Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Programa de Pós-graduação em Neurologia, Ribeirão Preto SP, Brazil.
Arq Neuropsiquiatr. 2023 Jan;81(1):47-54. doi: 10.1055/s-0042-1758863. Epub 2023 Mar 14.
Reliable instruments that lead to early diagnosis for CP are extremely important so that these children are referred for early stimulation, benefiting their development.
To perform a cross-cultural adaptation and reliability assessment of a Brazilian version of the Hammersmith Neonatal Neurological Examination (HNNE), expanded and summarized.
A methodological, cross-sectional, nonexperimental quantitative analysis was conducted in two phases as follows: cultural adaptation of the HNNE, expanded and summarized, and reliability assessment of the Brazilian version of the HNNE. Phase one was developed in five stages (initial translation, synthesis of the translation, a committee of experts, backtranslation, and submission to the author), with the semantic questions, content, and face validity being evaluated. Phase two included 143 newborns and we analyzed the internal consistency, stability, and equivalence (intra- and interexaminer) of the instrument. Internal consistency was calculated using Cronbach's alpha, and intra- and interexaminer reliability and reproducibility assessed through test-retest were calculated using the intraclass correlation coefficient RESULTS: Although internal consistency, assessed using Cronbach's alpha, showed unsatisfactory results, the results of inter-and intraexaminer equivalence showed a high agreement between the evaluations in all domains. The test-retest also showed excellent agreement between the domains.
The Brazilian HNNE expanded and summarized versions can be considered to be adapted and reliable for the neurological assessment of Brazilian newborns to identify changes in neurological development and early referral to the stimulation or early rehabilitation units and as a promising option to be used in the context of primary care in Brazil.
能够可靠地诊断脑瘫的仪器非常重要，这样这些患儿就可以被转介进行早期的刺激治疗，从而促进其发育。
对经过扩展和总结的巴西版汉密尔顿新生儿神经检查（HNNE）进行跨文化调适和信度评估。
本研究采用了一种方法学、横断面、非实验性的定量分析，分为两个阶段进行：首先是对经过扩展和总结的 HNNE 进行文化调适，然后评估其信度。第一阶段分为五个步骤（初始翻译、翻译合成、专家委员会、回译和提交给原作者），并对语义问题、内容和表面有效性进行评估。第二阶段包括 143 名新生儿，分析了仪器的内部一致性、稳定性和等效性（内部和外部评估者）。内部一致性采用 Cronbach's alpha 进行评估，内部和外部评估者的可靠性和可重复性通过测试-重测采用组内相关系数进行评估。
尽管 Cronbach's alpha 评估的内部一致性结果不理想，但所有领域的评估者之间的等效性结果显示出高度一致。测试-重测也显示出各个领域之间的极好一致性。
巴西版扩展和总结的 HNNE 版本可以被认为是适用于评估巴西新生儿的神经发育变化，以便及时转介到刺激或早期康复单位，是巴西初级保健中具有应用前景的选择。
