65% in certified assessors and 50% in noncertified assessors. The median CARs of certified assessors were significantly higher than that of noncertified assessors for all clips and for normal FMs and AF clips ( < 0.01). After 3 months of self-learning exercise the CARs in each judgement type improved in 28 follow-up survey participants. Their median CAR improved from 60% in the first survey to 84% in the follow-up survey. To practise general movements assessment (GMA), course certification is required. The self-learning exercise with the confirmed judgement FMs clips may be effective for improving the ability of FMs judgement.
为了研究日本评估者烦躁运动(FM)评估的准确性。60 名专家参加了第一次调查。在参与者中,有 18 名是 GM 基础培训课程认证的评估者。调查由 20 个视频片段的 FM 评估组成。调查了正确评估率(CAR)。将调查视频判断为三种类型:正常(F++,F+),异常(AF)和缺失(F+-,F-)。第一次调查后,每位参与者使用第一次调查的剪辑进行了自学练习。三个月后进行了后续调查。第一次调查的中位数 CAR 为认证评估者的 65%,非认证评估者的 50%。对于所有剪辑以及正常 FM 和 AF 剪辑,认证评估者的中位数 CAR 均明显高于非认证评估者(<0.01)。经过 3 个月的自学练习,在 28 名后续调查参与者中,每种判断类型的 CAR 都有所提高。他们的中位数 CAR 从第一次调查的 60%提高到了后续调查的 84%。为了练习全面运动评估(GMA),需要课程认证。使用已确认的判断 FM 剪辑进行自学练习可能有助于提高 FM 判断能力。