Master Pediatric Physiotherapy & Research Center for Innovation in Healthcare, Institute of Human Movement Studies, HU University of Applied Sciences, Utrecht, The Netherlands
Institute of Human
Movement Studies
Background: The GODIVA project was driven by a demand of pediatric physical therapists (PPTs) from a children's hospital to explore possibilities of using home-videos to observe motor development. The project was set up in a network of knowledge
institutes, four hospitals and professional organizations. In addition, a sounding board group of >20 PPT practices was involved.
The reasons for this project were threefold: (1) the use of home-videos could give a more realistic picture of the infants' motor repertoire, and is independent of time and distance; (2) the need for longitudinal data on motor development, due to intra-
individual variability; (3) the unknown validity of the Canadian normative values for the Dutch population.
Purpose: To design, validate and explore a method to measure gross motor development with the Alberta Infant Motor Scale (AIMS)1 using home-video's made by parents of their infants' motor performance up to independent walking.
Approach: Several collaboration groups were formed to serve the purposes. The investigations were
carried out by PPT researchers together with professionals, and by IT students and master PPT students, supported by their teachers.
Design oriented research by IT students:
In collaboration with the PPTs, they developed software for secure sending and storage, playing and scoring
videos.
Discussion en conclusion: The project was more complex to manage with all the participants. However, the
involvement of professionals strengthened the impact of the research project and the valorisation of the results considerably. The GODIVA research project is an excellent example of practice-oriented research carried out in fruitful collaboration with lecturers and PPTs working in clinical practice. In practice-oriented research,
researchers, educators and professionals could best work together to their mutual benefit.
Impact and Implications: The collaboration with the professionals had a high added value for the students. The involved
professionals stated that their knowledge increased and that outcomes were well applicable to their clinical practice. They might become early adopters towards the innovation. To realize the use of this e-health application in clinical practice, a follow-up
project is set up to focus on ease of use, business- and service modeling, and implementation strategies.
REF: 1. Piper MC, Darrah J. Motor assessment of the developing infant. Philadelphia, PA:WB Saunders Co 1994.
2. Boonzaaijer M, ten Dam E, van Haastert IL, Nuysink J. Concurrent validity between live and home-video observations and reliability of gross motor behavior in early infancy using the Alberta Infant Motor Scale. Pediatr Physic Ther. Oct 2016 Accepted.
3. Darrah J, Bartlett D, Maguire TO, Avison WR, Lacaze-Masmonteil T. Have infant gross motor abilities changed in 20 years? A re-evaluation of the Alberta Infant Motor Scale normative values. Developmental Medicine & Child Neurology 2014;56(9):877-881.
Funding Acknowledgement: SIA-RAAK-public (GODIVA 2013-2016). Taskforce for applied research-SIA is part of The Netherlands organization for scientific research (NWO); AIMS-NL 2015 grant from Scientific College Physiotherapy (WCF), Research funding of KNGF (Dutch society of PTs).
Contact:
jacqueline.nuysink@hu.nl www.godiva.hu.nl
Validation study by researchers and PPT practices:
Development of videomethod; training testers;
Observing n=48 infants both live and video.
Longitudinal pilot study:
N=50 Infants with typical development; 2 parallel cohorts;
3-5 measurements Normative study3:
N=450 single measurement; study is still running.
Mixed-methods by researchers, PPTsstudents, and hospitals:
Expectations and experiences of parents and PPTs in both validation study and the pilot study, using
questionnaires and semi-structured interviews.
Knowledge dissemination:
Website, newsletters, peer review meetings with professionals, workshops and symposia;
advanced course for PPTs
Video-method is well
comparable to live observation.2 Inter-rater reliability should be
improved.
Large intra-individual variability.
Parents were able to make the videos and appreciated this possibility. PPTs see the video-method as a welcome addition that could solve a number of bottlenecks in the follow-up outpatient clinic, but they also expect obstacles in IT support and business feasibility.