Button Alyssa M, Webster E Kipling, Kracht Chelsea L, Hendrick Chelsea, Okely Anthony, Chong Kar Hau, Cross Penny, Staiano Amanda E
Division of Population and Public Health Science, Pennington Biomedical Research Center, Baton Rouge, LA, United States.
Department of Kinesiology, Recreation, and Sport Studies, The University of Tennessee, Knoxville, TN, United States.
Front Digit Health. 2023 Jul 13;5:1168618. doi: 10.3389/fdgth.2023.1168618. eCollection 2023.
Remotely delivered treatment and research procedures were rapidly adopted in response to the COVID-19 pandemic. However, it is unclear if these measures are valid. The purpose of this study was to compare the validity of anthropometry and motor skill proficiency measurements collected in a remote-setting to in-person setting among a sample of children ages 3-4 years.
Child anthropometry and motor skill performance were measured in-person by trained assessors and by parents at home with remote supervision via videoconference by trained assessors. The following measures from the National Institutes of Health Toolbox were collected: anthropometry (height and weight), manual dexterity/manipulation (9-hole pegboard), motor coordination and agility (supine timed up and go), lower body strength (standing long jump), and postural stability (one-leg standing balance). Differences in expert and parent-based measurements were assessed using Bland-Altman plots, paired samples t-tests, and Pearson correlations.
A total of = 14 children completed the assessments. No significant differences were observed between measurement locations for weight and motor skills (> .05). Remote measurement of height (M = 101.1 cm, SD = 5.40) was significantly greater than in-person measurements (M = 98.2 cm, SD = 5.16); < .0001.
Remote measurements of motor skills and weight are valid assessments for researchers and clinicians to utilize in young children. Remote assessment with guidance offers comparable and valid estimates as in-person assessment, potentially offering a solution to resource-constricted barriers in research and access to care. There is an opportunity for researchers to fine-tune remote height and individual-level assessment strategies.
为应对新冠疫情，远程提供治疗和研究程序迅速得到采用。然而，这些措施是否有效尚不清楚。本研究的目的是比较在远程环境和面对面环境中收集的3至4岁儿童样本的人体测量学和运动技能熟练度测量的有效性。
儿童人体测量学和运动技能表现由训练有素的评估人员进行现场测量，并由家长在家中通过训练有素的评估人员进行视频会议远程监督测量。收集了美国国立卫生研究院工具箱中的以下测量数据：人体测量学（身高和体重）、手部灵巧性/操作能力（9孔钉板测试）、运动协调性和敏捷性（仰卧起坐计时起立行走测试）、下肢力量（立定跳远）和姿势稳定性（单腿站立平衡测试）。使用布兰德-奥特曼图、配对样本t检验和皮尔逊相关性评估专家测量和家长测量之间的差异。
共有14名儿童完成了评估。体重和运动技能的测量地点之间未观察到显著差异（P>0.05）。身高的远程测量值（M = 101.1厘米，SD = 5.40）显著高于现场测量值（M = 98.2厘米，SD = 5.16）；P<0.0001。
运动技能和体重的远程测量对于研究人员和临床医生在幼儿中使用是有效的评估方法。在指导下的远程评估提供了与现场评估相当且有效的估计值，有可能为研究和医疗服务中的资源受限障碍提供解决方案。研究人员有机会微调远程身高和个体水平的评估策略。
