Hidalgo-Robles Álvaro, Merino-Andrés Javier, Rodríguez-Fernández Ángel Luis, Gutiérrez-Ortega Mónica, León-Estrada Irene, Ródenas-Martínez Maribel
Facultad de Educación, Universidad Internacional de La Rioja, 26006 Logroño, Spain.
Faculty of Physiotherapy and Nursing, Universidad de Castilla-La Mancha, 45004 Toledo, Spain.
Healthcare (Basel). 2024 Feb 1;12(3):380. doi: 10.3390/healthcare12030380.
. This study aimed to: (a) translate and cross-culturally adapt the Hammersmith Infant Neurological Examination (HINE) into Spanish; (b) evaluate its intra- and inter-examiner reliability; (c) support a knowledge translation and tool implementation program in early intervention; and (d) evaluate its reliability and implementation for professionals one year after receiving training. . The translation followed the World Health Organization's recommendations. Reliability was assessed in 25 infants aged between 3 and 15 months with identifiable risks of cerebral palsy (CP). The implementation was also evaluated by analyzing the reliability of professionals without previous experience of the tool by using a pre-survey and a follow-up survey one year after training. The survey covered aspects related to the use of early detection tools of CP and the use of HINE, including attitudes, opinions, and perceptions. . An excellent intra- and inter-examiner agreement was obtained for the total score of the HINE intra-class correlation coefficient (ICC = 0.98 in both indices). One year after training, the professionals also showed excellent reliability values (ICC = 0.99), as well as an increase in sensitization and skills in evidence-based practices for the early detection of "high risk" of CP. . The Spanish version of HINE is a reliable measure for the neurological evaluation of "high risk" of CP and can be administered after standardized training and without costs to acquire the evaluation. This allows its accessible and widespread implementation in the clinical context.
(a) 将哈默史密斯婴儿神经学检查（HINE）翻译成西班牙语并进行跨文化调适；(b) 评估其在检查者内部和检查者之间的可靠性；(c) 支持一项早期干预中的知识转化和工具实施计划；(d) 在专业人员接受培训一年后评估该工具的可靠性及实施情况。翻译遵循世界卫生组织的建议。对25名年龄在3至15个月之间、有可识别的脑瘫（CP）风险的婴儿进行了可靠性评估。还通过在培训一年后使用预调查和随访调查来分析没有该工具使用经验的专业人员的可靠性，从而对实施情况进行评估。该调查涵盖了与CP早期检测工具的使用以及HINE的使用相关的方面，包括态度、意见和看法。HINE总分的组内相关系数（ICC）在检查者内部和检查者之间均达成了极佳的一致性（两个指标的ICC均为0.98）。培训一年后，专业人员也显示出了极佳的可靠性值（ICC = 0.99），以及在基于证据的实践中对CP“高风险”早期检测的敏感度和技能有所提高。西班牙语版的HINE是对CP“高风险”进行神经学评估的可靠手段，经过标准化培训后即可使用，且无需为获取评估支付费用。这使得它能够在临床环境中得以广泛应用。
