NeuroMotion smartphone application for remote General Movements Assessment: a feasibility study in Nepal.

Autor:	Kukka AJ; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden antti.kukka@uu.se.; Department of Pediatrics, Gävle Regional Hospital, Region Gävleborg, Gävle, Sweden., Sundelin HEK; Division of children's and women's health, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.; Neuropediatric Unit, Department of Women's and Children's Health, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden., Basnet O; Golden Community, Lalitpur, Nepal., Paudel P; Paropakar Maternity and Women's Hospital, Kathmandu, Nepal., Upadhyay Subedi K; Paropakar Maternity and Women's Hospital, Kathmandu, Nepal., Svensson K; Division of Children's and Women's Health, Department of Biomedical and Clinical Sciences, Linköping University, Linkoping, Sweden., Brown N; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.; Department of Pediatrics, Gävle Regional Hospital, Region Gävleborg, Gävle, Sweden., Litorp H; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Gurung R; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.; Golden Community, Lalitpur, Nepal., Bhattarai P; Golden Community, Lalitpur, Nepal., Wrammert J; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden., Kc A; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.; School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Mar 01; Vol. 14 (3), pp. e080063. Date of Electronic Publication: 2024 Mar 01.
DOI:	10.1136/bmjopen-2023-080063
Abstrakt:	Objectives: To evaluate the feasibility of using the NeuroMotion smartphone application for remote General Movements Assessment for screening infants for cerebral palsy in Kathmandu, Nepal. Method: Thirty-one term-born infants at risk of cerebral palsy due to birth asphyxia or neonatal seizures were recruited for the follow-up at Paropakar Maternity and Women's Hospital, 1 October 2021 to 7 January 2022. Parents filmed their children at home using the application at 3 months' age and the videos were assessed for technical quality using a standardised form and for fidgety movements by Prechtl's General Movements Assessment. The usability of the application was evaluated through a parental survey. Results: Twenty families sent in altogether 46 videos out of which 35 had approved technical quality. Sixteen children had at least one video with approved technical quality. Three infants lacked fidgety movements. The level of agreement between assessors was acceptable (Krippendorf alpha 0.781). Parental answers to the usability survey were in general positive. Interpretation: Engaging parents in screening of cerebral palsy with the help of a smartphone-aided remote General Movements Assessment is possible in the urban area of a South Asian lower middle-income country. Competing Interests: Competing interests: KS and HEKS developed the application NeuroMotion with financial support from a private donation through Knut och Alice Wallenbergs Stiftelse. For the purpose of further research and later implementation of NeuroMotion, the company NeuroMotion AB was founded and is the owner of the application. NeuroMotion AB is owned by KS and HEKS and has the purpose of research and to be non-profitable. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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