The screening Hand Assessment for Infants: Feasibility, validity, and reliability based on parents' recordings
Year: 2025
Type: article
Study design: Observational Study
Abstract: Aim To evaluate the concurrent validity and interrater reliability of remote screening Hand Assessment for Infants (s‐HAI) in infants aged 3.5 to 12 months at risk of unilateral cerebral palsy (CP), and to assess the feasibility of parents administering and recording the s‐HAI play session using a smartphone app. Method In this observational study, 30 infants (10 females) at risk of unilateral CP were assessed with remote s‐HAI, administered by their parents, and compared with the HAI conducted in a clinical setting. The quality of the s‐HAI recordings was assessed and parents' experiences were collected using a questionnaire. The Spearman's rank correlation coefficient ( r s ) was calculated for the Each Hand Sum score of s‐HAI and the corresponding six‐item HAI. The interrater reliability of the s‐HAI recordings was calculated using the intraclass correlation coefficient 2,1 . Results Parents recorded the s‐HAI play session with good quality and found it feasible. A strong correlation of r s = 0.86 ( p < 0.001) was found between the s‐HAI and the six‐item HAI. Interrater reliability was 0.96 (95% confidence interval [CI] = 0.92–0.99) for the affected hand, 0.95 (95% CI = 0.90–0.98) for the non‐affected hand, and moderate to excellent for individual items. Interpretation The s‐HAI measures the same construct as the six‐item HAI, demonstrating reliable scoring between raters when administered remotely by parents, making the s‐HAI a viable tool for the early identification of infants at risk of unilateral CP.
DOI: 10.1111/dmcn.16318
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $5,300
OpenAlex ID: W4409182554