Video and CD-ROM as a Training Tool for Performing Neurologic Examinations of 1-Year-Old Children in a Multicenter Epidemiologic Study

Journal of Child Neurology - Tập 20 Số 10 - Trang 829-831 - 2005
Karl Kuban1, Michael O’Shea2, Elizabeth N. Allred3, Alan Leviton4, Herbert E. Gilmore5, Adre duPlessis6, Kalpathy S. Krishnamoorthy7, Cecil D. Hahn8, Janet S. Soul6, Sunila E. O’Connor9, Karen P. Hayhurst10, Paige Church10, Cecilia Keller10, Richard Bream11, Robin Adair11, Alice Miller11, Elaine Romano12, Haim Bassan8, Kathy Kerkering13, Steve Engelke13, Diane Marshall14, Kristy Milowic14, Janice Wereszczak14, Carol P. Hubbard14, Lisa K. Washburn2, Robert G. Dillard2, Cherrie Heller2, Wendy Burdo-Hartman15, Lynn Fagerman15, Dinah Sutton15, Padu Karna16, Nick Olomu16, Leslie Caldarelli9, Melisa Oca17, Kim Lohr15, Albert P. Scheiner11
1Division of Pediatric Neurology, Department of Pediatrics, Boston Medical Center, Boston University, Boston, MA
2Department of Neonatology, Wake Forest University, Winston-Salem, NC
3Neuroepidemiology Unit, Department of Neurology, Children's Hospital Boston, Harvard University, Boston, MA, Department of Biostatistics, Harvard School of Public Health, Harvard University, Boston, MA
4Neuroepidemiology Unit, Department of Neurology, Children's Hospital Boston, Harvard University, Boston, MA
5Baystate Medical Center, Tufts University School of Medicine, Springfield, MA
6Department of Neurology, Children's Hospital Boston, Harvard University, Boston, MA, Brigham and Women's Medical Center, Harvard University, Boston, MA
7Massachusetts General Hospital
8Department of Neurology, Children's Hospital Boston, Harvard University, Boston, MA
9University of Chicago, Chicago, IL
10TUFTS-NEW ENGLAND MEDICAL CENTER
11University of Massachusetts Memorial Medical Center, Worcester, MA
12Yale University Medical Center
13East Carolina University,
14University of North Carolina
15DeVos Children's Hospital
16Michigan State University-Sparrow Medical Center
17William Beaumont Hospital, Neonatal Unit, Royal Oak, MI

Tóm tắt

In lieu of traditional training of examiners to identify cerebral palsy on a neurologic examination at age 1 year, we proposed an alternative approach using a multimedia training video and CD-ROM we developed after a two-step validation process. We hypothesized that use of CD-ROM interactive training will lead to reliable and valid performance of the neurologic examination by both pediatric neurologists and nonpediatric neurologists. All examiners were asked to take one of six interobserver variability tests found on the CD-ROM on two occasions. In the first interobserver variability evaluation, 89% (531 of 594) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the two items that had a 60% correct rate, the correct response rate rose to 93% (114 of 123). In the second interobserver variability evaluation, 88% (493 of 560) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the four items that had a 70% correct rate, the correct response rate rose to 96% (104 of 108). Interactive CD-ROM examination training is an efficient and cost-effective means of training both neurologists and non-neurologists to perform structured neurologic examinations in 1-year-old children. It provides an effective means to evaluate interobserver variability, offers a route for feedback, and creates an opportunity to reevaluate variability, both immediately and at periodic intervals. ( J Child Neurol 2005;20:829—831).

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Tài liệu tham khảo

Paneth N., 1994, Brain Damage in the Preterm Infant. Clinics in Developmental Medicine

10.1136/adc.67.8.1050

10.1111/j.1651-2227.1996.tb14193.x

Bhushan V., 1993, Pediatrics, 91, 1094, 10.1542/peds.91.6.1094

10.1111/j.1469-8749.1995.tb11965.x

10.1097/00004583-199602000-00011

10.1001/jama.1997.03540260040033

10.1016/S0378-3782(98)00052-8

10.1111/j.1749-6632.1993.tb26261.x

10.1056/NEJM199503023320901

10.1161/01.CIR.100.5.526

Scheidt P., 1986, J Med Educ, 61, 585

10.1097/00001888-199707000-00014

McCormick D., 1993, Pediatrics, 92, 116, 10.1542/peds.92.1.116

10.1056/NEJM199401203300308

10.1111/j.1469-8749.2003.tb00968.x

Pinto-Martin J., 1995, Pediatrics, 95, 249, 10.1542/peds.95.2.249

Nelson K., 1982, Pediatrics, 69, 529, 10.1542/peds.69.5.529

10.1136/fn.88.1.F29

10.1159/000056755

10.1542/peds.110.6.1094

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Journal of Child Neurology

Tập 20 Số 10

829-831

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