Alberta婴儿运动量表在正常婴儿中的信度研究  

Reliability study of the Alberta infant motor scale in normal infants

作　　者：王翠[1] 席宇诚[1] 李卓[1] 黄真[1] 

机构地区：[1]北京大学第一医院物理医学与康复科、北京西城区西什库大街8号,100034

出　　处：《中国康复医学杂志》2009年第10期896-899,共4页Chinese Journal of Rehabilitation Medicine

基　　金：WHO国际合作课题

摘　　要：目的:了解Alberta婴儿运动量表(Alberta infant motor scale,AIMS)在中国北京城区正常足月婴儿中应用时的组间信度及组内信度。方法:在中国北京城区居住的45名正常足月婴儿加入本研究,平均月龄(6.89±2.97)个月(最小月龄4个月,最大月龄12.5个月);其中男婴26例,女婴19例;小于6个月龄的婴儿23例,大于6个月龄的婴儿22例。3名评估者(评估者A、B、C)加入本研究。在组间信度的研究中,评估者A应用AIMS对婴儿进行现场运动评估并摄像,评估者B、C分别通过录像进行独立地AIMS评分,通过三者对同一婴儿的AIMS评分计算组间信度。在距第一次评估至少1个月以上,评估者B、C分别根据录像再次对每个婴儿进行AIMS评估,通过同一评估者对同一婴儿两次评估的AIMS评分计算组内信度。通过计算组内相关系数(intraclass correlation coefficient,ICC)检测信度。结果:在组间信度的研究中,总体ICC=0.995,小于6个月龄组ICC=0.903,大于6个月龄组ICC=0.974;在组内信度的研究中,总体ICCs=0.997—0.999,小于6个月龄组ICCs=0.892—0.972,大于6个月龄组ICCs=0.987—0.998。结论:AIMS在评估中国北京城区正常足月婴儿运动发育水平时具有较高的信度。Objective： To examine the interrater and intrarater reliability of the Alberta Infant Motor Scale （AIMS） when it was used in normal full-term infants in Beijing, China. Method： Forty-five normal full-term infants including 26 boys and 19 girls lived in Beijing, with the average age （6.89±2.97） months （from 4 to 12.5 months）, were admitted to this investigation. Twenty-three infants were younger than 6 months and twenty-two infants were older than 6 months. Three evaluators （evaluator A, B, C） were admitted to this investigation. In the interrater reliability study, evaluator A administered the AIMS to the infants and videotaped their performance, then evaluators B, C scored the performance in the videos independently to examine the interrater reliability. After at least one month, evaluators B,C reseored the performance with the videos again to examine the intrarater reliability. Intraelass correlation coefficients （ICCs） were calculated to examine the reliability. Result： In the interrater reliability study, total ICC=0.995, 〈6 months group ICC=0.903, 〉6 months group ICC=0.974. In the intrarater reliability study, total ICCs=0.997-0.999, 〈6 months group ICCs=0.892-0.972, 〉6 months group ICCs=0.987-0.99g. Conclusion： The results suggested that when AIMS was used to evaluate the motor development of the normal full-term infants in Beijing, China, its reliability was high.

关 键 词：婴儿运动发育 运动评估 Alberta婴儿运动量表 信度 

分 类 号：R174[医药卫生—妇幼卫生保健]