Implementation Fidelity of a Smartphone Application for Population-Based General Movement Assessment: The Early Moves Study

IF 3.5 2区医学 Q1 PEDIATRICS

Journal of Pediatrics Pub Date : 2025-06-27 DOI:10.1016/j.jpeds.2025.114710

Caroline F. Alexander PhD , Sarah E. Hall PhD , Alison Salt MSc , Alicia J. Spittle PhD , Catherine Morgan PhD , Tiffany Grisbrook PhD , Alishum Ali BSc , Natasha Amery BSc , Sue-Anne Davidson MHA , Ashleigh Thornton PhD , Mary Sharp MMedSci , Emily Young MEpi , Robert S. Ware PhD , Desiree Silva PhD , Roslyn Ward PhD , Nadia Badawi PhD , Samudragupta Bora PhD , Roslyn N. Boyd PhD , Susan Woolfenden PhD , Catherine Elliott PhD , Jane Valentine PhD

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引用次数: 0

Abstract

Objective

To describe the infant and maternal characteristics of the Early Moves cohort and to assess representativeness to the general population, and to evaluate the implementation fidelity of an application-based collection of General Movement Assessment (GMA) videos at writhing and fidgety age.

Study design

Prospective observational study. Mothers who had recently delivered or were enrolled to deliver at maternity hospitals in Perth, Western Australia, were recruited from November 2019 to December 2023. Sociodemographic and infant clinical characteristics were extracted from hospital records. Parents were invited to record GMA videos using the Baby Moves smartphone application, which were assessed for scorability by certified GM assessors.

Results

A total of 3002 infants (mean gestation, 38.9 ± 1.7 weeks; 46.6% female) were recruited. Infants were representative of the local population with respect to key infant risk factors, although mothers were more likely to be Caucasian and reside in higher socioeconomic suburbs compared with the broader Perth metropolitan birth population. Overall adherence was 76%, with 2272 families returning at least 1 scorable GMA video, with the majority (>69%) requiring personalized reminders to upload. Risk factors for nonengagement were infant prematurity, special care nursery stay, low maternal age, low socioeconomic status, minority ethnicity, and single caregiver mothers.

Conclusions

Inclusive recruitment strategies and broad inclusion criteria supported participation from diverse sociodemographic groups and infants representative of the local population on key medical risk factors. Parent-recorded GMA can be implemented in a large population-based cohort, though application-based notifications alone may be insufficient to facilitate engagement. Population-based applications should ensure targeted implementation strategies to support priority families.

查看原文本刊更多论文

基于人群的一般运动评估的智能手机应用程序的实现保真度：早期运动研究。

目的：描述早期运动队列的婴儿和母亲的特征，评估对一般人群的代表性，并评估基于应用程序的一般运动评估（GMA）视频收集在扭动和烦躁年龄的实施保真度。研究设计：前瞻性观察性研究。在2019年11月至2023年12月期间，招募了最近在西澳大利亚珀斯妇产医院分娩或登记分娩的母亲。从医院记录中提取社会人口学和婴儿临床特征。家长们被邀请使用Baby Moves智能手机应用程序录制GMA视频，这些视频由经过认证的GM评估员进行评分。结果：患儿3002例(平均妊娠38.9±1.7周；46.6%为女性)。在关键的婴儿风险因素方面，婴儿是当地人口的代表，尽管与珀斯大都市出生的婴儿相比，母亲更有可能是白人，居住在社会经济水平较高的郊区。总体依从率为76%，2272个家庭至少返回了一个可评分的GMA视频，其中大多数（>69%）需要个性化提醒上传。不参与的危险因素为婴儿早产、特殊护理托儿所、低母亲年龄、低社会经济地位、少数民族和单亲母亲。结论：包容性招募策略和广泛的纳入标准支持来自不同社会人口群体和代表当地人口的婴儿参与关键医疗风险因素。父母记录的GMA可以应用于更大的群体中，但仅基于应用的通知可能不足以促进用户粘性。基于人口的应用应确保有针对性的实施战略，以支持优先家庭。

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

Journal of Pediatrics 医学-小儿科

CiteScore

6.00

自引率

2.00%

发文量

696

审稿时长

31 days

期刊介绍： The Journal of Pediatrics is an international peer-reviewed journal that advances pediatric research and serves as a practical guide for pediatricians who manage health and diagnose and treat disorders in infants, children, and adolescents. The Journal publishes original work based on standards of excellence and expert review. The Journal seeks to publish high quality original articles that are immediately applicable to practice (basic science, translational research, evidence-based medicine), brief clinical and laboratory case reports, medical progress, expert commentary, grand rounds, insightful editorials, “classic” physical examinations, and novel insights into clinical and academic pediatric medicine related to every aspect of child health. Published monthly since 1932, The Journal of Pediatrics continues to promote the latest developments in pediatric medicine, child health, policy, and advocacy. Topics covered in The Journal of Pediatrics include, but are not limited to: General Pediatrics Pediatric Subspecialties Adolescent Medicine Allergy and Immunology Cardiology Critical Care Medicine Developmental-Behavioral Medicine Endocrinology Gastroenterology Hematology-Oncology Infectious Diseases Neonatal-Perinatal Medicine Nephrology Neurology Emergency Medicine Pulmonology Rheumatology Genetics Ethics Health Service Research Pediatric Hospitalist Medicine.