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In-Motion-App for remote General Movement Assessment : A multi-site observational study

Adde, Lars ; Brown, Annemette LU ; Van Den Broeck, Christine ; Decoen, Kris ; Eriksen, Beate Horsberg ; Fjørtoft, Toril ; Groos, Daniel ; Ihlen, Espen Alexander F. ; Osland, Siril and Pascal, Aurelie , et al. (2021) In BMJ Open 11(3).
Abstract

Objectives 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. Design The study was a multi-centre prospective observational study. Setting Parents/families of high-risk infants in tertiary care follow-up programmes in Norway, Denmark and Belgium. Methods Parents/families were asked to video record their baby in accordance with... (More)

Objectives 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. Design The study was a multi-centre prospective observational study. Setting Parents/families of high-risk infants in tertiary care follow-up programmes in Norway, Denmark and Belgium. Methods 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. Participants The sample comprised 86 parents/families of high-risk infants. Results 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. Conclusions 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. Trials registration number NCT03409978.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
developmental neurology & neurodisability, paediatric intensive & critical care, paediatric neurology
in
BMJ Open
volume
11
issue
3
article number
e042147
publisher
BMJ Publishing Group
external identifiers
  • scopus:85102069924
  • pmid:33664072
ISSN
2044-6055
DOI
10.1136/bmjopen-2020-042147
language
English
LU publication?
yes
id
306f1d18-49b2-427d-8c59-a4371017ad20
date added to LUP
2021-03-17 07:25:33
date last changed
2024-06-27 10:11:41
@article{306f1d18-49b2-427d-8c59-a4371017ad20,
  abstract     = {{<p>Objectives 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. Design The study was a multi-centre prospective observational study. Setting Parents/families of high-risk infants in tertiary care follow-up programmes in Norway, Denmark and Belgium. Methods 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. Participants The sample comprised 86 parents/families of high-risk infants. Results 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. Conclusions 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. Trials registration number NCT03409978.</p>}},
  author       = {{Adde, Lars and Brown, Annemette and Van Den Broeck, Christine and Decoen, Kris and Eriksen, Beate Horsberg and Fjørtoft, Toril and Groos, Daniel and Ihlen, Espen Alexander F. and Osland, Siril and Pascal, Aurelie and Paulsen, Henriette and Skog, Ole Morten and Sivertsen, Wiebke and Støen, Ragnhild}},
  issn         = {{2044-6055}},
  keywords     = {{developmental neurology & neurodisability; paediatric intensive & critical care; paediatric neurology}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{BMJ Open}},
  title        = {{In-Motion-App for remote General Movement Assessment : A multi-site observational study}},
  url          = {{http://dx.doi.org/10.1136/bmjopen-2020-042147}},
  doi          = {{10.1136/bmjopen-2020-042147}},
  volume       = {{11}},
  year         = {{2021}},
}