Reliability of the Alberta Infant Motor Scale (AIMS) When Used via Telehealth for Neurodevelopmentally High-Risk Infants

To assess the reliability of the Alberta Infant Motor Scale (AIMS) when conducted <i>via</i> recorded telehealth sessions by novice and expert raters. Ten assessors (six novice, four expert) independently rated recorded telehealth assessments of 23 neurodevelopmentally high-risk infants twice. Inter- and intra-rater reliability of subscale scores, total score and percentile rankings were determined. AIMS total score inter-rater reliability was excellent across all raters (ICC = 0.92–0.96). Inter-rater-reliability across prone, supine and sitting subscale scores was excellent (ICC = 0.90–0.96) but variable for standing subscale (ICC = 0.06–0.65). Novice total score intra-rater reliability was variable (ICC = 0.45–0.94); expert reliability was excellent (ICC = 0.93–1.00). Recording to real-time telehealth assessment had excellent intra-rater reliability (ICC = 0.96). Time taken to complete the assessment was comparable to a face-to-face assessment (mean: 14.9 min). Novices paused/replayed each video more than experts (2.2 compared to 1.0 in Time 1; and 1.0 compared to 0.5 in Time 2). The AIMS assessment is reliable when undertaken <i>via</i> telehealth consultation. Time taken to complete the assessment is comparable to a face-to-face assessment. Novice inter-rater reliability was similar to experts. Training and the ability to pause/review infant motor performance may explain the accuracy achieved.

本研究旨在评估由新手与专家评分者通过录制的远程医疗会话实施阿尔伯塔婴儿运动量表（AIMS）时的信度。10名评分者（6名新手、4名专家）对23名神经发育高风险婴儿的远程医疗评估录像进行了两次独立评分。研究测定了分量表得分、总分及百分位排名的评分者间与评分者内信度。AIMS总分的评分者间信度在所有评分者中表现优异（组内相关系数（ICC）=0.92–0.96）。俯卧、仰卧及坐位分量表得分的评分者间信度优异（ICC=0.90–0.96），但站立分量表的评分者间信度则存在差异（ICC=0.06–0.65）。新手评分者的总分评分者内信度不稳定（ICC=0.45–0.94）；专家评分者的此项信度则表现优异（ICC=0.93–1.00）。从录制到实时远程医疗评估的评分者内信度优异（ICC=0.96）。完成评估的时间与面对面评估相当（均值：14.9分钟）。新手评分者暂停/重放每个视频的次数多于专家（第一次评估中为2.2次 vs 1.0次；第二次为1.0次 vs 0.5次）。AIMS评估通过远程医疗咨询实施时具有良好信度。完成评估的时间与面对面评估相当。新手评分者的评分者间信度与专家相似。培训及暂停/回顾婴儿运动表现的能力可解释所达到的准确性。