In-Motion-App for remote General Movement Assessment: a multi-site observational study.
In-Motion-App for remote General Movement Assessment: a multi-site observational study.
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DOI：
10.1136/bmjopen-2020-042147
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发表时间：
2021-03-04
期刊：
影响因子：
2.9
通讯作者：
Støen R
中科院分区：
文献类型：
--
作者：
Adde L;Brown A;van den Broeck C;DeCoen K;Eriksen BH;Fjørtoft T;Groos D;Ihlen EAF;Osland S;Pascal A;Paulsen H;Skog OM;Sivertsen W;Støen R
确定父母拍摄的婴儿自发运动视频是否符合In-Motion-App中的要求标准，以及视频是否可以由经过培训的一般运动评估（GMA）观察员远程评分。此外，评估使用基于家庭的视频记录自动跟踪自发运动的可行性，并检查父母在家中拍摄视频的看法和经验。本研究是一项多中心前瞻性观察性研究。挪威、丹麦和比利时三级保健后续方案中高危婴儿的父母/家庭。父母/家庭被要求根据In-Motion标准对他们的婴儿进行视频记录，该标准基于已发布的GMA标准和涵盖智能手机照明和稳定性的标准。根据预定义的标准，将视频评估为GMA“可评分”或“不可评分”。将7点身体跟踪器软件的准确性与手动注释的身体关键点进行比较。家长们对In-Motion-App的信息和清晰度进行了调查。样本包括86名高危婴儿的父母/家庭。86个家长/家庭共返回130个视频，其中121个（96%）符合GMA评估要求。7点身体跟踪软件正确检测到超过80%的身体关键点位置。大多数家庭认为拍摄婴儿的说明很容易遵循，超过90%的家庭报告说，他们没有因为使用说明而更加担心孩子的发育。这项研究表明，一个简短的教学视频，使父母的视频记录他们的婴儿的自发运动符合远程GMA所需的标准。此外，在智能手机视频中检测婴儿身体标志的准确自动身体点软件将很快促进临床和研究使用。可以在家里进行录像，而不必担心父母对孩子的发育。NCT 03409978。
To determine whether videos taken by parents of their infants’ spontaneous movements were in accordance with required standards in the In-Motion-App, and whether the videos could be remotely scored by a trained General Movement Assessment (GMA) observer. Additionally, to assess the feasibility of using home-based video recordings for automated tracking of spontaneous movements, and to examine parents’ perceptions and experiences of taking videos in their homes. The study was a multi-centre prospective observational study. Parents/families of high-risk infants in tertiary care follow-up programmes in Norway, Denmark and Belgium. Parents/families were asked to video record their baby in accordance with the In-Motion standards which were based on published GMA criteria and criteria covering lighting and stability of smartphone. Videos were evaluated as GMA ‘scorable’ or ‘non-scorable’ based on predefined criteria. The accuracy of a 7-point body tracker software was compared with manually annotated body key points. Parents were surveyed about the In-Motion-App information and clarity. The sample comprised 86 parents/families of high-risk infants. The 86 parent/families returned 130 videos, and 121 (96%) of them were in accordance with the requirements for GMA assessment. The 7-point body tracker software detected more than 80% of body key point positions correctly. Most families found the instructions for filming their baby easy to follow, and more than 90% reported that they did not become more worried about their child’s development through using the instructions. This study reveals that a short instructional video enabled parents to video record their infant’s spontaneous movements in compliance with the standards required for remote GMA. Further, an accurate automated body point software detecting infant body landmarks in smartphone videos will facilitate clinical and research use soon. Home-based video recordings could be performed without worrying parents about their child’s development. NCT03409978.
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