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Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale
AIM: To assess reliability and predictive validity of the neurological scale of the Standardized Infant NeuroDevelopmental Assessment (SINDA), a recently developed assessment for infants aged 6 weeks to 12 months. METHOD: To assess reliability, three assessors independently rated video‐recorded neur...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7379980/ https://www.ncbi.nlm.nih.gov/pubmed/30276806 http://dx.doi.org/10.1111/dmcn.14045 |
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author | Hadders‐Algra, Mijna Tacke, Uta Pietz, Joachim Rupp, André Philippi, Heike |
author_facet | Hadders‐Algra, Mijna Tacke, Uta Pietz, Joachim Rupp, André Philippi, Heike |
author_sort | Hadders‐Algra, Mijna |
collection | PubMed |
description | AIM: To assess reliability and predictive validity of the neurological scale of the Standardized Infant NeuroDevelopmental Assessment (SINDA), a recently developed assessment for infants aged 6 weeks to 12 months. METHOD: To assess reliability, three assessors independently rated video‐recorded neurological assessments of 24 infants twice. Item difficulty and discrimination were determined. To evaluate predictive validity, 181 infants (median gestational age 30wks [range 22–41wks]; 92 males, 89 females) attending a non‐academic outpatient clinic were assessed with SINDA's neurological scale (28 dichotomized items). Atypical neurodevelopmental outcome at 24 months or older corrected age implied a Bayley Mental Developmental Index or Psychomotor Developmental Index lower than 70 or a diagnosis of cerebral palsy (CP). Predictive values were calculated from SINDA (2–12mo corrected age, median 3mo) and typical versus atypical outcome. RESULTS: Intraclass correlation coefficients of intrarater and interrater agreement of the neurological score varied between 0.923 and 0.965. Item difficulty and discrimination were satisfactory. At 24 months or older, 56 children (31%) had an atypical outcome (29 had CP). Atypical neurological scores (below 25th centile, ≤21) predicted atypical outcome and CP with sensitivities of 89% and 100%, and specificities of 94% and 81% respectively. INTERPRETATION: SINDA's neurological scale is reliable and in a non‐academic outpatient setting has a satisfactory predictive validity for atypical developmental outcome, including CP, at 24 months or older. WHAT THIS PAPER ADDS: The Standardized Infant NeuroDevelopmental Assessment's neurological scale has a good to excellent reliability. The scale has promising predictive validity for cerebral palsy. The scale has promising predictive validity for other types of atypical developmental outcome. |
format | Online Article Text |
id | pubmed-7379980 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-73799802020-07-27 Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale Hadders‐Algra, Mijna Tacke, Uta Pietz, Joachim Rupp, André Philippi, Heike Dev Med Child Neurol Original Articles AIM: To assess reliability and predictive validity of the neurological scale of the Standardized Infant NeuroDevelopmental Assessment (SINDA), a recently developed assessment for infants aged 6 weeks to 12 months. METHOD: To assess reliability, three assessors independently rated video‐recorded neurological assessments of 24 infants twice. Item difficulty and discrimination were determined. To evaluate predictive validity, 181 infants (median gestational age 30wks [range 22–41wks]; 92 males, 89 females) attending a non‐academic outpatient clinic were assessed with SINDA's neurological scale (28 dichotomized items). Atypical neurodevelopmental outcome at 24 months or older corrected age implied a Bayley Mental Developmental Index or Psychomotor Developmental Index lower than 70 or a diagnosis of cerebral palsy (CP). Predictive values were calculated from SINDA (2–12mo corrected age, median 3mo) and typical versus atypical outcome. RESULTS: Intraclass correlation coefficients of intrarater and interrater agreement of the neurological score varied between 0.923 and 0.965. Item difficulty and discrimination were satisfactory. At 24 months or older, 56 children (31%) had an atypical outcome (29 had CP). Atypical neurological scores (below 25th centile, ≤21) predicted atypical outcome and CP with sensitivities of 89% and 100%, and specificities of 94% and 81% respectively. INTERPRETATION: SINDA's neurological scale is reliable and in a non‐academic outpatient setting has a satisfactory predictive validity for atypical developmental outcome, including CP, at 24 months or older. WHAT THIS PAPER ADDS: The Standardized Infant NeuroDevelopmental Assessment's neurological scale has a good to excellent reliability. The scale has promising predictive validity for cerebral palsy. The scale has promising predictive validity for other types of atypical developmental outcome. John Wiley and Sons Inc. 2018-10-01 2019-06 /pmc/articles/PMC7379980/ /pubmed/30276806 http://dx.doi.org/10.1111/dmcn.14045 Text en © 2018 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Hadders‐Algra, Mijna Tacke, Uta Pietz, Joachim Rupp, André Philippi, Heike Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale |
title | Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale |
title_full | Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale |
title_fullStr | Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale |
title_full_unstemmed | Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale |
title_short | Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale |
title_sort | reliability and predictive validity of the standardized infant neurodevelopmental assessment neurological scale |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7379980/ https://www.ncbi.nlm.nih.gov/pubmed/30276806 http://dx.doi.org/10.1111/dmcn.14045 |
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