Neonatal assessments for the preterm infant up to 4 months corrected age: A systematic review

Noble, Yolande and Boyd, Roslyn (2012) Neonatal assessments for the preterm infant up to 4 months corrected age: A systematic review. Developmental Medicine and Child Neurology, 54 2: 129-139. doi:10.1111/j.1469-8749.2010.03903.x


Author Noble, Yolande
Boyd, Roslyn
Title Neonatal assessments for the preterm infant up to 4 months corrected age: A systematic review
Journal name Developmental Medicine and Child Neurology   Check publisher's open access policy
ISSN 0012-1622
1469-8749
Publication date 2012-02-01
Year available 2011
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/j.1469-8749.2010.03903.x
Open Access Status DOI
Volume 54
Issue 2
Start page 129
End page 139
Total pages 11
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Abstract Aim The aim of this study was to systematically review the clinimetric properties of longitudinal neonatal neurobehavioural and neuromotor assessments for preterm infants.
Formatted abstract
Aim The aim of this study was to systematically review the clinimetric properties of longitudinal neonatal neurobehavioural and neuromotor assessments for preterm infants.
Method Twenty-seven assessment measures were identified. The following eight measures met the study inclusion criteria: Assessment of Preterm Infants’ Behaviour (APIB), Neonatal Intensive Care Unit Network Neurobehavioural Scale (NNNS), Test of Infant Motor Performance (TIMP), Prechtl’s Assessment of General Movements (GMs), Neurobehavioural Assessment of the Preterm Infant (NAPI), Dubowitz Neurological Assessment of the Preterm and Full-term Infant (Dubowitz), Neuromotor Behavioural Assessment (NMBA), and the Brazelton Neonatal Behavioural Assessment Scale (NBAS). The primary purposes included prediction (TIMP, GMs, Dubowitz), discrimination (all assessments), and evaluation of change (TIMP, NAPI). Measures of assessment were included in the study if they were (1) primarily neurobehavioural or neuromotor assessments that were suitable for use with preterm infants (<37 weeks gestation) up to 4 months corrected age and were discriminative, predictive, or evaluative; (2) standardized procedures designed for serial/longitudinal use; or (3) criterion or norm referenced. However, all assessment tools that were not published in English in a peer-reviewed journal or were primarily neurological assessments, one-time evaluations, screening tools, or not commercially available were not used.
Results All of the measures included in the review demonstrated adequate content and construct validity. Concurrent validity was reported for APIB, NNNS, Dubowitz, and GMs. Predictive validity was high for GMs with studies reporting up to 100% senstivity for predicting cerebral palsy at the age of 12 to 24 months. Interrater reliability was strong for the TIMP (intraclass correlation=0.95), GMs (K=0.8), and moderate for the NAPI (r=0.67–0.97). Clinical utility was variable for ease of scoring, interpretability, cost, and access.
Interpretation In the absence of a criterion standard for neonatal neuromotor assessments, the NNNS and APIB have strong psychometric qualities with better utility for research. Similarly, the GMs, TIMP, and NAPI have strong psychometric qualities but better utility for clinical settings. The GMs has best prediction of future outcome and the TIMP has best evaluative validity.
Keyword Clinical Neurology
Pediatrics
Neurosciences & Neurology
Pediatrics
CLINICAL NEUROLOGY
PEDIATRICS
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID 473840
Institutional Status UQ
Additional Notes Article first published online: 5 DEC 2011

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Faculty of Health and Behavioural Sciences -- Publications
Official 2012 Collection
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 59 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 70 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sun, 12 Feb 2012, 10:20:09 EST by System User on behalf of School of Medicine