%0 Journal Article
%T Implementation of remote general movement assessment using the in-motion instructions in a high-risk norwegian cohort.
%A Adde L
%A Åberg KB
%A Fjørtoft T
%A Grunewaldt KH
%A Lade R
%A Osland S
%A Piegsa F
%A Sandstrøm PG
%A Støen R
%A Størvold GV
%A Eriksen BH
%J BMC Pediatr
%V 24
%N 1
%D 2024 Jul 10
%M 38987721
%F 2.567
%R 10.1186/s12887-024-04927-4
%X <B>BACKGROUND: </B>General Movement Assessment (GMA) is recommended for early detection of risk for cerebral palsy but requires trained clinical experts. We aimed to implement home- and hospital-based filming for remote GMA in a Norwegian high-risk infant cohort, as well as evaluating parents' experiences in filming their infant at home.<BR><B>METHODS: </B>This knowledge translational study used a prospective cohort design including participants referred to neurodevelopmental follow-up across three sites in the Central Norway Regional Health Authority. Two home films of the fidgety type of general movements were collected between 12+1-14+6 and 15+1-17+6 weeks after term by parents. An additional film was collected at the hospital between 12+1 and 17+6 weeks after term. The instructional guide for all filming was the In-Motion App standards. Videos were transferred to a remote GMA team and classified as either "GMA scorable" or "GMA not scorable" based on Prechtl's GMA standards. Parents responded to an online survey using a 5-point Likert scale to collect information about their perspectives, experiences, and possible worries by filming their infant at home.<BR><B>RESULTS: </B>One-hundred-and-two infants from 95 families participated. Ninety-two (96.8%) families transferred 177 home-based videos. Eighty-four (92%) of these had 95 videos taken in their local hospital. All 177 home-videos were "GMA scorable" and three (3,1%) out of 95 hospital-based videos were classified as "GMA not scorable". Eight families did not respond to the survey and two families did not receive the survey due to a technical error. Seventy-eight (91.7%) respondents agreed or strongly agreed that it was easy to perform home filming and five (5.9%) agreed that they were more worried about their child`s development after filming at home. Almost 80% of respondents agreed that a video for GMA can be taken at home instead of in hospital.<BR><B>CONCLUSIONS: </B>This study strengthens the clinical implementation of home filming by parents and remote GMA for early detection of CP in high-risk follow-up programs. The implementation of remote GMA has the potential to facilitate early intervention to improve function in children with CP in line with international recommendations.<BR><B>BACKGROUND: </B>ClinicalTrials.gov ID: NCT04287166 Date of registration: 27/02/2020.