Translation, cross-cultural adaptation and validation of the General Movement checklist.

IF 2 4区 医学 Q3 CLINICAL NEUROLOGY
Daniela Eugenia Salazar-Díaz, Carlos P Viñals-Labañino, Marcela Balderas-Campos, Elsa Alvarado-Solorio, María de la Luz Arenas-Sordo
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引用次数: 0

Abstract

Background: The Prechtl's General Movement Assessment (GMA) is a widely accepted tool for predicting neurodevelopmental outcomes in infants. However, access to formal training in GMA is limited in low- and middle-income countries, such as Mexico. This study aimed to validate the Spanish version of the General Movement checklist (GMC), a tool designed to facilitate the evaluation of general movements, particularly for clinicians with limited experience.

Methods: An observational, cross-sectional study was conducted on infants with high neurological risk. The inter- and intra-observer reliability of GMC in its original version was analyzed using Cohen's kappa test. The checklist was translated and cross-cultural adapted to Spanish following international guidelines. Its internal consistency was assessed using Cronbach's alpha test. Content validity was determined by a panel of experts (the content validity index (CVI)), criterion and predictive validity were determined using the General Movement Optimality Score-Revised (GMOS-R) and the clinical diagnosis at 2 years corrected age. Receiver Operating Characteristic (ROC) curves were generated to identify the cut-off points on the GMC.

Results: Intra-observer reliability (Kappa = 0.91) and inter-observer reliability (Kappa = 0.75-1.0) demonstrated excellent agreement. Cronbach's alpha was 0.8579. Content validity was strong, with all items achieving a CVI > 0.7. Predictive validity showed high sensitivity (90%) and specificity (92%) when comparing checklist results with the clinical diagnosis.

Conclusions: The Spanish version of the GMC was validated as a reliable and valid tool to guide the early assessment of neurodevelopmental disorders in Mexican infants. Further studies are recommended to confirm these findings.

通用运动清单的翻译、跨文化改编和验证。
背景:Prechtl一般运动评估(GMA)是一种被广泛接受的预测婴儿神经发育结果的工具。然而,在低收入和中等收入国家,例如墨西哥,获得GMA正规培训的机会有限。本研究旨在验证西班牙语版的全身运动检查表(GMC),这是一种旨在促进全身运动评估的工具,特别适用于经验有限的临床医生。方法:对神经系统高危婴儿进行观察性横断面研究。采用Cohen’s kappa检验对原始版本GMC的观察者间和观察者内信度进行分析。根据国际准则,将清单翻译并跨文化改编为西班牙语。采用Cronbach’s alpha检验评估其内部一致性。内容效度由专家小组确定(内容效度指数(CVI)),标准效度和预测效度采用一般运动最优性评分-修订(GMOS-R)和2岁校正年龄的临床诊断确定。生成受试者工作特征(ROC)曲线以确定GMC上的分界点。结果:观察者内信度(Kappa = 0.91)和观察者间信度(Kappa = 0.75-1.0)具有良好的一致性。Cronbach's alpha为0.8579。内容效度很强,所有项目的CVI都达到了0.7。当将检查表结果与临床诊断进行比较时,预测效度显示出较高的灵敏度(90%)和特异性(92%)。结论:西班牙语版GMC被证实是一种可靠有效的工具,可以指导墨西哥婴儿神经发育障碍的早期评估。建议进一步的研究来证实这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta neurologica Belgica
Acta neurologica Belgica 医学-临床神经学
CiteScore
4.20
自引率
3.70%
发文量
300
审稿时长
6-12 weeks
期刊介绍: Peer-reviewed and published quarterly, Acta Neurologica Belgicapresents original articles in the clinical and basic neurosciences, and also reports the proceedings and the abstracts of the scientific meetings of the different partner societies. The contents include commentaries, editorials, review articles, case reports, neuro-images of interest, book reviews and letters to the editor. Acta Neurologica Belgica is the official journal of the following national societies: Belgian Neurological Society Belgian Society for Neuroscience Belgian Society of Clinical Neurophysiology Belgian Pediatric Neurology Society Belgian Study Group of Multiple Sclerosis Belgian Stroke Council Belgian Headache Society Belgian Study Group of Neuropathology
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