Interrater and test–retest reliability of the Hand Assessment for Infants

Anna Ullenhag; Linda Ek; Ann‐Christin Eliasson; Lena Krumlinde‐Sundholm

doi:10.1111/dmcn.14967

journal article Open Access Jul 05, 2021

Interrater and test–retest reliability of the Hand Assessment for Infants

Anna Ullenhag Linda Ek

Ann‐Christin Eliasson

Lena Krumlinde‐Sundholm

Developmental Medicine and Child Neurology Vol. 63 No. 12 pp. 1456-1461 · Wiley

View at Publisher Save 10.1111/dmcn.14967

Abstract

AimTo evaluate the interrater and test–retest reliability, standard error of measurement (SEM), and the smallest detectable difference (SDD) of the Hand Assessment for Infants (HAI).MethodHAI assessments of 55 infants (26 females, 29 males), 25 with clinical signs of unilateral cerebral palsy (CP) and 30 typically developing (mean [SD] age 6.8mo [2.4], range 3–11mo), were scored individually by three therapists. Three clinically experienced occupational therapists (OT 1–OT 3) with extensive experience in using the HAI, independently scored the video recorded HAI play sessions. Analysis of the combined group of infants and just the infants with clinical signs of unilateral CP (12 females, 13 males; mean age 7.6mo [2.1]) were conducted. Intraclass correlation coefficients (ICC, 2.1), Bland–Altman plots, SEM, and SDD were calculated.ResultsInterrater and test–retest reliability were excellent for the Both Hands Measure (BoHM) and the Each Hand Sum score (EaHS), with ICCs of 0.96 to 0.99. For individual items, the interrater and test–retest reliability was good to excellent (ICC 0.81–0.99). The SDD for the EaHS was 2 points, and for the BoHM the SDD it was 3 HAI units for infants with signs of unilateral CP.InterpretationThe HAI results showed good to excellent reliability. The SDDs were low, indicating that results beyond these levels exceed the measurement error and, thus, can be considered true changes.
What this study adds

The Hand Assessment for Infants (HAI) shows excellent reliability.

A change of ≥3 HAI units is considered a true change.

The HAI yields reliable measures for research and clinical practice.

Topics

No keywords indexed for this article. Browse by subject →

References

22

[1]

Development of the Hand Assessment for Infants: evidence of internal scale validity

Lena Krumlinde‐Sundholm, Linda Ek, Elisa Sicola et al.

Developmental Medicine and Child Neurology 10.1111/dmcn.13585

[2]

10.1186/s12883-018-1106-4

[3]

10.1111/dmcn.14163

[4]

10.1001/jamapediatrics.2017.1689

[5]

10.1016/j.ejpn.2020.09.002

[6]

10.1016/j.ejpn.2019.04.004

[7]

10.1016/j.ridd.2017.11.006

[8]

10.1111/dmcn.14739

[9]

Development of hand function during the first year of life in children with unilateral cerebral palsy

Leanne Sakzewski, Elisa Sicola, Cornelia H Verhage et al.

Developmental Medicine and Child Neurology 10.1111/dmcn.14091

[10]

10.1136/bmjopen-2012-002512

[11]

REACH: study protocol of a randomised trial of rehabilitation very early in congenital hemiplegia

Roslyn N Boyd, Jenny Ziviani, Leanne Sakzewski et al.

BMJ Open 10.1136/bmjopen-2017-017204

[12]

10.1097/01.phm.0000176452.17771.20

[13]

10.1093/med/9780199685219.001.0001

[14]

10.1016/0021-9681(87)90069-5

[15]

10.1093/ejo/cjr010

[16]

Quantifying Test-Retest Reliability Using the Intraclass Correlation Coefficient and the SEM

Joseph P. Weir

The Journal of Strength and Conditioning Research 10.1519/15184.1

[17]

10.1016/j.jcm.2016.02.012

[18]

10.2165/00007256-200030010-00001

[19]

10.3389/fnhum.2018.00095

[20]

MokkinkLB PrinsenCA PatrickDL et al.COSMIN Study Design checklist for Patient‐reported outcome measurement instruments.2019Available from:https://www.cosmin.nl/wp‐content/uploads/COSMIN‐study‐designing‐checklist_final.pdf(accessed 4 June 2021).

[21]

10.1007/s00415-012-6570-y

[22]

10.1111/dmcn.14163

Metrics

20

Citations

22

References

Details

Published: Jul 05, 2021
Vol/Issue: 63(12)
Pages: 1456-1461
License: View

Authors

A

Anna Ullenhag

Neuropediatric Unit Department of Women’s and Children’s Health Karolinska Institutet Stockholm Sweden; Faculty of Health Science Mälardalens University Västerås Sweden

L

Linda Ek

Neuropediatric Unit Department of Women’s and Children’s Health Karolinska Institutet Stockholm Sweden

A

Ann‐Christin Eliasson

Neuropediatric Unit Department of Women’s and Children’s Health Karolinska Institutet Stockholm Sweden

L

Lena Krumlinde‐Sundholm

Neuropediatric Unit Department of Women’s and Children’s Health Karolinska Institutet Stockholm Sweden

Funding

Kommunfullmäktige, Stockholms Stad Award: 2011‐2017

Stiftelsen Frimurare Barnhuset i Stockholm

Cite This Article

Anna Ullenhag, Linda Ek, Ann‐Christin Eliasson, et al. (2021). Interrater and test–retest reliability of the Hand Assessment for Infants. Developmental Medicine and Child Neurology, 63(12), 1456-1461. https://doi.org/10.1111/dmcn.14967

Interrater and test–retest reliability of the Hand Assessment for Infants

You May Also Like